Nicotine and drug interaction expectancies among methadone maintained cigarette smokers
Nicotine and drug interaction expectancies among methadone maintained cigarette smokers
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DOI：
10.1016/s0740-5472(03)00030-8
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发表时间：
2003-06-01
影响因子：
3.9
通讯作者：
Anderson, BJ
中科院分区：
文献类型：
--
作者：
Stein, MD;Anderson, BJ
因阿片类药物依赖而接受美沙酮治疗的人的吸烟率特别高。然而，关于戒烟是否对药物滥用治疗结果产生负面影响存在争议。为了了解患者对吸烟和非法药物使用之间相互作用的看法，我们在罗得岛普罗维登斯的两个美沙酮项目中对168名吸烟者（79%为白人，48%为女性）进行了尼古丁和其他物质相互作用预期问卷（NOSIE）。这20个项目的工具的四个总结评级量表表现出良好的内部一致性的可靠性。这些量表测量了吸毒对吸烟的影响（5项，α = .84），吸烟对药物使用的影响（3项，α = 0.73），吸烟以科普吸毒冲动（9项，α = .91），以及同时戒烟和戒毒的困难（3项，α = 0.72）。大多数受试者认为药物使用增加了吸烟，但吸烟并没有引发药物使用。相对较少的人报告说吸烟是为了科普吸毒的冲动，大多数人并不认为戒烟和戒毒是不相容的目标。NOSIE是一种可靠的工具，可以深入了解患者对吸烟和药物使用相互作用的期望。(C)2003年爱思唯尔公司All rights reserved.
Smoking rates among persons being treated with methadone for opiate dependence are exceptionally high. Nevertheless, there is debate about whether smoking cessation has a negative effect on substance abuse treatment outcomes. To understand patient perceptions of the interaction between smoking and illicit drug use, we administered the Nicotine and Other Substances Interaction Expectancies questionnaire (NOSIE) to 168 smokers - 79% Caucasian and 48% female - at two methadone programs in Providence, Rhode Island. The four summed-rating scales of this 20-item instrument exhibited good to excellent internal-consistency reliabilities. The scales measured the effect of drug use on smoking (5 items, alpha = .84), the effect of smoking on drug use (3 items, alpha = .73), smoking to cope with drug urges (9 items, alpha = .91), and the difficulty of concomitantly quitting smoking and drugs (3 items, alpha = .72).Most subjects believed drug use increased smoking, but that smoking did not trigger drug use. Relatively few reported smoking to cope with drug urges and most did not consider quitting smoking and quitting drug use to be incompatible goals. NOSIE was a reliable instrument that offers insight into patient expectations of the interaction of smoking and drug use. (C) 2003 Elsevier Inc. All rights reserved.