Multidimensional assessment of nicotine dependence in adolescents
Multidimensional assessment of nicotine dependence in adolescents
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DOI：
10.1016/j.drugalcdep.2004.08.019
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发表时间：
2005-03-07
影响因子：
4.2
通讯作者：
Shiffman, S
中科院分区：
文献类型：
--
作者：
Clark, DB;Wood, DS;Shiffman, S
尽管青少年吸烟至关重要，但在这一发育时期对尼古丁依赖的评估一直是相对较少的研究主题。在这项研究中，301名青少年（年龄12至18岁）报告每天吸烟招募的酒精使用障碍（AUD）的项目。样本包括140名女性和161名男性，251名受试者来自临床，50名来自社区，176名受试者在基线评估时有AUD。采用尼古丁依赖综合征量表（NDSS）、Fagerstrom尼古丁依赖试验（FTND）和测定平均每日吸烟数（香烟/天）对受试者进行评价。方差极大。对27个NDSS条目进行因子分析，发现有4个因子：（1）内驱力/耐受性（13个条目，Cronbach α = 0.91）;（2）连续性（5个条目，Cronbach α = 0.67）;（3）优先性（3个条目，Cronbach α = 0.64）;（4）刻板性（5个条目，Cronbach α = 0.66）。还检查了通过删除4个项目进行细化的NDSS总分（23个项目; Cronbach α = 0.90）。预测随访时的每日吸烟量，初始吸烟率是最好的预测因素，FIND和NDSS总分显示出显着且相似的预测有效性。在包括人口学特征、初始吸烟率和FIND的模型中，NDSS Total在预测吸烟进展方面显示出增量效度。研究结果表明，NDSS具有可接受的心理测量特性时，适用于青少年，补充吸烟率和FIND的多维吸烟评估。(c)2004爱思唯尔爱尔兰有限公司保留所有权利。
Despite the critical importance of adolescent smoking, the assessment of nicotine dependence during this developmental period has been the subject of relatively little research. In this study, 301 adolescents (ages 12 through 18 years) reporting daily smoking were recruited for a project on alcohol use disorders (AUDs). The sample included 140 females and 161 males, 251 subjects from clinical and 50 from community sources, and 176 subjects with AUDs at the baseline assessment. Subjects were evaluated with the Nicotine Dependence Syndrome Scale (NDSS), the Fagerstrom Test for Nicotine Dependence (FTND) and a determination of average number of cigarettes per day (cigarettes/day). A varimax. factor analysis of 27 NDSS items revealed four factors: (1) Drive/Tolerance (13 items; Cronbach alpha = 0.91); (2) Continuity (five items; Cronbach alpha = 0.67); (3) Priority (three items; Cronbach alpha = 0.64); (4) Stereotypy (five items; Cronbach alpha = 0.66). The NDSS total score, refined by the removal of four items, was also examined (23 items; Cronbach alpha = 0.90). Predicting cigarettes/day at follow-up, initial smoking rate was the best predictor, with the FIND and NDSS Total score showing significant and similar predictive validity. The NDSS Total showed incremental validity in the prediction of smoking progression in a model including demographic characteristics, initial smoking rate and FIND. The findings suggest that the NDSS has acceptable psychometric properties when applied to adolescents, complementing smoking rate and FIND in a multidimensional smoking assessment. (c) 2004 Elsevier Ireland Ltd. All rights reserved.