McCarthy W J, Zhou Y, Hser Y I
UCLA Division of Cancer Prevention and Control Research, A2-125 CHS, 650 Young Drive, Los Angeles, California 90095-6900, USA.
J Behav Med. 2001 Feb;24(1):75-91. doi: 10.1023/a:1005638521562.
The most popular measure of tobacco dependence, the Fagerstrom Tolerance Questionnaire (FTQ), measures only tobacco-specific behaviors. In contrast, the most popular assessment of addiction among polydrug users is the Addiction Severity Index (ASI). Most of the subscales comprising the ASI are psychosocial measures, not drug-specific measures. A study was undertaken to compare the predictive utility of these two contrasting measures. The NAS (adapted from the FTQ) and the Addiction Severity Index (ASI) were used to predict future smoking status in a cohort of polydrug users followed annually for 3 years. The baseline NAS score explained more of the variance in Time 2 and Time 3 smoking status than did the ASI subscales. When previous smoking status was included as a covariate, however, the NAS no longer predicted future smoking status, whereas the ASI Subscales continued to explain significant variance in future smoking status. Results suggest that when past smoking behavior is known, a respondent's legal status and alcohol use may be more useful than a measure of tobacco dependence for predicting future smoking status.
最常用的烟草依赖测量方法，即法格斯特龙耐受性问卷（FTQ），仅测量特定于烟草的行为。相比之下，多药滥用者中最常用的成瘾评估方法是成瘾严重程度指数（ASI）。构成ASI的大多数分量表是社会心理测量方法，而非特定于药物的测量方法。开展了一项研究以比较这两种截然不同的测量方法的预测效用。NAS（改编自FTQ）和成瘾严重程度指数（ASI）被用于预测一组多药滥用者的未来吸烟状况，该组人员每年随访一次，为期3年。基线NAS得分比ASI分量表能解释更多时间2和时间3吸烟状况的方差。然而，当将既往吸烟状况作为协变量纳入时，NAS不再能预测未来吸烟状况，而ASI分量表仍能解释未来吸烟状况的显著方差。结果表明，当已知过去的吸烟行为时，对于预测未来吸烟状况而言，受访者的法律地位和酒精使用情况可能比烟草依赖测量方法更有用。
