Krejci Jonathan, Steinberg Marc L, Ziedonis Douglas
Division of Addiction Psychiatry, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Piscataway 08854, NJ, USA.
Drug Alcohol Depend. 2003 Dec 11;72(3):249-54. doi: 10.1016/j.drugalcdep.2003.07.003.
Treatment seeking substance abusers were classified as current smokers or non-smokers to identify differences between groups on psychiatric and substance use severity variables. The Addiction Severity Index (fifth edition; ASI) was administered to 313 substance abusers seeking treatment in a private, residential addictions treatment program. Since current smokers were younger and less educated than non-smokers, these variables were entered as covariates in all analyses. As measured by the ASI, current smokers experienced a significantly greater number of days with drug problems in the last 30 days and were seen as being in significantly more need of drug treatment and alcohol treatment by ASI interviewers. These findings indicate that smoking status may be a marker for greater substance use severity, although the fact that participants were not randomly assigned to groups precludes making causal interpretations of these data. Areas of future research are suggested including examining the potential mediating role of third variables such as personality and temperament.
寻求治疗的药物滥用者被分为当前吸烟者或非吸烟者，以确定两组在精神和药物使用严重程度变量上的差异。对313名在私立住院成瘾治疗项目中寻求治疗的药物滥用者进行了成瘾严重程度指数（第五版；ASI）测评。由于当前吸烟者比非吸烟者更年轻且受教育程度更低，这些变量在所有分析中均作为协变量纳入。根据ASI测量，当前吸烟者在过去30天内出现药物问题的天数显著更多，并且ASI访谈者认为他们明显更需要药物治疗和酒精治疗。这些发现表明，吸烟状况可能是药物使用严重程度更高的一个标志，尽管参与者并非随机分组这一事实排除了对这些数据进行因果解释的可能性。建议未来的研究领域包括考察诸如人格和气质等第三变量的潜在中介作用。
