Piper Megan E, Piasecki Thomas M, Federman E Belle, Bolt Daniel M, Smith Stevens S, Fiore Michael C, Baker Timothy B
Center for Tobacco Research and Intervention, University of Wisconsin Medical School, Madison, WI 53711-2027, USA.
J Consult Clin Psychol. 2004 Apr;72(2):139-54. doi: 10.1037/0022-006X.72.2.139.
The dependence construct fills an important explanatory role in motivational accounts of smoking and relapse. Frequently used measures of dependence are either atheoretical or grounded in a unidimensional model of physical dependence. This research creates a multidimensional measure of dependence that is based on theoretically grounded motives for drug use and is intended to reflect mechanisms underlying dependence. Data collected from a large sample of smokers (N = 775) indicated that all 13 subscales of the Wisconsin Inventory of Smoking Dependence Motives (WISDM-68) have acceptable internal consistency, are differentially present across levels of smoking heaviness, and have a multidimensional structure. Validity analyses indicated the WISDM-68 subscales are significantly related to dependence criteria such as smoking heaviness and to 4th edition Diagnostic and Statistical Manual of Mental Disorders symptoms of dependence and relapse.
依赖结构在吸烟及复吸的动机理论中发挥着重要的解释作用。常用的依赖测量方法要么缺乏理论依据，要么基于身体依赖的单维模型。本研究创建了一种多维依赖测量方法，该方法基于药物使用的理论动机，旨在反映依赖背后的机制。从大量吸烟者样本（N = 775）收集的数据表明，威斯康星吸烟依赖动机量表（WISDM - 68）的所有13个分量表都具有可接受的内部一致性，在不同吸烟量水平上差异存在，且具有多维结构。效度分析表明，WISDM - 68分量表与诸如吸烟量等依赖标准以及《精神障碍诊断与统计手册》第4版中的依赖和复吸症状显著相关。
