Piper Megan E, McCarthy Danielle E, Bolt Daniel M, Smith Stevens S, Lerman Caryn, Benowitz Neal, Fiore Michael C, Baker Timothy B
Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI 53711, USA.
Nicotine Tob Res. 2008 Jun;10(6):1009-20. doi: 10.1080/14622200802097563.
Considerable research, ranging from survey to clinical to genetic, has utilized traditional measures of tobacco dependence, such as the Fagerstrom Test of Nicotine Dependence (FTND) and the Diagnostic and Statistical Manual (4th ed.) (DSM-IV) criteria, that focus on endpoint definitions of tobacco dependence such as heavy smoking, time to first cigarette in the morning, and smoking despite consequences. In an effort to better understand possible theories and mechanisms underlying tobacco dependence, which could be used to improve treatment and research, two multidimensional measures of tobacco dependence have been developed: the Nicotine Dependence Syndrome Scale (NDSS) and the Wisconsin Inventory of Smoking Dependence Motives (WISDM). This research used data from three randomized smoking cessation trials to examine the internal consistency and validity (convergent, concurrent and predictive) of these scales, relative to each other and the traditional measures. Results reveal that NDSS and WISDM subscales are related to important dependence criteria, but in a heterogeneous fashion. The data suggest that there are important underlying mechanisms or motives that are significantly related to different important outcomes, such as withdrawal and cessation. The FTND was most strongly related to abstinence at 1 week and 6 months post-quit, whereas the WISDM Tolerance subscale was most strongly related to abstinence at the end of treatment. The NDSS Priority subscale was consistently predictive of outcome at all three follow-up time points. There is also evidence that WISDM subscales are related to a biomarker of the rate of nicotine metabolism.
从调查到临床再到基因研究,大量研究都采用了烟草依赖的传统测量方法,如尼古丁依赖的法格斯特龙测试(FTND)和《诊断与统计手册》(第4版)(DSM-IV)标准,这些方法侧重于烟草依赖的终点定义,如重度吸烟、早晨第一支烟的时间以及不顾后果地吸烟。为了更好地理解烟草依赖背后可能的理论和机制,以便用于改进治疗和研究,现已开发出两种多维烟草依赖测量方法:尼古丁依赖综合征量表(NDSS)和威斯康星吸烟依赖动机量表(WISDM)。本研究使用了三项随机戒烟试验的数据,以检验这些量表相对于彼此以及传统测量方法的内部一致性和有效性(收敛性、同时性和预测性)。结果显示,NDSS和WISDM分量表与重要的依赖标准相关,但方式各异。数据表明,存在与不同重要结果(如戒断和戒烟)显著相关的重要潜在机制或动机。FTND与戒烟后1周和6个月的 abstinence最为密切相关,而WISDM耐受性分量表与治疗结束时的 abstinence最为密切相关。NDSS优先级分量表在所有三个随访时间点都始终能够预测结果。还有证据表明,WISDM分量表与尼古丁代谢率的生物标志物有关。 注:原文中“abstinence”未明确中文释义,根据语境推测可能是“戒烟成功”之类的意思。