Brook Judith S, Koppel Jonathan, Pahl Kerstin
Department of Psychiatry, New York University School of Medicine, New York, New York 10016, USA.
Subst Use Misuse. 2009;44(6):809-22. doi: 10.1080/10826080802483985.
This study examined the psychosocial predictors of nicotine dependence, as defined by a variant of the criteria employed in the DSM-IV-specifically that of the University of Michigan Composite International Diagnostic Interview (UM-CIDI)-and the Fagerstrom Test for Nicotine Dependence (FTND). The study was conducted with a community sample of African American and Puerto Rican young adults (N = 475; mean age = 26). Predictor variables included physiologically based psychosocial (i.e., depressive symptoms and family problems with smoking) as well as social-behavioral psychosocial (i.e., rebelliousness and partner's problems with smoking) predictors of nicotine dependence. Using multiple regression analyses, UM-CIDI-defined dependence was predicted by each of the four psychosocial variables, while FTND-defined dependence was predicted only by the social-behavioral variables. These findings bear out the disparate dimensions of nicotine dependence each measure taps. Research and clinical implications of the findings are discussed, and the study's limitations are noted.
本研究考察了尼古丁依赖的心理社会预测因素，尼古丁依赖的定义采用了《精神疾病诊断与统计手册》第四版（DSM-IV）中所使用标准的一个变体——具体而言是密歇根大学综合国际诊断访谈（UM-CIDI）的标准——以及尼古丁依赖的法格斯特龙测试（FTND）。该研究以非裔美国人和波多黎各年轻人的社区样本（N = 475；平均年龄 = 26岁）进行。预测变量包括基于生理的心理社会因素（即抑郁症状和与吸烟有关的家庭问题）以及尼古丁依赖的社会行为心理社会因素（即叛逆和伴侣与吸烟有关的问题）。使用多元回归分析，四个心理社会变量中的每一个都可预测UM-CIDI定义的依赖，而FTND定义的依赖仅由社会行为变量预测。这些发现证实了每种测量方法所涉及的尼古丁依赖的不同维度。讨论了研究结果的研究和临床意义，并指出了该研究的局限性。
