Shenassa Edmond D, Graham Amanda L, Burdzovic Jasmina A, Buka Stephen L
Maternal and Child Health Program, Department of Family Science, 2212D Marie Mount Hall, College Park, MD 20742, USA.
Nicotine Tob Res. 2009 Aug;11(8):1002-10. doi: 10.1093/ntr/ntp109. Epub 2009 Jun 19.
Introduction The Wisconsin Inventory of Smoking Dependence Motives (WISDM-68), a relatively new measure, assesses nicotine dependence in terms of distinct motivations for smoking. We examined psychometric properties of the WISDM-68 in a population-based sample that is on average older and includes heavier smokers than the original sample used for the validation of the instrument. Methods Participants were adult regular smokers (N = 431) who were offspring of pregnant women enrolled in the New England sites of the National Collaborative Perinatal Project (1959-1966). We examined the internal consistency of the WISDM-68's 13 subscales, replicated and extended the confirmatory factor analysis (CFA) by Piper et al., assessed the interdependence of the subscales, examined the association between smoking heaviness and subscale scores, and conducted additional validation tests. Results Internal consistency for WISDM's 13 subscales ranged from 0.78 for the Tolerance to 0.89 for the Cognitive Enhancement and Affiliative Attachment subscales. Similar reliabilities were obtained for demographic and smoking-relevant subgroups. CFAs suggest that a 13-factor model fit our data better than a single-factor model and better than an empirically derived 10-factor model. Regression models supported the validity of the 13 subscales, although follow-up analyses suggested possibility of maintaining WISDM's 13-factor structure with fewer than 68 items. Conclusion The WISDM-68 consists of 13 internally consistent subscales. The independence of the majority of the subscales supports the perspective that nicotine dependence is a heterogeneous construct.
引言 威斯康星吸烟依赖动机量表(WISDM - 68)是一项相对较新的测量工具,它从不同的吸烟动机角度评估尼古丁依赖。我们在一个基于人群的样本中检验了WISDM - 68的心理测量特性,该样本平均年龄较大,且吸烟者比用于该工具验证的原始样本中的吸烟者烟瘾更大。方法 参与者为成年规律吸烟者(N = 431),他们是参加国家围产期协作项目(1959 - 1966)新英格兰地区站点的孕妇的后代。我们检验了WISDM - 68的13个分量表的内部一致性,重复并扩展了Piper等人的验证性因素分析(CFA),评估了分量表之间的相互依赖性,检验了吸烟量与分量表得分之间的关联,并进行了额外的验证测试。结果 WISDM的13个分量表的内部一致性范围从耐受性分量表的0.78到认知增强和社交依恋分量表的0.89。在人口统计学和与吸烟相关的亚组中获得了相似的信度。CFA表明,一个13因素模型比单因素模型和一个根据经验得出的10因素模型更适合我们的数据。回归模型支持了13个分量表的有效性,尽管后续分析表明有可能用少于68个项目来维持WISDM的13因素结构。结论 WISDM - 68由13个内部一致的分量表组成。大多数分量表的独立性支持了尼古丁依赖是一个异质性结构的观点。