Taghian Nadine R, Parsons E Marie, Otto Michael W
Psychological and Brain Sciences, Boston University, 900 Commonwealth Ave., 2(nd) Floor, Boston, MA 02215, USA.
Psychological and Brain Sciences, Boston University, 900 Commonwealth Ave., 2(nd) Floor, Boston, MA 02215, USA.
J Subst Use Addict Treat. 2025 May;172:209638. doi: 10.1016/j.josat.2025.209638. Epub 2025 Feb 16.
Compulsivity characterizes an important subtype of substance use disorders (SUDs), but there has been variability in how compulsive substance use is defined and measured. The current study was designed to (1) develop a new measure of substance use compulsivity, (2) validate this scale in a community sample of adults who drink alcohol, and (3) evaluate the association between this new measure of compulsivity and substance use severity. We hypothesize that compulsivity will be characterized by automaticity, craving and insensitivity to negative consequences, and greater substance use severity will be associated with higher levels of substance use compulsivity.
A preliminary set of items were generated for the novel Compulsive Substance Use Questionnaire (CSUQ) to reflect three conceptual aspects of substance use compulsivity: automaticity, craving, and disregarding negative consequences. The study recruited a total of 253 adults who drink alcohol, with a range of severity. Participants answered online surveys on compulsivity, frequency of alcohol use, craving, and negative consequences of alcohol use.
We obtained a single-factor solution with 22 items that included 3 automaticity items, 10 craving items, and 9 disregarding negative consequences items. The resulting measure had excellent internal consistency (α = 0.96). The CSUQ was associated with substance use severity; specifically, greater compulsivity was associated with heavy alcohol use and higher frequency of negative consequences associated with alcohol use.
The current study supports the validity of a new measure of substance use compulsivity, composed of items that closely hew to the concept of substance use compulsivity. Future work investigating compulsivity in other substance use populations with varying levels of severity will further our understanding of compulsive substance use and SUD subtypes.
强迫性是物质使用障碍（SUDs）的一种重要亚型，但在强迫性物质使用的定义和测量方面存在差异。本研究旨在：（1）开发一种新的物质使用强迫性测量方法；（2）在饮酒成年人的社区样本中验证该量表；（3）评估这种新的强迫性测量方法与物质使用严重程度之间的关联。我们假设，强迫性将表现为自动性、渴望和对负面后果不敏感，且更高的物质使用严重程度将与更高水平的物质使用强迫性相关。
为新型强迫性物质使用问卷（CSUQ）生成了一组初步项目，以反映物质使用强迫性的三个概念方面：自动性、渴望和忽视负面后果。该研究共招募了253名饮酒成年人，他们的饮酒严重程度各不相同。参与者通过在线调查回答了关于强迫性、饮酒频率、渴望以及饮酒负面后果的问题。
我们得到了一个单因素解决方案，包含22个项目，其中包括3个自动性项目、10个渴望项目和9个忽视负面后果项目。由此得到的测量方法具有出色的内部一致性（α = 0.96）。CSUQ与物质使用严重程度相关；具体而言，更高的强迫性与大量饮酒以及更高频率的饮酒负面后果相关。
本研究支持一种新的物质使用强迫性测量方法的有效性，该方法由紧密遵循物质使用强迫性概念的项目组成。未来针对不同严重程度的其他物质使用人群进行强迫性调查的工作，将加深我们对强迫性物质使用和SUD亚型的理解。
