Love A, James D, Willner P
Department of Psychology, University of Wales, Swansea, UK.
Addiction. 1998 Jul;93(7):1091-102. doi: 10.1046/j.1360-0443.1998.937109113.x.
To compare two multi-dimensional questionnaires to measure cravings and urges for alcohol: the Alcohol Craving Questionnaire (ACQ: Singleton, Henningfield and Tiffany, 1994a) and the Desires for Alcohol Questionnaire (DAQ: Clark et al., 1996).
DESIGN, SETTING, AND PARTICIPANTS: Both questionnaires were administered, in a counterbalanced order, to a total of 380 recreational drinkers. In a further study, a shortened version of the DAQ was administered to a sample of 131 drinkers attending AA or a treatment centre. Exploratory factor analyses were carried out on the data and relationships between questionnaire score and other variables were assessed.
In recreational drinkers both instruments appeared to have a three-factor structure. The DAQ appeared superior to the ACQ in a number of respects: it produced more reliable factors; its structure accounted for a higher proportion of the variance; the factor inter-correlations were somewhat lower; in a combined analysis of both instruments most of the factors retained came from the DAQ; and the DAQ discriminated better between bing and non-binge drinkers and excessive and moderate drinkers. A similar factor structure was found for the DAQ in the alcoholic subjects with addition of a factor of "controllability".
The results support a multifactorial account of alcohol craving, and indicate that the DAQ has some advantages over the ACQ as a research tool.
比较两种用于测量对酒精的渴望和冲动的多维问卷:酒精渴望问卷(ACQ:Singleton、Henningfield和Tiffany,1994a)和酒精欲望问卷(DAQ:Clark等人,1996)。
设计、背景和参与者:两种问卷以平衡顺序对总共380名娱乐性饮酒者进行施测。在另一项研究中,对131名参加戒酒互助会或治疗中心的饮酒者样本施测了DAQ的简化版。对数据进行探索性因素分析,并评估问卷得分与其他变量之间的关系。
在娱乐性饮酒者中,两种工具似乎都具有三因素结构。DAQ在多个方面似乎优于ACQ:它产生的因素更可靠;其结构解释的方差比例更高;因素间的相关性略低;在对两种工具的综合分析中,保留的大多数因素来自DAQ;并且DAQ在暴饮和非暴饮饮酒者以及过量和适度饮酒者之间的区分更好。在酒精依赖受试者中,DAQ发现了类似的因素结构,并增加了一个“可控性”因素。
结果支持对酒精渴望的多因素解释,并表明DAQ作为一种研究工具比ACQ具有一些优势。