Addiction (Abingdon, England) · 2011
Nicotine dependence, abuse and craving: dimensionality in an Israeli sample.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Shmulewitz Dvora, Keyes Katherine M, Wall Melanie M, Aharonovich Efrat, Aivadyan Christina, Greenstein Eliana, Spivak Baruch, Weizman Abraham, Frisch Amos, Grant Bridget F, Hasin Deborah
Аннотация
AIMS: Evidence-based changes planned for Diagnostic and Statistical Manual 5th edition (DSM-5) substance use disorders (SUDs) include combining dependence and three of the abuse criteria into one disorder and adding a criterion indicating craving. Because DSM-IV did not include a category for nicotine abuse, little empirical support is available for aligning the nicotine use disorder criteria with the DSM-5 criteria for other SUDs.
DESIGN: Latent variable analyses, bootstrap tests and likelihood ratio tests were used to explore the unidimensionality, psychometric properties and information of the nicotine criteria.
SETTING AND PARTICIPANTS: A sample of household residents selected from the Israeli population register yielded 727 life-time cigarette smokers.
MEASUREMENTS: DSM-IV nicotine dependence criteria and proposed abuse and craving criteria, assessed with a structured interview.
FINDINGS: Three abuse criteria (hazardous use, social/interpersonal problems and neglect roles) were prevalent among smokers, formed a unidimensional latent trait with nicotine dependence criteria, were intermixed with dependence criteria across the severity spectrum and significantly increased the diagnostic information over the dependence-only model. A craving criterion was shown to fit well with the other criteria.
CONCLUSION: Similar to findings from research on other substances, nicotine dependence, abuse and craving criteria appear to derive from a common underlying dimension. The results support alignment of nicotine criteria with those for alcohol and drug use disorders in Diagnostic and Statistical Manual 5th edition.
DESIGN: Latent variable analyses, bootstrap tests and likelihood ratio tests were used to explore the unidimensionality, psychometric properties and information of the nicotine criteria.
SETTING AND PARTICIPANTS: A sample of household residents selected from the Israeli population register yielded 727 life-time cigarette smokers.
MEASUREMENTS: DSM-IV nicotine dependence criteria and proposed abuse and craving criteria, assessed with a structured interview.
FINDINGS: Three abuse criteria (hazardous use, social/interpersonal problems and neglect roles) were prevalent among smokers, formed a unidimensional latent trait with nicotine dependence criteria, were intermixed with dependence criteria across the severity spectrum and significantly increased the diagnostic information over the dependence-only model. A craving criterion was shown to fit well with the other criteria.
CONCLUSION: Similar to findings from research on other substances, nicotine dependence, abuse and craving criteria appear to derive from a common underlying dimension. The results support alignment of nicotine criteria with those for alcohol and drug use disorders in Diagnostic and Statistical Manual 5th edition.