戒烟不耐受的问卷调查：心理测量特性及其与烟草依赖和戒断的关系
2010/07/07
吸烟者对精神和身体不适的耐受能力与戒烟时间长短有关。目前尚未有针对吸烟者戒烟后不适耐受能力检测的方法，而这种检测不像一般评价精神不适和身体不适耐受情况的启发式方法那么简单。
方法：300名吸烟者完成问卷调查，研究吸烟者对戒烟不适(IDQ-S)、一般身体不适(IDQ-P)及一般精神不适(IDQ-E)的耐受能力，以便评价这些检测方法的差异。
结果：IDQ-S拥有3个可靠部分：戒断不耐受、缺少认知处理、疼痛不耐受。在14个项目的IDQ-P和9个项目的IDQ-E中，每个量表都含有一个可靠部分。交互相关显示，共享方差适中，且具有一定的建构效度和区分效度。IDQ-S的2个量表具有较好的聚敛效度，与吸烟、烟草依赖、动机及过去戒烟时间长短相关，而较少有吸烟或烟草依赖相关指标与IDQ-P和IDQ-E相关后两者与戒烟无关。
结论：包含2个量表的、含有17个项目的IDQ-S，在可靠性、效度上优于一般身体或精神不适不耐受检测方法，更具有启发式，且与动机和过去成功戒烟相关。
（陈欣 审校）
Sirota AD, et al. Addict Behav. 2010 Jul;35(7):686-93. Epub 2010 Mar 2
Intolerance for Smoking Abstinence Questionnaire: psychometric properties and relationship to tobacco dependence and abstinence.
Sirota AD, Rohsenow DJ, Mackinnon SV, Martin RA, Eaton CA, Kaplan GB, Monti PM, Tidey JW, Swift RM.
Providence VA Medical Center, 650 Chalkstone Blvd, Providence, RI 02908, USA.
Abstract
While smokers’ ability to tolerate emotional or physical distress has been associated with length of smoking cessation, there is no measure of ability to tolerate smoking abstinence discomfort specifically, which may be more heuristic than a measure of tolerance of general emotional stress or physical discomfort.
METHODS: Questionnaires completed by 300 smokers assessed inability to tolerate smoking abstinence discomfort (IDQ-S), general physical discomfort (IDQ-P), and general emotional discomfort (IDQ-E), so that shared variance among these measures could be assessed.
RESULTS: The IDQ-S has three reliable components: withdrawal Intolerance, Lack of Cognitive Coping, and Pain Intolerance. The 14-item IDQ-P and 9-item IDQ-E each consist of one reliable component. Intercorrelations suggest only modest shared variance. Support for construct and discriminant validity was seen. Two scales of the IDQ-S showed excellent convergent validity, correlating with smoking use, dependence, motivation, and length of past smoking cessation, while IDQ-P and IDQ-E correlated with few indices of use or dependence and not with smoking cessation.
CONCLUSIONS: The final 17-item IDQ-S with two scales is reliable and valid, and more heuristic than measures of general physical or emotional discomfort intolerance as a correlate of motivation and past success with smoking cessation.
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戒烟研究中，点戒断率和长期戒断是否产生相似的结果：系统综述
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生活质量和抑郁情绪对现患疾病吸烟者戒烟的影响
