Evaluating the validities of different DSM-IV-based conceptual constructs of tobacco dependence

Academic Article

Abstract

  • Aim: To compare the concurrent and predictive validities of two subsets of DSM-IV criteria for nicotine dependence (tolerance and withdrawal; withdrawal; difficulty controlling use; and use despite harm) to the concurrent and predictive validity of the full DSM-IV criteria. Design: Analysis of baseline and outcome data from three randomized clinical trials of cigarette smoking treatment. Setting: San Francisco, California. Participants: Two samples of cigarette smokers (n = 810 and 322), differing with regard to baseline characteristics and treatment received, derived from three randomized clinical trials. Measurements: DSM-IV nicotine dependence criteria were measured at baseline with a computerized version of the Diagnostic Interview Schedule for DSM-IV (DIS-IV). Additional baseline measures included the Fagerstr√∂m Test of Nicotine Dependence (FTND), number of cigarettes smoked per day, breath carbon monoxide (CO) level, the Minnesota Nicotine Withdrawal Scale (MNWS), the Michigan Nicotine Reinforcement Questionnaire (M-NRQ) and the Profile of Mood States (POMS). Seven-day point-prevalence abstinence was assessed at week 12. Findings: Full DSM-IV criteria displayed greater concurrent validity than either of the two subsets of criteria. However, DSM-IV symptoms accounted for only a nominal amount of the variance in baseline smoking-related characteristics and were unrelated to smoking abstinence at week 12. Cigarettes smoked per day was the only significant predictor of abstinence at week 12. Conclusions: Although the findings do not provide a compelling alternative to the full set of DSM-IV nicotine dependence criteria, its poor psychometric properties and low predictive power limit its clinical and research utility. ¬© 2008 The Authors.
  • Authors

    Published In

  • Addiction  Journal
  • Digital Object Identifier (doi)

    Author List

  • Hendricks PS; Prochaska JJ; Humfleet GL; Hall SM
  • Start Page

  • 1215
  • End Page

  • 1223
  • Volume

  • 103
  • Issue

  • 7