Finding order in the DSM-IV nicotine dependence syndrome: a Rasch analysis.

Abstract:

:Little is known about the relative severity or typical sequence of Diagnostic and Statistical Manual (DSM-IV) symptoms of nicotine dependence. Using data from the National Comorbidity Study (NCS), the current study used a Rasch logistic item response model to assess the unidimensionality of the construct of nicotine dependence, to identify which symptoms are associated with high levels of dependence, and to determine whether the dependence symptoms and typical symptom patterns are influenced by age, gender, race and income level. The nicotine dependence symptoms provided reasonable coverage of the dependence syndrome and can be used to scale individuals reliably. However, attention to potential demographic differences in responding to particular symptoms is needed. Furthermore, additional symptoms that describe behavioral changes that support continued smoking would be useful in helping to map the lower and higher ranges of dependence continuum. Evaluation of the typical pattern of responses to the nicotine dependence symptoms suggested that most smokers responded in a predictable manner. However, the tendency for younger smokers to provide more atypical responses than other smokers suggests a need to develop more specialized items for this population. More precise assessment of nicotine dependence would improve the predictive value of these measures and ultimately help inform nicotine dependence treatments.

journal_name

Drug Alcohol Depend

authors

Strong DR,Kahler CW,Ramsey SE,Brown RA

doi

10.1016/s0376-8716(03)00201-1

keywords:

subject

Has Abstract

pub_date

2003-11-24 00:00:00

pages

151-62

issue

2

eissn

0376-8716

issn

1879-0046

pii

S0376871603002011

journal_volume

72

pub_type

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