Measuring nicotine dependence among smokeless tobacco users

Janet L. Thomas, Jon Owen Ebbert, Christi Ann Patten, Lowell C. Dale, Carrie A. Bronars, Darrell R. Schroeder

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The objective of this study was to assess the concurrent validity of the FTQ-ST and the DIS-IV diagnosis of nicotine dependence among 68 adult ST users enrolled in a randomized, controlled clinical trial of bupropion SR. FTQ-ST scores were not found to differ between those with and without a current DIS-IV diagnosis of nicotine dependence (7.4 ± 2.1 vs. 6.8 ± 2.8, P = 0.325). For all possible FTQ-ST cutoff scores, the observed agreement between the FTQ-ST and the DIS-IV was not found to be different from that expected due to chance. FTQ-ST total scores were positively correlated with serum cotinine (Spearman's r = 0.40, P < 0.001), amount of tobacco used (r = 0.51 and r = 0.41 for average dips/chews per day; average tins/pouches per week, respectively, P < 0.001), and a reduced likelihood of abstinence at 3 months (OR = 0.76, 95% C.I. 0.61-0.96; P = 0.019). Participants meeting DIS-IV criteria had lower cotinine concentrations than those without this diagnosis (411 ± 263 ng/ml vs. 493 ± 246 ng/ml; P = 0.042). Poor concordance was observed between the FTQ-ST and the DIS-IV in the assessment of nicotine dependence in ST users.

Original languageEnglish (US)
Pages (from-to)1511-1521
Number of pages11
JournalAddictive Behaviors
Volume31
Issue number9
DOIs
StatePublished - Sep 2006

Fingerprint

Smokeless Tobacco
Tobacco Use Disorder
Nicotine
Cotinine
Bupropion
Tobacco
Tin
Randomized Controlled Trials
Serum

Keywords

  • DIS-IV
  • Nicotine dependence
  • Smokeless
  • Tobacco
  • Tobacco use cessation

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Measuring nicotine dependence among smokeless tobacco users. / Thomas, Janet L.; Ebbert, Jon Owen; Patten, Christi Ann; Dale, Lowell C.; Bronars, Carrie A.; Schroeder, Darrell R.

In: Addictive Behaviors, Vol. 31, No. 9, 09.2006, p. 1511-1521.

Research output: Contribution to journalArticle

Thomas, Janet L. ; Ebbert, Jon Owen ; Patten, Christi Ann ; Dale, Lowell C. ; Bronars, Carrie A. ; Schroeder, Darrell R. / Measuring nicotine dependence among smokeless tobacco users. In: Addictive Behaviors. 2006 ; Vol. 31, No. 9. pp. 1511-1521.
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