Screening for nicotine dependence among smoking-related cancer patients

Citation
I. Mikami et al., Screening for nicotine dependence among smoking-related cancer patients, JPN J CANC, 90(10), 1999, pp. 1071-1075
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Onconogenesis & Cancer Research
Journal title
JAPANESE JOURNAL OF CANCER RESEARCH
ISSN journal
0910-5050 → ACNP
Volume
90
Issue
10
Year of publication
1999
Pages
1071 - 1075
Database
ISI
SICI code
0910-5050(199910)90:10<1071:SFNDAS>2.0.ZU;2-S
Abstract
To identify lung and head-and-neck cancer patients who will have difficulty stopping smoking it is necessary to measure the severity of their nicotine dependence. In this study, we compiled a Japanese version of the Fagerstro m test for nicotine dependence (FTND) and examined its reliability and vali dity. One hundred and fifty-one cancer patients participated in this study and took our Japanese version of the FTND, Socio-demographic and medical da ta and information about smoking habits were obtained from a semi-structure d interview, and the patients' nicotine dependence was evaluated according to the Diagnostic and Statistical Manual of Mental Disorders, 3rd Ed., Rev. (DSM-III-R). The mean FTND scores+/-SD of the group with nicotine dependen ce and the group without nicotine dependence were 6.85+/-2.00 and 3.70+/-2. 13 respectively, and the difference was significant (P<0.001, Mann-Whitney' s U-test), The test-retest correlation was 0.75, Cronbach's a of the FTND w as 0.66, The FTND score correlated significantly with the number of satisfi ed criteria of nicotine dependence (r=0.70; P<0.001,, Pearson's correlation ), By using a receiver-operating-characteristic curve, we determined a scor e of 5/6 as a suitable cut-off point for nicotine dependence; this point ga ve high sensitivity and specificity (0.75 and 0.80, respectively). These re sults suggest that our Japanese version of FTND is a reliable and valid mea sure of nicotine dependence in patients with smoking-related cancers.