Development and Psychometric Evaluation of the Psychological Cigarette Dependence Scale for Male Smokers in Taiwan

台灣男性吸菸者之吸菸心理依賴量表的發展及信、效度檢測

10.1097/jnr.0000000000000032

黃芷苓(Chih-Ling Huang)；鄭中平(Chung-Ping Cheng)；王秀紅(Hsiu-Hung Wang)

心理層面 ； 吸菸依賴 ； 效度 ； 信度 ； psychological domain ； cigarette dependence ； validity ； reliability

The Journal of Nursing Research

22卷2期（2014 / 06 / 01）

81 - 89

英文

背景　吸菸者心理層面之吸菸依賴的影響，通常比菸草中尼古丁本身的作用更大，然而目前對於心理層面之吸菸依賴概念的研究仍未有定論。目的　發展及檢測本土之吸菸心理依賴量表。方法　本研究的過程包括概念的構面確立，透過吸菸者的訪談內容產生量表題庫，專家審查題目，進行量表的同時效標及建構效度和信度的檢測。初步量表建立後，在台灣南部的社區中招募256位男性成人吸菸者進行量表的信效度檢測。結果　因素分析的結果得到37題吸菸心理依賴量表，包括2個因素，命名為吸菸的生活連結和吸菸的健康關注。本量表與尼古丁依賴量表正相關（r = .54, p ＜ .01），內在一致性（Cronbach’s alpha）.94，二週再測穩定性為.77（N = 28）。結論／實務應用　本研究的初步結果，吸菸心理依賴量表具有良好的信、效度，護理人員可以運用此量表評估吸菸者心理層面之吸菸依賴情形，並且依評估內容進行適當的介入措施。

Background: The influence of psychological factors on cigarette dependence often surpasses the direct effects of the nicotine itself. Researcher opinions on the nature and extent of psychological contributors to cigarette dependence vary widely. Purpose: This study develops and psychometrically tests the Psychological Cigarette Dependence Scale (PCDS) for male smokers in Taiwan. Methods: The PCDS was developed using domain identification, individual interviews for item generation, expert reviews, and testing for construct validity and instrument stability. After initial item analysis, the PCDS was tested for concurrent and construct validity and reliability on 256 adult male smokers recruited from community centers, trade and business organizations, private companies, and factories in southern Taiwan. Participants were limited to adult men because female smokers are a small (4.1%) proportion of the female population in Taiwan and thus are difficult to recruit in statistically significant numbers. Results: Exploratory factor analysis showed that lifelong binding and health concerns are the two predominating factors addressed by the 37-item PCDS. The PCDS correlated positively with the Fagerstrom questionnaire (r = .54, p G .01). Cronbach’s alpha was .94, and test-retest reliability (intraclass coefficient) was .77 (N = 28). Conclusions/Implications for Practice: Preliminary evidence suggests that this scale is a valid measure of psychological cigarette dependence. Assessment results may help nursing professionals focus on smoking cessation interventions that are tailored to the patterns and severity of patients’ psychological cigarette dependence.

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