No evidence of the clinical utility of single-item breakpoint to inform on tobacco demand in persons with substance use disorders.

Rationale: Behavioral economics has shown that single-item demand indicators are promising for capturing crucial aspects of nicotine reinforcement. It is suggested that brief breakpoint measures perform comparably to full-length demand indices in characterizing nicotine dependence; however, there ha...

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Publicado en:Psychopharmacology Vol. 238; no. 9; pp. 2525 - 2534
Autores principales: González-Roz, Alba, Secades-Villa, Roberto, Aonso-Diego, Gema, Weidberg, Sara, Fernández-Hermida, José R.
Formato: Journal Article
Publicado: Springer Nature Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2021
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      pub: Springer Nature
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        10.1007/s00213-021-05875-y
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        atl: No evidence of the clinical utility of single-item breakpoint to inform on tobacco demand in persons with substance use disorders.
      aug:
        au:
          González-Roz, Alba
          Secades-Villa, Roberto
          Aonso-Diego, Gema
          Weidberg, Sara
          Fernández-Hermida, José R.
        affil: Department of Psychology, University of Oviedo, Plaza Feijóo s/n, 33003, Oviedo, Spain
      sug:
      ab: Rationale: Behavioral economics has shown that single-item demand indicators are promising for capturing crucial aspects of nicotine reinforcement. It is suggested that brief breakpoint measures perform comparably to full-length demand indices in characterizing nicotine dependence; however, there have been no thorough assessments of their validity in clinical settings. Objectives: This study aimed to assess the validity and accuracy of a single-item breakpoint in informing on tobacco demand. Methods: The sample consisted of 88 treatment-seeking smokers (% males = 70.5%) enrolled in substance use treatment. Participants provided data on smoking characteristics and completed the Fagerström Test for Nicotine Dependence, a single-item breakpoint measure and a 14-item cigarette purchase task (CPT). Hierarchical regressions were performed to compare the predictive capability of a single-item breakpoint and full-length tobacco demand indicators in determining nicotine addiction severity. Results: The single-item breakpoint was significantly correlated with all indices stemmed from the CPT and both latent factors (all r values =.250–.368). Neither the brief breakpoint nor the full-length breakpoint significantly predicted nicotine dependence. After controlling for sex and smoking variables, factor 2 [β =.565, p <.001] and its observed variables Omax [β =.279, p =.006], 1/elasticity [β =.340, p =.001], and intensity [β =.551, p <.001], robustly predicted nicotine dependence severity. Conclusions: Our findings do not support the validity of single-item breakpoint measures for characterizing nicotine dependence in substance users. In a bid to foster translational research, brief demand measures capturing Omax, intensity, and elasticity should be developed.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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