Pediatric Nicotine Abuse Workup

Updated: Oct 14, 2021
  • Author: Donna G Grigsby, MD; Chief Editor: Caroly Pataki, MD  more...
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Other Tests

The following are some of the diagnostic interview instruments used to assess nicotine dependence and/or use in adolescents: [16]

  • WHO/Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) Composite International Diagnostic Interview-Substance Abuse Module (CIDI-SAM) is administered by nonclinicians and is highly standardized.

  • National Institute of Mental Health-Diagnostic Interview Schedule (NIMH-DIS) contains the full DIS for psychiatric disorders, including substance abuse disorders, and has a section on tobacco dependence.

  • NIMH Computerized DIS for children, a structured diagnostic interview, is used to diagnose psychopathology in patients aged 7-17 years.

  • National Household Survey on Drug Abuse (NHSDA), a large-scale annual survey, assesses substance use prevalence across 12 classes of drugs and dependence symptoms across 4 drugs, which include alcohol, marijuana, cocaine, and nicotine.

  • Fagerstrom Tolerance Questionnaire (FTQ) includes self-report measures that relate to general nicotine dependence syndrome and may be a more direct measure of behavioral dependence than physiologic dependence.

  • Fagerstrom Test for Nicotine Dependence is a revised version of the FTQ that deleted items on the nicotine dose of cigarettes and the frequency of inhalation, items that were thought to contribute to psychometric problems with the FTQ.

  • Nicotine Dependence Syndrome Scale measures smoking drive, behavioral priority, tolerance, continuity, and stereotypy.

  • The Perkins Adolescent Risk Screen (PARS) includes questions on nicotine use. The PARS is a useful clinical tool, well-suited to a busy adolescent practice.