Background <p>One of the principal components of substance use treatment is the assessment of craving, as it is highly associated with relapse after treatment. The Cocaine Craving Questionnaire-Brief (CCQ-Brief) has emerged as a commonly used tool in the field, relevant in a context like South America, where cocaine and cocaine base paste (CBP) consumption are critical public health issues.</p> Objective <p>This study aimed to validate the CCQ-Brief in a Chilean sample, exploring for the first time its applicability in both cocaine and CBP use.</p> Methods <p>Adults in substance use treatment (<i>N</i> = 439, 71,3% male) completed the CCQ-Brief, assessing craving for cocaine and CBP over the past 30 days. Confirmatory factor analysis (CFA) was conducted to test the CCQ-Brief one-factor structure. Convergent validity was analyzed through correlations with related constructs, including impaired control, impulsivity facets, frequency of cocaine/CBP use and related symptomatology.</p> Results <p>CFA supported CCQ-Brief one-factor structure, with high internal consistency (α = 0.92 and ω = 0.94 for the 10-item version). Factorial invariance analysis showed that the CCQ-Brief performs equivalently across cocaine and CBP users. Craving scores were moderately to strongly correlated with impaired control dimensions, impulsivity facets, cocaine/CBP use and related symptomatology.</p> Conclusions <p>These results show evidence of the CCQ-Brief as a reliable and valid instrument for general craving of cocaine and CBP in a Chilean context, being the first version of the CCQ-Brief that confirms its unifactorial dimension with all its 10 items in the country.</p>

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Assessing craving in cocaine and cocaine base paste users: validation of the Cocaine Craving Questionnaire-Brief in a Chilean sample

  • Felipe Bustamante,
  • Soledad Labbé,
  • Tomás Arriaza,
  • Ivelisse Huerta,
  • Miguel Cordero Vega,
  • María Elena Alvarado,
  • Alvaro Vergés

摘要

Background

One of the principal components of substance use treatment is the assessment of craving, as it is highly associated with relapse after treatment. The Cocaine Craving Questionnaire-Brief (CCQ-Brief) has emerged as a commonly used tool in the field, relevant in a context like South America, where cocaine and cocaine base paste (CBP) consumption are critical public health issues.

Objective

This study aimed to validate the CCQ-Brief in a Chilean sample, exploring for the first time its applicability in both cocaine and CBP use.

Methods

Adults in substance use treatment (N = 439, 71,3% male) completed the CCQ-Brief, assessing craving for cocaine and CBP over the past 30 days. Confirmatory factor analysis (CFA) was conducted to test the CCQ-Brief one-factor structure. Convergent validity was analyzed through correlations with related constructs, including impaired control, impulsivity facets, frequency of cocaine/CBP use and related symptomatology.

Results

CFA supported CCQ-Brief one-factor structure, with high internal consistency (α = 0.92 and ω = 0.94 for the 10-item version). Factorial invariance analysis showed that the CCQ-Brief performs equivalently across cocaine and CBP users. Craving scores were moderately to strongly correlated with impaired control dimensions, impulsivity facets, cocaine/CBP use and related symptomatology.

Conclusions

These results show evidence of the CCQ-Brief as a reliable and valid instrument for general craving of cocaine and CBP in a Chilean context, being the first version of the CCQ-Brief that confirms its unifactorial dimension with all its 10 items in the country.