TY - JOUR PY - 2023// TI - Psychometric properties of the German Penn Alcohol Craving Scale JO - Alcohol and alcoholism A1 - Nakovics, Helmut A1 - Hoffmann, Sabine A1 - Koopmann, Anne A1 - Bach, Patrick A1 - Abel, Martin A1 - Sommer, Wolfgang H. A1 - Kiefer, Falk A1 - Weinland, Christian A1 - von Zimmermann, Claudia A1 - Siegmann, Eva-Maria A1 - Kornhuber, Johannes A1 - Mühle, Christiane A1 - Schneider, Udo A1 - Toto, Sermin A1 - Hillemacher, Thomas A1 - Frieling, Helge A1 - Bleich, Stefan A1 - Eberlein, Christian K. A1 - Lenz, Bernd SP - ePub EP - ePub VL - ePub IS - ePub N2 - Craving for alcohol is an important diagnostic criterion in alcohol use disorder (AUD) and an established predictor of future relapse. The 5-item Penn Alcohol Craving Scale (PACS) is one of the most widely used questionnaires to quantify craving and has been translated into different languages. It is assumed that the PACS constitutes one factor, although theoretical considerations suggest an additional second factor. We conducted stability and factor analyses (principal component and confirmatory factor analyses) of the German PACS (PACS-G) in samples of patients with AUD from the following three German study sites: Erlangen, N = 188 (mean age: 47.1 years, 43.5% female); Mannheim, N = 440 (45.5 years, 28.6% female); Hannover, N = 107 (48.1 years, 48.6% female). In our samples, the 2-factor solution of the PACS-G version is more stable than the internationally assumed 1-factor solution. The resulting two PACS-G subscores 'difficulty to resist' (items 4 and 5) and 'thoughts about alcohol' (items 1, 2, and 3) have an internal consistency (Cronbach's alpha) of 0.80 ≤ α ≤ 0.90, m = 0.86 and 0.86 ≤ α ≤ 0.91, m = 0.89 with an overlap of R2 = 62%. We found good convergent validity assessed via the Craving Automatized Scale-Alcohol and the Obsessive-Compulsive Drinking Scale, but also correlations with depression and anxiety assessed via the Beck's Depression and Anxiety Inventories. This study is the first to provide evidence for a 2-factor solution ('difficulty to resist' and 'thoughts about alcohol') underlying the PACS-G version.
Language: en
LA - en SN - 0735-0414 UR - http://dx.doi.org/10.1093/alcalc/agad045 ID - ref1 ER -