Manual for the Benzodiazepine Dependence Questionnaire (BDEPQ)
Manual for the Benzodiazepine Dependence Questionnaire (BDEPQ)
Manual for the Benzodiazepine Dependence Questionnaire (BDEPQ)
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18 DEVELOPMENT<br />
BZD withdrawal symptoms. Respondents were asked to describe <strong>the</strong>ir experience<br />
of BZD withdrawal symptoms on <strong>the</strong> BWSQ. Of <strong>the</strong> 267 participants in <strong>the</strong><br />
development sample, 241 completed <strong>the</strong> BWSQ at <strong>the</strong> rst wave. Many respondents<br />
returned questionnaires which had confusing responses to <strong>the</strong> section of <strong>the</strong><br />
BWSQ which asked whe<strong>the</strong>r <strong>the</strong> symptom had occurred while dose of BZDs was<br />
stable or while <strong>the</strong> dose was being reduced or stopped. Responses to this part<br />
of <strong>the</strong> scale were ignored in wave one because <strong>the</strong>ir meaning was unclear. Thus<br />
scores on <strong>the</strong> BWSQ <strong>for</strong> wave one indicate <strong>the</strong> experience of symptoms, which<br />
have been associated with withdrawal in o<strong>the</strong>r samples, at any time in <strong>the</strong> past<br />
ra<strong>the</strong>r than only when BZDs were stopped or reduced.<br />
The average score on <strong>the</strong> BWSQ was 5:27 (sd =6:06) indicating <strong>the</strong> most<br />
common experience was of ve symptoms of moderate severity. The distribution of<br />
scores on <strong>the</strong> BWSQ was highly positively skewed with 36 being <strong>the</strong> highest score.<br />
Many (n =58� 24:1%) respondents reported that <strong>the</strong>y had never experienced any<br />
of <strong>the</strong> 20 symptoms listed in <strong>the</strong> BWSQ.<br />
Most of <strong>the</strong> sample were using BZDs outside <strong>the</strong> current National Health and<br />
Medical Research Council recommendations and guidelines (NH&MRC, 1991),<br />
and most thought that <strong>the</strong>y were addicted or dependent. However, <strong>the</strong> majority<br />
of those interviewed did not meet criteria <strong>for</strong> a diagnosis of dependence nor had<br />
many experienced more than moderate withdrawal. Thus <strong>the</strong> majority of<strong>the</strong><br />
sample thought that <strong>the</strong>y were dependent on BZDs while <strong>the</strong>re was little evidence<br />
to support this belief in <strong>the</strong> in<strong>for</strong>mation collected.<br />
O<strong>the</strong>r properties of <strong>the</strong> sample<br />
The scores of <strong>the</strong> sample on self-report measures of neuroticism (EPQ-N),<br />
depression (BDI), and Anxiety (BAI) are shown in Table 6.<br />
Neuroticism. Twohundred and fty-one of <strong>the</strong> sample (94:0%) returned complete<br />
EPQ-N questionnaires. From <strong>the</strong>se responses <strong>the</strong> mean score was 11:6<br />
(sd =6:0) <strong>for</strong> females and 9:9 (sd =5:2) <strong>for</strong> males. The mean N scores <strong>for</strong><br />
<strong>the</strong> normative sample described in <strong>the</strong> EPQ manual (Eysenck & Eysenck, 1975)<br />
are 12:74 (sd =5:2) <strong>for</strong> women and 9:83 (sd =5:18) <strong>for</strong> men indicating that N<br />
scores in <strong>the</strong> sample were not di erent to <strong>the</strong> normative sample. Using <strong>the</strong> cut-o<br />
scores of 12 and over <strong>for</strong> womenand10andover <strong>for</strong> men, 49:4% (n =132)of<strong>the</strong><br />
sample scored on <strong>the</strong> `neurotic' side of <strong>the</strong> cut-o . Male respondents scored lower<br />
on EPQ-N compared with females in <strong>the</strong> sample consistent with <strong>the</strong> normative<br />
sample (t250 =2:35�p < :05).<br />
Ashton and Golding (1989) compared BZD users with o<strong>the</strong>r people in a random<br />
population sample of over nine thousand adults in <strong>the</strong> United Kingdom. They<br />
report that BZD users have higher EPQ-N scores (mean =13:7�sd =5:3�n= 296)<br />
than people who did not use <strong>the</strong>se medications (mean =9:5�sd=5:2�n= 8707).<br />
The average EPQ-N scores <strong>for</strong> <strong>the</strong> present sample were lower than those described