Tobacco Dependence: Medical History

Medical history (history of illness) represents an important component in the diagnosis of tobacco-related mental and behavioral disorders.

Family history

Social history

Is there any evidence of psychosocial stress or strain due to your family situation?

Current medical history/systemic history (somatic and psychological complaints).

How long have you been smoking?
What do you smoke? (Cigarette, cigarillos, cigars, pipe)?
How many cigarettes (cigarillos, cigars, pipe) do you smoke a day?
Have you ever tried to quit smoking?
What symptoms have you noticed?
- Pulse increase
- Cold extremities
- Cough, especially in the morning
Do you feel stressed when you are not smoking?
Does smoking give you a sense of security?

Vegetative anamnesis incl. nutritional anamnesis

Self anamnesis incl. medication anamnesis

Fagerström test

To determine the severity of tobacco or nicotine dependence, the Fagerström Test for Nicotine Dependence (FTND) is recommended.

The following are the questions on the FTND: 1. When do you smoke your first cigarette after getting up in the morning?

2. do you find it difficult to refrain from smoking in places where smoking is prohibited (e.g., public buildings, movie theaters, etc.)?

Yes	1 point
No	0 points

3, Which cigarette would you not want to give up?

The first one after getting up	1 point
Another	0 points

4.How many cigarettes do you smoke per day?

5, Do you generally smoke more in the first few hours after awakening than in the rest of the day?

Yes	1 point
No	0 points

6.Does it happen that you smoke when you are sick and have to stay in bed during the day?

Yes	1 point
No	0 points

Fagerström test for nicotine dependence (FTND), translation after Heatherton et al. 1991, scoring after: