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
- Pre-existing conditions
- Operations
- Allergies
- Medication history
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?
| Within 5 minutes | 3 points |
| Within 6 to 30 minutes | 2 points |
| Within 31 to 60 minutes | 1 point |
| It takes longer than 60 minutes | 0 points |
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?
| More than 30 | 3 points |
| 21-30 | 2 points |
| 11-20 | 1 point |
| Less than 10 | 0 points |
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:
- 0-2 (very low)
- 3-4 (low)
- 5 (medium)
- 6-7 (high)
- 8-10 (very high) [out of 2]
