Does cigarette smoking cause stress?
Abstract
Smokers often report that cigarettes help relieve feelings of stress. However, the stress levels of adult smokers are slightly higher than those of nonsmokers, adolescent smokers report increasing levels of stress as they develop regular patterns of smoking, and smoking cessation leads to reduced stress. Far from acting as an aid for mood control, nicotine dependency seems to exacerbate stress. This is confirmed in the daily mood patterns described by smokers, with normal moods during smoking and worsening moods between cigarettes. Thus, the apparent relaxant effect of smoking only reflects the reversal of the tension and irritability that develop during nicotine depletion. Dependent smokers need nicotine to remain feeling normal. The message that tobacco use does not alleviate stress but actually increases it needs to be far more widely known. It could help those adult smokers who wish to quit and might prevent some schoolchildren from starting.
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Despite smokers stating that they smoke to cope with stress, higher levels of stress have been found among smokers, which then declines with smoking cessation.
“However, despite smokers stating that they smoke to cope with stress, higher levels of stress have been found among smokers, 104 which then declines with smoking cessation.105”
From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [104]
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Anxiety sensitivity risk reduction in smokers: A randomized control trial examining effects on panic
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Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study
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MDMA: Interactions with other psychoactive drugs
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Cannabis: An Overview of its Adverse Acute and Chronic Effects and its Implications
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STRESS AND SMOKING: ASSOCIATIONS WITH TERRORISM AND CAUSAL IMPACT
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Economic crisis and smoking behaviour: prospective cohort study in Iceland
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- Authors
- Parrott, A. C.
- Affiliations
- University of East London (GB)
- Corresponding author
- Parrott, Andy C.
- Venue
- American Psychologist
- Published
- 1999
- Volume
- 54
- Issue
- 10
- Pages
- 817-820
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W1991568126
- Cited by
- 447
- References
- 30
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 13 · 2023: 15 · 2022: 12 · 2021: 17 · 2020: 18 · 2019: 14 · 2018: 16 · 2017: 15 · 2016: 20 · 2015: 17 · 2014: 30 · 2013: 23 · 2012: 23
- FWCI
- 6.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- cigarette smoking, stress, nicotine dependence, smoking cessation, adolescent smoking, mood, tobacco use, smoking cessation counseling
- MeSH terms
- Adolescent, Adult, Affect, Humans, Patient Education as Topic, Smoking, Stress, Psychological, Tobacco Use Disorder
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