Are adolescent smokers dependent on nicotine? A review of the evidence

Suzanne M. Colby, Stephen T. Tiffany, Saul Shiffman, Raymond Niaura

Research output: Contribution to journalArticle

Abstract

This paper reviews the empirical literature on adolescent nicotine dependence, withdrawal, and their associated features. Data documenting nicotine dependence scores, diagnoses, and individual features among adolescents are reviewed in detail and compared to observations based on adult smokers. These data are derived from a broad variety of sources, including national surveys, school-based surveys, and smoking cessation studies. Overall, results indicate that one to three out of five adolescent smokers is dependent on nicotine, with some adolescent groups clearly at higher risk for dependence (those who are incarcerated, in vocational schools, daily smokers, and/or heavy smokers). Across studies, data consistently indicate that a large majority (two-thirds or more) of adolescent smokers report experiencing withdrawal symptoms during attempts to quit or reduce their smoking. Craving or strong desire to smoke was the most commonly reported withdrawal symptom in every study reviewed. Although analyses of concurrent validity generally support the dependence and withdrawal findings among adolescents, data on the predictive validity of measures used are needed. Moreover, studies of adolescent tobacco withdrawal rely almost exclusively on retrospective self-report data. Recommendations for enhancing methodology and advancing our understanding of adolescent nicotine dependence and withdrawal are offered. Copyright (C) 2000 Elsevier Science Ireland Ltd.

Original languageEnglish (US)
Pages (from-to)83-95
Number of pages13
JournalDrug and Alcohol Dependence
Volume59
Issue numberSUPPL. 1
DOIs
StatePublished - May 1 2000

Fingerprint

Nicotine
Tobacco Use Disorder
Substance Withdrawal Syndrome
Tobacco
Smoke
Smoking Cessation
Self Report
Smoking

Keywords

  • Adolescents
  • Children
  • Dependence
  • Nicotine
  • Tobacco
  • Withdrawal

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

Are adolescent smokers dependent on nicotine? A review of the evidence. / Colby, Suzanne M.; Tiffany, Stephen T.; Shiffman, Saul; Niaura, Raymond.

In: Drug and Alcohol Dependence, Vol. 59, No. SUPPL. 1, 01.05.2000, p. 83-95.

Research output: Contribution to journalArticle

Colby, Suzanne M. ; Tiffany, Stephen T. ; Shiffman, Saul ; Niaura, Raymond. / Are adolescent smokers dependent on nicotine? A review of the evidence. In: Drug and Alcohol Dependence. 2000 ; Vol. 59, No. SUPPL. 1. pp. 83-95.
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