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Nocotine dependence in cigarette smoking: An empirically-based,multivariate model
Authors:Ovide F Pomerleau  Joanne B Fertig  Sandra O Shanahan
Institution:1. Behavioral Medicine Laboratory, Veterans Administration Medical Center, USA;1. Department of Psychiatry, University of Connecticut School of Medicine, Newington, CT 06111, USA
Abstract:Nicotine dependence implies a pattern of heavy smoking which is resistant to change, as well as nicotine tolerance, withdrawal, and regulation. The present study attempted to develop a coherent model of cigarette smoking by examining responses on several different measures of nicotine dependence. Twenty-seven habitual smokers filled out questionnaires before and after smoking research cigarettes differing in nicotine content in the laboratory. Plasma continue was used to estimate nicotine intake from usual brand cigarettes outside the laboratory. Subjects in the high cotinine quartile (heavy smokers) were found to be consistently more nicotine-dependent than subjects in the low cotinine quartile (light smokers). Taking all subjects into account, the six measures of nicotine dependence which exhibited significant correlations with plasma cotinine accounted for about half of the cotinine variance in a multivariate, linear-regression model. Multivariate approaches provide additional tools for assessing biobehavioral mechanisms in substance abuse and may lead to the development of more comprehensive and sufficient explanations of smoking than are currently available.
Keywords:Cigarette smoking  Nicotine addiction  Nicotine tolerance  Nicotine withdrawal  Nicotine regulation  Heavy versus light smokers  Multiple linear-regression  Models of substance abuse  Plasma cotinine  Plasma nicotine
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