Very light daily smoking in young adults: relationships between nicotine dependence and lapse

<jats:title>Abstract/jats:title <jats:sec> <jats:title>Introduction/jats:title <jats:p>Very light daily smoking is increasingly common among young adults. Evidence suggests that levels of nicotine dependence vary significantly among young adults who engage in very light daily smoking. However, the links between dependence and clinically relevant outcomes (eg, lapse) in this population remain unclear. The goal of this study was to address this gap by evaluating how well different nicotine dependence scales predict lapse behavior among very light daily smoking young adults./jats:p /jats:sec <jats:sec> <jats:title>Aims and Methods/jats:title <jats:p>Very light daily smokers (1–5 cigarettes/day) aged 18–25 participated in an initial laboratory session, during which nicotine dependence was assessed using four commonly used measures: the Fagerstrӧm Test for Cigarette Dependence (FTCD), the Hooked On Nicotine Checklist (HONC), the Transdisciplinary Tobacco Use Research Centers (TTURC) Nicotine Dependence Inventory, and the Wisconsin Inventory of Smoking Dependence Motives (WISDM). After a baseline period, eligible participants (n = 40) completed a 10-day abstinence incentive period in which they attempted to refrain from smoking to earn monetary rewards. Cox proportional hazards models were used to test whether dependence predicted days to first lapse./jats:p /jats:sec <jats:sec> <jats:title>Results/jats:title <jats:p>FTCD scores significantly predicted days to lapse, as did scores on the FTCD item assessing time to first cigarette of the day (TTFC). No other dependence measures predicted time to lapse. Both the FTCD and TTFC continued to independently predict time to lapse after controlling for smoking frequency and duration./jats:p /jats:sec <jats:sec> <jats:title>Conclusions/jats:title <jats:p>The FTCD may be a particularly useful tool for capturing clinically meaningful variability in nicotine dependence among young adults who engage in very light daily smoking./jats:p /jats:sec <jats:sec> <jats:title>Implications/jats:title <jats:p>This is the first study to directly link self-reported nicotine dependence with the ability to achieve and maintain abstinence among very light daily smoking young adults. The results may aid clinicians in selecting among variable measures of nicotine dependence when assessing and treating this population./jats:p /jats:sec

This is a pre-copyedited, author-produced PDF of an article accepted for publication in Nicotine & Tobacco Research following peer review. The version of record [Very Light Daily Smoking in Young Adults: Relationships Between Nicotine Dependence and Lapse. Nicotine & Tobacco Research (2020)] is available online at:



Work Title Very light daily smoking in young adults: relationships between nicotine dependence and lapse
Open Access
  1. Melinda L Ashe
  2. Stephen J Wilson
License In Copyright (Rights Reserved)
Work Type Article
  1. Oxford University Press (OUP)
Publication Date September 2, 2020
Publisher Identifier (DOI)
  1. 10.1093/ntr/ntaa169
  1. Nicotine & Tobacco Research
Deposited May 26, 2022




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