Stress and smoking in adolescence: a test of directional hypotheses

Health Psychol. 2002 Mar;21(2):122-30.

Abstract

The authors conducted a comparative test of the hypotheses that (a) stress is an etiological factor for smoking and (b) cigarette smoking causes increases in stress (A. C. Parrott, 1999). Participants were a sample of 1,364 adolescents, initially surveyed at mean age 12.4 years and followed at 3 yearly intervals. Measures of negative affect, negative life events, and cigarette smoking were obtained at all 4 assessments. Latent growth modeling showed negative affect was related to increase in smoking over time; there was no path from initial smoking to change in negative affect. Comparable results were found for negative life events, with no evidence for reverse causation. Results are discussed with respect to theoretical models of nicotine effects and implications for prevention.

Publication types

  • Multicenter Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Affect
  • Alcohol Drinking / psychology
  • Child
  • Female
  • Humans
  • Life Change Events
  • Likelihood Functions
  • Longitudinal Studies
  • Male
  • Marijuana Smoking / psychology
  • Models, Psychological
  • Prevalence
  • Risk Factors
  • Sex Factors
  • Smoking / epidemiology
  • Smoking / psychology*
  • Stress, Psychological / psychology*
  • Substance-Related Disorders / psychology
  • United States / epidemiology