Research on stress and smoking: progress and problems

OF Pomerleau, CS Pomerleau - British journal of addiction, 1991 - Wiley Online Library
British journal of addiction, 1991Wiley Online Library
Despite evidence that smoking behaviour increases in the context of stress, there has yet to
be a clear‐cut demonstration that nicotine intake is similarly enhanced. Although nicotine
intake has been shown to reduce reported anxiety in the context of stress, the controlling
conditions (type of stressor, intensity, temporal relationships, etc.) need further exploration.
Recent findings involving nicotine's effects on the hypophyseal‐adrenal axis provide a new
perspective on these issues, in that increased nicotine intake during exposure to a stressor …
Abstract
Despite evidence that smoking behaviour increases in the context of stress, there has yet to be a clear‐cut demonstration that nicotine intake is similarly enhanced. Although nicotine intake has been shown to reduce reported anxiety in the context of stress, the controlling conditions (type of stressor, intensity, temporal relationships, etc.) need further exploration. Recent findings involving nicotine's effects on the hypophyseal‐adrenal axis provide a new perspective on these issues, in that increased nicotine intake during exposure to a stressor may represent, at least in part, behavioral compensation for diminished sensitivity to nicotine brought about by nicotine‐stimulated corticosteroid release. Corticosteroids may decrease central nervous system excitability in a way that could account for anxiety reduction; on the other hand, anxiety reduction may be an epiphenomenon with respect to the reinforcement of smoking behaviour. The integration of behavioural, physiological, and biochemical research exemplified by the above approach should lead to a better understanding of stress and smoking.
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