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Addict Behav. 1995 Sep-Oct;20(5):595-603.

DSM-III-R tobacco dependence and quitting during late adolescence.

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Dunedin Multidisciplinary Health and Development Research Unit, Department of Paediatrics and Child Health, University of Otago Medical School, New Zealand.


Previous studies of tobacco dependence have tended not to examine adolescent samples. In a cohort of 18-year-olds, the 12-month prevalence rate of dependence based on DSM-III-R criteria was found to be 19.3%. Cotinine levels in saliva were positively related to level of cigarette consumption but not to tobacco dependence and may not be a suitable measure of dependence. Measures of behavioral and psychological aspects of smoking supported the utility of DSM-III-R criteria for tobacco dependence among young smokers. As a large number of young smokers are dependent on tobacco. the results support the development of treatment programmes for youth that take into consideration their degree of dependence.

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