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Waiting for definitive proof of unidirectional causality an academic exercise might mean missing opportunities to address the potential harm of smoking on mental well-being

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60 The NHS stop smoking services reported a 20% increase in demand in the 12 months following the smokefree law

In this model, severity reflects the total level of psychopathology across both internalizing and externalizing domains, capturing the extent of comorbidit, since higher severity scores typically indicate the presence of both types of symptoms simultaneously