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According to this model, individuals with anxiety or depression may start or continue smoking to alleviate symptoms like sadness, tension, or irritability. Nicotine can provide short-term relief by temporarily boosting neurotransmitters such as dopamine and serotonin, which influence mood and reward. However, this relief is typically fleeting and may represent the alleviation of nicotine withdrawal rather than an improvement in underlying mental health
Reference: A genome-wide association study of buccal mucosa cancer in India and multi-ancestry meta-analysis discovers risk loci and gene-environment interactions Mhatre, Sharayu et al
Lighting a cigarette and seeing people smoking nearby symbolizes the machinations of ill-wishers