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Smoking and Cardiovascular Risk: Role of Stress in the Genesis of Smoking Behavior

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Handbook of Psychocardiology

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Abstract

Smoking is an acknowledged – and significant – risk factor for cardiovascular disease (CVD). Research into the causes of smoking behavior is extensive, but few would disagree that smoking is a discretionary human behavior acquired through the operation of a combination of well-understood psychological mechanisms. This chapter considered the role of psychological stress in its many forms – and including psychological illness – in the genesis of smoking behavior. While the evidence is both widespread and various, the collective view is that stress plays a very clear role in the maintenance of smoking behavior, and in the frequency of tobacco consumption, in well-established adult smokers. More than this, however, there is growing evidence that psychological distress experienced in adolescence is causally related to the onset of smoking behavior in that age group. Public health programs to prevent smoking onset among adolescents – as part of continuing efforts to lower the incidence of CVD in adults – must therefore include components of stress reduction and management in addressing this crucial issue.

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Acknowledgment

Portions of this chapter are based on revisions of an earlier publication by the present authors (Personality, stress and the determination of smoking behaviour in adolescents, in G.J. Boyle, G. Matthews and D.H. Salkofske (Eds) (2008) The Sage Handbook of Personality Theory and Assessment. Los Angeles: Sage Publications Inc. (Chapter 34, pp 698–719). Used with the publisher’s permission.

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  1. The Medical School, The Australian National University, Canberra, ACT, 0200, Australia

    Don Byrne

  2. School of Business, UNSW-Canberra, Room 115, Building 27, 7916, Canberra, ACT, BC 2610, Australia

    Jason Mazanov

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  1. Don Byrne
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Correspondence to Don Byrne .

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  1. Monash Cardiovascular Research Centre, Monash University, Melbourne, Victoria, Australia

    Marlies E. Alvarenga

  2. ANU Medical School, Australia National University, Canberra, Aust Capital Terr, Australia

    Don Byrne

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Byrne, D., Mazanov, J. (2016). Smoking and Cardiovascular Risk: Role of Stress in the Genesis of Smoking Behavior. In: Alvarenga, M., Byrne, D. (eds) Handbook of Psychocardiology. Springer, Singapore. https://doi.org/10.1007/978-981-287-206-7_7

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