Dual Electronic and Combustible Cigarette Use

Background: E-cigarette use is on the rise and many who use e-cigarettes also smoke combustible cigarettes. Dual use (i.e., use of both electronic and combustible cigarettes) is associated with greater rates of cannabis use and cannabis use among individuals who engage in dual use is related to more severe ecigarette-related problems. Yet, no known studies have tested whether cannabis use is related to more severe e-cigarette problems via negative affect and the expectation that e-cigarettes can help manage negative affect. Objectives: The current study tested this hypothesis among 400 adults who endorsed dual use, 33% of whom endorsed current (past three month) cannabis use. Results: Results indicated that participants with cannabis use reported more anxiety, depression, e-cigarette problems, and the following e-cigarette use expectancies: negative consequences, negative reinforcement, and weight concerns. Multiple mediator models found that the relation between cannabis use status and e-cigarette problem severity was mediated by anxiety (but not depression) and by negative reinforcement and weight concerns (but not negative consequences) expectancies. Serial mediator models indicated that the relation between cannabis use and e-cigarette problems occurred via the serial effects of anxiety and negative reinforcement (but not weight concerns) expectancies. Conclusions: These results highlight several clinical correlates of cannabis use among adults who smoke combustible and e-cigarettes, and suggest that anxiety and the expectation that e-cigarettes may help manage such negative emotions play important roles in e-cigarette-related problems among these individuals

Anxiety · Cannabis · Environmental health · Poison control · Psychiatry · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Psychology · Smoking Behavior and Cessation

• Dual nicotine and cannabis use among Asian American and Pacific Island adults

  Open Access•Julia D Buckner, Lan Qiu et al.•Addiction Research & Theory•2026

  Incluir item

• Comparison of Nicotine and Toxicant Exposure in Users of Electronic Cigarettes and Combustible Cigarettes

  Open Access•Maciej Ł Goniewicz, Danielle M Smith et al.•JAMA Network Open•2018

  Incluir item

• Development and validation of the Overall Depression Severity and Impairment Scale.

  Kate H Bentley, Matthew W Gallagher et al.•Psychological Assessment•2014

  Incluir item

• Addiction Motivation Reformulated

  Timothy B Baker, Megan E Piper et al.•Psychological Review•2004

  Incluir item

• Development and validation of an Overall Anxiety Severity And Impairment Scale (Oasis)

  Open Access•Sonya B Norman, Shadha Hami Cissell et al.•Depression and Anxiety•2006

  Incluir item

• Electronic cigarettes

  Open Access•Peter Hajek, Jean-François Etter et al.•Addiction•2014

  Incluir item

• Development of a Questionnaire for Assessing Dependence on Electronic Cigarettes Among a Large Sample of Ex-Smoking E-cigarette Users

  Jonathan Foulds, Susan Veldheer et al.•Nicotine & Tobacco Research•2015

  Incluir item

• The Impact of Covid-19 Experiences and Associated Stress on Anxiety, Depression, and Functional Impairment in American Adults

  Open Access•Matthew W Gallagher, M J Zvolensky et al.•Cognitive Therapy and Research•2020

  Incluir item

• Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models

  Open Access•Kristopher J Preacher, Andrew F Hayes•Behavior Research Methods•2008

  Incluir item

• SPSS and SAS procedures for estimating indirect effects in simple mediation models

  Open Access•Kristopher J Preacher, Andrew F Hayes•Behavior Research Methods,…•2004

  Incluir item

• Electronic cigarettes

  Open Access•Jean-François Etter•BMC Public Health•2010

  Incluir item

• Beyond Baron and Kenny

  Andrew F Hayes•Communication Monographs•2009

  Incluir item

• What can specificity designs say about causality in psychopathology research

  Judy Garber, Steven D Hollon•Psychological Bulletin•1991

  Incluir item