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Interventions for tobacco smoking cessation in adults, including pregnant persons: US Preventive Services Task Force recommendation statement

Dependence on Tobacco to Relieve Stress: Tobacco use is relied upon as a coping mechanism for stress, highlighting a behavioral reliance on the substance

Together, these factors create a formidable barrier to cessation, requiring significant effort and support for successful quitting

Chronic obstructive pulmonary disease and smoking status United States, 2017

dated 1994, categorizes nicotine dependence as a disorder under substance-related and addictive disorders, while the ICD-10 (International Classification of Diseases, Tenth Revision) includes it in the section for mental and behavioral disorders due to psychoactive substance use