DSM-III-R tobacco dependence and quitting during late adolescence

Addict Behav. 1995 Sep-Oct;20(5):595-603. doi: 10.1016/0306-4603(95)00019-9.


Previous studies of tobacco dependence have tended not to examine adolescent samples. In a cohort of 18-year-olds, the 12-month prevalence rate of dependence based on DSM-III-R criteria was found to be 19.3%. Cotinine levels in saliva were positively related to level of cigarette consumption but not to tobacco dependence and may not be a suitable measure of dependence. Measures of behavioral and psychological aspects of smoking supported the utility of DSM-III-R criteria for tobacco dependence among young smokers. As a large number of young smokers are dependent on tobacco. the results support the development of treatment programmes for youth that take into consideration their degree of dependence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Cohort Studies
  • Cotinine / analysis
  • Cotinine / urine
  • Humans
  • Longitudinal Studies
  • New Zealand / epidemiology
  • Patient Acceptance of Health Care
  • Prevalence
  • Psychiatric Status Rating Scales*
  • Psychology, Adolescent*
  • Saliva / chemistry
  • Smoking Cessation*
  • Substance-Related Disorders*
  • Tobacco Use Disorder / epidemiology*


  • Cotinine