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It gave us something to do, and though we were learning about the emptiness of self, smoking seemed like the last way we could fill ourselves up, albeit with smoke

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Symptoms include loss of interest in other activities, preoccupation with gaming, withdrawal symptoms when not playing, and continued gaming despite negative impacts

Prev Med 2014

People with mental health and/or substance use challenges continue to smoke at rates 2-3 times higher than the general population, according to a study published in the Annual Review of Public Health