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However, mental health services are known to have adopted ways of reinforcing smoking behaviour among psychiatric patients, such as handing out tobacco tickets to people with schizophrenia as a reward for enhanced activities of daily living in psychiatric in-patient facilities and rehabilitation units (Ziedonis Reference Ziedonis, Hitsman and Beckham2008)

[20] Short-term nicotine use excites the autonomic ganglia nerves and autonomic nerves, but chronic use seems to induce negative effects on endothelial cells

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Experts have suggested widening the scope of the self-medication hypothesis and examine if cigarette smoking instead treats difficulties with emotional functioning in ADHDas opposed to attentional functioning in ADHD