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The political, social, and cultural turmoil over one product - cigarettes - has besmirched a much broader and more profound industry

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however, evidence suggests that cigarette smokers with depression are highly motivated to quit smoking8 11 but may be less successful maintaining abstinence.9 For example, Cooper and colleagues assessed data from a large population study of cigarette smokers in Australia, Canada, England and the United States, and found that cigarette smokers with depression were more motivated to quit smoking but were more likely to relapse than cigarette smokers without depression.9 Although cigarette smokers with depression may have been more motivated to quit, Cooper and colleagues discussed several reasons why they may be more likely to relapse than their counterparts without depression, including neurochemical processes that reinforce smoking, low self-efficacy, a lack of adaptive coping strategies, negative cognitive style and issues with emotion regulation

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