Reasons for smoking among extremely heavy smokers

Four factors describing reasons for smoking were identified in 200 heavy smokers. When these four factor scores were correlated with other variables, the Addictive/Habitual Needs factor correlated most often with increased use of tobacco, alcohol, and coffee. The Pleasure factor was associated with obesity and the Stress Reaction factor with more perceived stress. The Stress Reaction factor was consistently correlated with more unfavorable ratings on psychological adjustment. Persons who smoked to alleviate stress or for addictive/habitual needs had tried to stop more often, whereas those who smoked for pleasure had little motivation to stop smoking. Findings suggest that there are individual differences in reasons for smoking among extremely heavy smokers and that these need to be taken into account in trying to help such individuals.