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71 An Australian randomised controlled trial assessing the impact of smoking images in magazines on young people aged 1417 years found that seeing the imagery acted as a prompt to smoke and as a reinforcement of smoking behaviour

Serious psychological distress (SPD) is a commonly used indicator of non-specific psychological distress predictive of serious mental illness 19

The signs and symptoms of tobacco addiction include strong cravings, increased tolerance, irritability or anxiety when not using tobacco, using tobacco to relieve stress, neglecting responsibilities, and failed attempts to quit