Work

Smoking-related gestures and anxiety: a preliminary study in treatment-seeking smokers

Year: 2025

Type: article

Abstract: Background: The act of smoking is not solely driven by nicotine dependence, but also involves behavioral and sensorimotor components that may independently contribute to addiction maintenance. Among these, gestural rituals such as holding and bringing the cigarette to the mouth may play a role in emotional regulation and self-soothing, particularly in individuals with anxiety. This study aimed to explore the relationship between smoking-related gestures, nicotine dependence, and anxiety symptoms in a sample of smokers seeking addiction treatment. Methods: A total of 81 treatment-seeking smokers were recruited from an Addiction Medicine Unit. Nicotine dependence was assessed using the Fagerström Test for Nicotine Dependence (FTND), anxiety symptoms were measured with the Beck Anxiety Inventory (BAI), and the importance of smoking-related gestures was rated on a 7-point Likert scale via a single-item question. Correlational and non-parametric tests (Spearman's rho, Kruskal-Wallis, Fisher's exact test) were used to analyze associations among the variables. Results: = 0.0742], but no significant correlation was detected between gesturality and FTND measures. Conclusion: These preliminary findings suggest that smoking-related gestures may be particularly salient for individuals with elevated anxiety, potentially functioning as ritualized coping behaviors independent of nicotine intake. This dimension may help explain why some smokers struggle to quit despite low biochemical dependence. Future studies should develop validated instruments to assess smoking-related motor patterns and explore tailored interventions targeting the behavioral components of tobacco use.

Source: Frontiers in Public Health

DOI: 10.3389/fpubh.2025.1665612