Vaping FAQs

does vaping affect cognitive function

by Adeline Kihn Published 2 years ago Updated 1 year ago
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However, if you are a vaper, your brain’s cognitive functions may be affected negatively. That is especially dangerous when it comes to young people. Their brain’s parts responsible for decision-making and impulse control are not yet developed. Frequent vaping may affect those parts of the brain in an unhealthy way.

We posit that these toxicological effects are associated with decreased cognitive spatial and memory functions of EC and CS as compared to control mice. The current data provide direct evidence of the potential harmful neurotoxicity effects of ECs on brain inflammation associated with cognitive memory functions.

Full Answer

Does vaping really cause brain damage?

These compounds are known to cause mutations in DNA cells. Affects Brain Functioning: Texas Tech University Researcher Kaisar and others (28) explains that the chemical found in e-cigs juice can cause brain damage for chronic vapers. This is because vaping leads to the obstruction of blood flow in the brain.

How does vaping marijuana affect the brain?

This effect is especially troubling in a teenage brain, Addy says, which is more sensitive than an adult brain to rewards. Animal research by another Yale University scientist suggests that vaping during adolescence can lead to long-term brain changes, like attention deficit hyperactivity disorder, Addy says.

What does vaping do to your brain?

Vaping with or without nicotine has been shown to impact impulse control, especially in young adults whose brains have not fully developed yet. Some of these risks include mood disorders and permanent damage to parts of the brain responsible for memory, emotion and critical thinking. View our informative videos, as well as the resources below ...

Can vaping change your brain?

Vaping with or without nicotine has been shown to impact impulse control, especially in young adults whose brains have not fully developed yet. Some of these risks include mood disorders and permanent damage to parts of the brain responsible for memory, emotion and critical thinking.

Why is cognitive enhancement important for TUD?

How many people die from smoking cigarettes in the US?

Does nicotine have positive or negative reinforcement?

Does nicotine affect TUD?

Does nicotine affect cognitive function?

Does nicotine affect working memory?

Does smoking affect psychiatric disorders?

See 4 more

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Does vaping cause cognitive problems?

Both adults and kids who vape were more likely to report difficulty concentrating, remembering, or making decisions than their non-vaping, non-smoking peers. It also appeared that kids were more likely to experience mental fog if they started vaping before the age of 14.

How does vaping affect brain function?

Brain Risks These risks include nicotine addiction, mood disorders, and permanent lowering of impulse control. Nicotine also changes the way synapses are formed, which can harm the parts of the brain that control attention and learning.

Does nicotine reduce cognitive function?

In smokers and nonsmokers, it produces small improvements in finger-tapping rate, motor response on tests of focused and sustained attention, and recognition memory (2). In smokers, tobacco deprivation can impair cognitive performance, and subsequent nicotine administration or smoking can reverse these deficits (3–5).

What are 5 negative effects of vaping?

Coughing, dry throat, headaches coughing. dry mouth and throat. shortness of breath. mouth and throat irritation.

What happens to your body when you stop vaping?

Vaping nicotine can lead to a cycle of withdrawal that can be challenging to overcome. Nicotine withdrawal symptoms vary from person to person but commonly consist of mood swings, irritability, headaches, and even feelings of anxiety and depression.

Does quitting smoking improve cognition?

Smoking was associated with lower performance in many cognitive functions in all groups. A dose-response relationship was found between the number of cigarettes per day and processing speed, reasoning and problem-solving. Smoking cessation was significantly associated with better processing speed in patients.

Does nicotine ruin your memory?

It is commonly known that long-term exposure to nicotine causes nAChR desensitization (16), leading to memory impairment in otherwise healthy individuals (17).

Does nicotine affect your thinking?

Nicotine's cognitive effects have gained significant attention in recent decades, and some non-smokers have even started using nicotine gum or patches as a nootropic. Research has shown that nicotine can speed up reaction time, improve working memory, and enhance focus and attention.

Cognitive Effects of Nicotine: Recent Progress - PubMed

Background: Cigarette smoking is the main cause of preventable death in developed countries. While the direct positive behavioral reinforcing effect of nicotine has historically been considered the primary mechanism driving the development of TUD, accumulating contemporary research suggests that the cognitive-enhancing effects of nicotine may also significantly contribute to the initiation and ...

Behavioral and cognitive effects of smoking: relationship to nicotine ...

Nicotine addiction is an extremely complex process that involves biological, psychological, behavioral, and cultural factors. Three factors that influence smoking and that are influenced by smoking are performance, stress, and body weight. We know that if nicotine-addicted smokers are deprived of ni …

How Does Vaping Affect Your Brain?

Nicotine is both a stimulant and a sedative, releasing adrenaline in the body and affecting the heart rate, breathing activity, and blood pressure. According to Sciencenewsforstudents.org, nicotine travels to the brain within just seven seconds of puffing a cigar, or inhaling it through several means such as a hookah, e-cigarette, or traditional lit cigarette.

What happens when a vaper jumps a synapse?

When the chemical jumps the synapse gap and a neighboring neuron receives the signal, the result is a type of high that gives the smoker or vaper feedback that feeds the addictive loop. Over time, the body develops a tolerance to the higher levels of neurotransmitter activity.

Is nicotine addictive?

Nicotine is extremely addicting, especially to young people. According to health experts, nicotine exposure before age 25 may actually alter the brain and change the way that synapses are formed.

Do e-cigarettes contain tobacco?

While e-cigarettes do not contain tobacco, they do contain high quantities of nicotine and other carcinogens. Some studies have shown that fruit flavored vape pens and e-cigarettes may even contain more carcinogens than regular cigarettes. If you or your child have suffered permanent injuries or side effects and believe ...

Can vaping affect brain function?

July 25, 2019. Studies have shown that e-cigarettes and vaping affect your brain function and may have disastrous results for teen smokers.

Can teenagers use e-cigarettes?

Although the use of cigarettes by teenagers has slowed down, e-cigarettes are quickly replacing traditional cigarettes as the desired way for teenagers to ingest nicotine. These devices have been growing in popularity for the last several years according to the Centers for Disease Control.

Can you file a class action lawsuit against a child for vaping?

If you or your child have suffered permanent injuries or side effects and believe that e-cigarettes or vaping affect your brain function or development, you may qualify to hire an attorney and file a class action lawsuit regarding the dangers of nicotine use in teens.

How do vaping chemicals affect the central nervous system?

In CNS, these chemicals alter the central pacemaker within the hypothalamus. When that happens, they affect cognitive function.

What are the problems with vaping?

Several mechanisms could be involved in the relationship between vaping and cognitive complaints, including mental health problems such as anxiety and depression.

How Popular Is Vaping?

were current users. The report also states the prevalence of adults who had ever used an e-cigarette and were current users was highest among men, non-Hispanic white adults, and adults ages 18 to 24.

Why do people vape?

Mental health problems such as anxiety, depression, and substance abuse could lead to the initiation of e-cigarette use or other vaping devices. Some vapers or smokers believe that vaping/smoking could help with their mental health problems.

Why are young adults susceptible to nicotine?

This could explain why the brains of young adults are susceptible to a stimulus like nicotine from both e-cigarettes and “standard” cigarettes.

Is vaping a hard fought decline?

The author of the study stated vaping was reversing hard-fought declines in the number of adolescents who used nicotine. The survey results suggested that vaping was leading youth into nicotine use and nicotine addiction, not away from it.

Is vaping the same as smoking?

Vaping has also become a way to “stand out” in the crowd or try something new. But, although it’s not the same as smoking cigarettes, vaping has some negative effects too. One of those effects is poor concentration. Scroll down to learn more.

Why do people vape?

Once the thought referred to buying a single unit of weed. Now, that idea is extended to more modern smoking solutions, such as vaping. Vaping practices are meant to be less smelly, healthier for the organism, and cleaned of toxic substances. That is why many people convert from the usual way of smoking into the new, less harmful ones.

How long does it take for THC to reach the brain?

THC travels to the brain within just seconds from the first puff. It causes your brain to release dopamine, which is responsible for the characteristic feeling of relaxation.

Why is cannabis used in medicine?

More and more often, it is used in medical therapies for releasing the pain caused by chronic diseases, such as cancer or injuries.

Is vaping harmful?

Undoubtedly, the modern versions of smoking offer a lot of benefits compared to old-fashion combust joints. Nevertheless, they are not entirely harmless. If you wondered how vaping affects your body and brain, both positively and negatively, keep reading.

Does vaping affect the brain?

Recent studies show that vaping may influence the brain’s and body’s functioning both positively and negatively. On the one hand, it helps release pain and helps reduce stress. On the other hand, it may increase the probability of developing heart, lungs, and sight diseases.

Does smoking marijuana help you lose weight?

Marijuana is believed to help regulate insulin levels and manage caloric intake. If you want to lose weight, smoking pot from time to time could speed that process.

Does vaping help with hand tremors?

It helps to reduce hand tremors and reduces overall pain. Moreover, it promotes good sleep and may improve motor skills. However, if you are a vaper, your brain’s cognitive functions may be affected negatively. That is especially dangerous when it comes to young people.

Why is cognitive enhancement important for TUD?

Because poor cognitive performance at baseline predicts relapse among smokers who are attempting to quit smoking, studies examining the potential efficacy of cognitive-enhancement as strategy for the treatment of TUD may lead to the development of more efficacious interventions.

How many people die from smoking cigarettes in the US?

Cigarette smoking or tobacco use disorder (TUD) is the main cause of preventable death in developed countries, with an estimated number of 435,000 premature deaths in the U.S. and 5 million worldwide every year. Although 19.8% of US adults are currently smokers, the lowest rate ever recorded, cigarette smoking is disproportionately common among individuals with low socioeconomic status, low educational levels, and psychiatric comorbidities, including those with another substance use disorder (SUD) [1, 2]. Individuals with psychiatric comorbidities, compared to those without, begin smoking at an earlier age, consume more cigarettes, are more dependent on tobacco, and are less likely to quit smoking [2, 3]. Cigarette smoking is likely a major contributor to the reduced life expectancy of 20 to 25 years in smokers

Does nicotine have positive or negative reinforcement?

In this bivalent model, the behaviorally relevant effects of nicotine are driven by both negative and positive reinforcement through nicotine’s actions on α4β2 and α7nAChR. Nicotine’s cognitive effects in the prefrontal cortex provide negative reinforcement and nicotine’s effects on reward circuitry in the nucleus accumbens provide positive reinforcement. DA = dopamine. VTA = ventral tegmental area. nAChR = nicotinic acetylcholine receptors.

Does nicotine affect TUD?

Although the positive reinforcing effects of nicotine are proposed to be the key mechanism for the initiation of maintenance of tobacco use disorder (TUD), a growing body of literature supports the importance of negative reinforcement in TUD as well [5] . For the purposes of this review, positive reinforcement reflects nicotine’s inherently rewarding and pleasant effects that increase the probability of continued self-administration, and negative reinforcement as nicotine’s effect on relieving the unpleasant affective state induced by cognitive deficits and other negative symptoms associated with nicotine withdrawal (Fig. ​11). A primary reason smokers cite for continued smoking is to ‘stay focused’ [6-8], and this subjective experience is likely due to the difficulty concentrating, impaired attention, and impaired working memory functions that are core sequelae of smoking abstinence [9-14]. High rates of smoking are observed among individuals with psychiatric disorders including schizophrenia, bipolar disorder, major depression, attention deficit hyperactivity disorder (ADHD) and comorbid substance use disorders (SUD) [15, 16]. Because these psychiatric disorders are associated with various cognitive impairments, including deficits in attention, working memory, and response inhibition functions [17, 18], the cognitive enhancing effects of nicotine may be especially important determinants of the initation and maintenance of smoking in this comorbid population. Growing evidence suggest that cognitive enhancing effects of nicotine may also contribute to the difficulty in quitting smoking, especially in individuals with psychiatric disorders [19].

Does nicotine affect cognitive function?

The effect of nicotine on cognitive function remains an active area of research. Although some controversy remains regarding nicotine’s effect on specific cognitive functions, and on individual differences in nicotine’s cognitive effects, the preponderance of evidence from animal and human studies has established cognitive-enhancing effects as a clinically relevant dimension of nicotine psychopharmacology. In addition, significant progress has been made in understanding the neurobiological mechanisms underlying these effects. These include improved knowledge about the role of the nicotinic acetylcholine receptor (nAChR) in cognitive function and reinforcement [20, 21], the localization of the brain regions that mediate nicotine’s effects on cognitive function [22], and the role of specific subtypes of nAChR in cognitive enhancement, most notably α7 and α4β2 nAChRs that represent viable targets for the pharmacological treatment of cognitive deficits in neuropsychiatric disorders, as well as TUD [23-25]. Finally, clinical approaches that target the cognitive deficits in individuals with TUD have been proposed as novel therapeutic strategies [26, 27].

Does nicotine affect working memory?

Attention, working memory, fine motor skills and episodic memory functions are particularly sensitive to nicotine’s effects. Recent studies have demonstrated that the α4, β2, and α7 subunits of the nicotinic acetylcholine receptor (nAChR) participate in the cognitive-enhancing effects of nicotine. Imaging studies have been instrumental in identifying brain regions where nicotine is active, and research on the dynamics of large-scale networks after activation by, or withdrawal from, nicotine hold promise for improved understanding of the complex actions of nicotine on human cognition.

Does smoking affect psychiatric disorders?

As previously mentioned, individuals with psychiatric disorders, including those with other addictions, are about twice as likely to be a smoker, have more severe dependence, and are less likely to quit smoking, as compared to those without these comorbidities [33]. The prevalence of smoking ranges from 44-88% in schizophrenia, 40-60% in major depression, 55-70% bipolar disorder, and 40-50% in PTSD [33, 34]. Similarly, smoking rates range from 50 to 70% for individuals with alcohol use disorder [35], 70 to 80% with cocaine, and to over 90% for opioid use disorder [36]. While the underlying mechanisms linking psychiatric disorders to the high rates of TUD remain to be elucidated, one likely contributor is the effect nicotine has on ameliorating the cognitive deficits commonly associated with psychiatric disorders. As summarized in Table ​11, numerous meta-analyses have firmly established that, as compared to healthy controls, individuals with a variety of psychiatric diagnoses have significant cognitive deficits as a clinically meaningful manifestation of their condition. While it is important to note that these studies do not address whether cognitive deficits predated psychiatric disorders or if they are causally related, or the impact of concurrent tobacco product use on cognitive deficits, it is highly plausible that the cognitive enhancing effects of nicotine may be especially important in the initiation and maintenance of smoking in individuals with psychiatric disorders.

Why is smoking bad for the brain?

Smoking causes nicotinic receptors to become desensitized and unresponsive to the drug in order to protect the brain from receiving too much of it. At the same time, an upregulation of nicotinic receptors in the brain occurs, meaning more of the receptors are produced to keep up with the influx of the chemical.

How does nicotine affect the body?

The drug increases blood pressure and heart rate, constricts blood vessels, and over the long term it can contribute to the hardening of artery walls .

How long does it take for nicotine to get into the brain?

When tobacco smoke or nicotine vapor is inhaled, the drug rushes into the brain and floods the receptors within 10 seconds, providing an almost instant buzz. There are nicotinic receptors in virtually every region and cell type in the brain, which is why nicotine has such diverse and wide-ranging effects. For example, there are receptors on dopamine neurons in an area of the brain called the nucleus accumbens, a major hub for addiction. When the nicotinic receptors there are activated, the neurons release dopamine, a neurochemical critical for feelings of reward.

Why is nicotine not a nootropic?

One potential reason nicotine has largely failed as a therapeutic drug and isn’t recommended as a nootropic is its short half-life — how quickly it’s cleared from the body. The drug’s effects start to wear off within an hour or two, and a couple hours later withdrawal sets in.

Why is nicotine called a natural insecticide?

The chemical acts as a natural insecticide because of its action as a neurotoxin. In the human brain, nicotine activates nicotinic receptors, but don’t let the name fool you. These receptors did not evolve for nicotine, they’re only named for the drug because that’s how scientists discovered them.

How to address cravings for nicotine?

One way to address those cravings is with nicotine replacement therapy, such as the patch or gum. These devices substitute the nicotine in a cigarette to stem people’s withdrawal or cravings, but they deliver the drug at a lower and slower dose, so people don’t get the same rush they feel from a hit off a cigarette or vape pen.

Why is it important to protect the receptors from overstimulation?

It’s a phenomenon present in many [types of receptors] to protect the organism from overstimulation, because if you continuously activate any receptor you’re going to over-activate it, and you’re going to harm the tissue or the organ.”.

How does nicotine affect cognition?

Given the large availability of nicotinic acetylcholine receptors (nAChRs) throughout the brain, and the wide range of neurotransmitter systems affected (norepinephrine, serotonin and dopamine), nicotine influences a wide variety of cognitive domains such as sensorial, motor, attention, executive function, learning and memory. This article reviews current state of the art research on the effects of nicotine upon cognition. There are different neurobiological mechanisms involved in acute/chronic smoking and nicotine abstinence. Smoking reinforcement could be due to the initial cognitive improvement, that is, individuals can learn that smoking temporarily increases cognitive functioning (improving some components of attention and memory). These acute nicotine effects improve (i) cognitive performance above smokers' normal levels, and (ii) cognitive disruption resulting from nicotine abstinence. Both neurobiological effects act as reinforcers to nicotine use, greatly contributing to the development of nicotine dependence. However, heavy smoking is associated with cognitive impairment and cognitive decline in middle age. Future clinical research should investigate the role of positive and negative cognitive effects of nicotine in smoking cessation treatment. This is clearly an important scientific issue, with insufficient current data from which to draw definitive conclusions.

What are the cognitive domains of nicotine?

Given the large availability of nicotinic acetylcholine receptors (nAChRs) throughout the brain, and the wide range of neurotransmitter systems affected (norepinephrine, serotonin and dopamine), nicotine influences a wide variety of cognitive domains such as sensorial, motor, attention, executive function, learning and memory.

Does smoking increase cognitive function?

Smoking reinforcement could be due to the initial cognitive improvement, that is, individuals can learn that smoking temporarily increases cognitive functioning (improving some components of attention and memory).

What is the role of cannabinoids in the brain?

Basic research is discovering interesting members of this family of compounds that have previously been unknown, the most notable of which is the capacity for neuroprotection.[31] Cannabinoid receptors in the brain (CB1) take part in modulation of learning and are particularly important for both working memory and short-term memory. It appears that spatial working/short-term memory is not sensitive to cannabidiol (CBD) rich extracts. Potentiating and antagonism of delta-9-THC-induced spatial memory deficits is dependent on the ratio between CBD and delta-9-THC.[32] It has been found that CB1 cannabinoid receptor (CB1R) activation transiently modulates pathway and the protein synthesis machinery. Moreover, using pharmacological and genetic tools, it was found that THC long-term memory deficits were mediated by CB1Rs expressed on GABAergic interneurons through a glutamatergic mechanism.[33]

Why is cannabis important for schizophrenia?

Cannabis is important because of its relation to psychosis. While other psychiatric morbidities have been recently recognized,[2] it has been known historically that cannabis is related to psychosis.[36] Recently, several epidemiological studies have proved beyond doubt that cannabis use increases subsequent risk of schizophrenia.[37,38] It is also clear that cannabis-induced psychosis is different from cannabis as a risk factor for schizophrenia and related psychoses.[39,40] What are still not clear are the pathways among cognitive dysfunction, schizophrenia, and cannabis consumption.[41,42] Several aspects of neurobiology have been postulated, but the dilemma of determining a clear trajectory continues.[42] There are several theories and arguments in favor of and against a vulnerability factor, the possibility of an endophenotype, and the gene-environment interaction. The evidence for each of these comes primarily from experimental human and animal studies of neurobiology.

Does cannabis affect the brain?

There is little information on the neurocognitive and neurophysiological effects of cannabis. Preliminary neuroimaging studies in mainly non-psychotic populations show that cannabis does not affect gross brain anatomy. Cannabis does, however, acutely increase cerebral blood flow and long-term exposure causes an overall reduction ...

Does cannabis affect intellectual ability?

Several explanations for this association exist. First, it is possible that the effects on cannabis on intellectual ability are induced by cannabis use in adolescence. Second, it could be that cognitive decline enhances the vulnerability for schizophrenia.

Does cannabis affect cognitive function?

Although the general impression supported by many studies is that cannabis causes cognitive decline, particularly with long-term usage, some research suggests that this may not be the case. Nevertheless, certain specific neuropsychological ...

Does cannabis help with schizophrenia?

In one study, first-episode schizophrenia (FES) patients with prior cannabis use performed better than normal controls. The study suggests that possibly there is lower individual vulnerability for psychosis in cannabis-use patients in whom cannabis use can be a precipitating factor of psychotic episodes.[27] Such findings bring out the complexity of the cognition and cannabis connection.[27] To make it more explicit, an interesting analysis of 23 studies by Loberg and Hugdahl[42] found 14 studies reporting that cannabis users had better cognitive performance than schizophrenia non-users. Eight studies reported no or minimal differences in cognitive performance in the two groups, but only one study reported better cognitive performance in the schizophrenia non-user group. The findings also suggest that cannabis use may be related to improved neurocognition in bipolar disorder and compromised neurocognition in schizophrenia. The results need to be replicated in independent samples and may suggest different underlying disease mechanisms in the two disorders.[51]

Does marijuana affect fetuses?

The evidence regarding the effect of cannabis on fetuses in cannabis-consuming pregnant women is also not very clear. Despite the prevalence of marijuana use among pregnant women and adolescents, the impact of cannabis on the developing brain is still not well understood.

Why is cognitive enhancement important for TUD?

Because poor cognitive performance at baseline predicts relapse among smokers who are attempting to quit smoking, studies examining the potential efficacy of cognitive-enhancement as strategy for the treatment of TUD may lead to the development of more efficacious interventions.

How many people die from smoking cigarettes in the US?

Cigarette smoking or tobacco use disorder (TUD) is the main cause of preventable death in developed countries, with an estimated number of 435,000 premature deaths in the U.S. and 5 million worldwide every year. Although 19.8% of US adults are currently smokers, the lowest rate ever recorded, cigarette smoking is disproportionately common among individuals with low socioeconomic status, low educational levels, and psychiatric comorbidities, including those with another substance use disorder (SUD) [1, 2]. Individuals with psychiatric comorbidities, compared to those without, begin smoking at an earlier age, consume more cigarettes, are more dependent on tobacco, and are less likely to quit smoking [2, 3]. Cigarette smoking is likely a major contributor to the reduced life expectancy of 20 to 25 years in smokers

Does nicotine have positive or negative reinforcement?

In this bivalent model, the behaviorally relevant effects of nicotine are driven by both negative and positive reinforcement through nicotine’s actions on α4β2 and α7nAChR. Nicotine’s cognitive effects in the prefrontal cortex provide negative reinforcement and nicotine’s effects on reward circuitry in the nucleus accumbens provide positive reinforcement. DA = dopamine. VTA = ventral tegmental area. nAChR = nicotinic acetylcholine receptors.

Does nicotine affect TUD?

Although the positive reinforcing effects of nicotine are proposed to be the key mechanism for the initiation of maintenance of tobacco use disorder (TUD), a growing body of literature supports the importance of negative reinforcement in TUD as well [5] . For the purposes of this review, positive reinforcement reflects nicotine’s inherently rewarding and pleasant effects that increase the probability of continued self-administration, and negative reinforcement as nicotine’s effect on relieving the unpleasant affective state induced by cognitive deficits and other negative symptoms associated with nicotine withdrawal (Fig. ​11). A primary reason smokers cite for continued smoking is to ‘stay focused’ [6-8], and this subjective experience is likely due to the difficulty concentrating, impaired attention, and impaired working memory functions that are core sequelae of smoking abstinence [9-14]. High rates of smoking are observed among individuals with psychiatric disorders including schizophrenia, bipolar disorder, major depression, attention deficit hyperactivity disorder (ADHD) and comorbid substance use disorders (SUD) [15, 16]. Because these psychiatric disorders are associated with various cognitive impairments, including deficits in attention, working memory, and response inhibition functions [17, 18], the cognitive enhancing effects of nicotine may be especially important determinants of the initation and maintenance of smoking in this comorbid population. Growing evidence suggest that cognitive enhancing effects of nicotine may also contribute to the difficulty in quitting smoking, especially in individuals with psychiatric disorders [19].

Does nicotine affect cognitive function?

The effect of nicotine on cognitive function remains an active area of research. Although some controversy remains regarding nicotine’s effect on specific cognitive functions, and on individual differences in nicotine’s cognitive effects, the preponderance of evidence from animal and human studies has established cognitive-enhancing effects as a clinically relevant dimension of nicotine psychopharmacology. In addition, significant progress has been made in understanding the neurobiological mechanisms underlying these effects. These include improved knowledge about the role of the nicotinic acetylcholine receptor (nAChR) in cognitive function and reinforcement [20, 21], the localization of the brain regions that mediate nicotine’s effects on cognitive function [22], and the role of specific subtypes of nAChR in cognitive enhancement, most notably α7 and α4β2 nAChRs that represent viable targets for the pharmacological treatment of cognitive deficits in neuropsychiatric disorders, as well as TUD [23-25]. Finally, clinical approaches that target the cognitive deficits in individuals with TUD have been proposed as novel therapeutic strategies [26, 27].

Does nicotine affect working memory?

Attention, working memory, fine motor skills and episodic memory functions are particularly sensitive to nicotine’s effects. Recent studies have demonstrated that the α4, β2, and α7 subunits of the nicotinic acetylcholine receptor (nAChR) participate in the cognitive-enhancing effects of nicotine. Imaging studies have been instrumental in identifying brain regions where nicotine is active, and research on the dynamics of large-scale networks after activation by, or withdrawal from, nicotine hold promise for improved understanding of the complex actions of nicotine on human cognition.

Does smoking affect psychiatric disorders?

As previously mentioned, individuals with psychiatric disorders, including those with other addictions, are about twice as likely to be a smoker, have more severe dependence, and are less likely to quit smoking, as compared to those without these comorbidities [33]. The prevalence of smoking ranges from 44-88% in schizophrenia, 40-60% in major depression, 55-70% bipolar disorder, and 40-50% in PTSD [33, 34]. Similarly, smoking rates range from 50 to 70% for individuals with alcohol use disorder [35], 70 to 80% with cocaine, and to over 90% for opioid use disorder [36]. While the underlying mechanisms linking psychiatric disorders to the high rates of TUD remain to be elucidated, one likely contributor is the effect nicotine has on ameliorating the cognitive deficits commonly associated with psychiatric disorders. As summarized in Table ​11, numerous meta-analyses have firmly established that, as compared to healthy controls, individuals with a variety of psychiatric diagnoses have significant cognitive deficits as a clinically meaningful manifestation of their condition. While it is important to note that these studies do not address whether cognitive deficits predated psychiatric disorders or if they are causally related, or the impact of concurrent tobacco product use on cognitive deficits, it is highly plausible that the cognitive enhancing effects of nicotine may be especially important in the initiation and maintenance of smoking in individuals with psychiatric disorders.

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