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For too many young people, she says, smoking isn't toxic, it's glamorous

The most addicted smokers often cut back on essentials instead of quitting

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The team used the Kessler Psychological Distress Scale, a six-item self-report assessment where participants reported on a 5-point scale the degree to which they experienced feelings or emotions like nervous, hopeless or so depressed that nothing could cheer them up. Scores are developed by summing points for the six experiences