Fast Five Quiz: Test Your Knowledge About Nicotine Addiction and Cessation

Stephen Soreff, MD


December 08, 2017

Nicotine addiction is now referred to as tobacco use disorder in the DSM-5. Eleven possible criteria are recognized, of which at least two must be present in the last 12 months:

  1. Tobacco taken in larger amounts or over longer periods of time

  2. Persistent desire or unsuccessful efforts to cut down or control use

  3. A great deal of time is spent on activities necessary to obtain or use tobacco

  4. Craving or a strong desire or urge to use tobacco

  5. Recurrent tobacco use resulting in a failure to fulfill major role obligations at work, school, or home

  6. Continued tobacco use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by effects of tobacco (eg, arguments with others about tobacco use)

  7. Important social, occupational, or recreational activities are given up or reduced because of tobacco use

  8. Recurrent tobacco use in situations in which it is physically hazardous (eg, smoking in bed)

  9. Tobacco use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by tobacco

  10. Tolerance, as defined by either the need for markedly increased amounts of tobacco to achieve the desired effect or a markedly diminished effect with continued use of the same amount of tobacco

  11. Withdrawal, as manifested by either the characteristic withdrawal syndrome or the use of tobacco to relieve or avoid withdrawal symptoms

In acute withdrawal, one can quickly relieve the symptoms of nicotine cessation (eg, intense cravings for nicotine, tingling in the hands and feet, nausea and intestinal cramping, sweating, headaches, coughing, sore throat, insomnia, difficulty concentrating) by using nicotine again, usually by resuming smoking.

For more on the diagnosis of tobacco use disorder, read here.


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