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Outcomes typically revert back to baseline levels after the contingencies are removed, however, without other treatments to supplement the contingency management

They come in a variety of flavors and nicotine strengths, and are often marketed as tobacco-free, even though many contain nicotine derived from tobacco

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In one study of youth, Kandel and colleagues (1997) examined the cross-sectional relationship between cigarette use and the use of other substances as well as with psychiatric disorders and found that daily cigarette smoking was associated with a 70% increase in the likelihood of diagnoses of anxiety and of disorders of mood and disruptive behavior