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Chain smoking is the practice of
smoking Smoking is a practice in which a substance is burned and the resulting smoke is typically breathed in to be tasted and absorbed into the bloodstream. Most commonly, the substance used is the dried leaves of the tobacco plant, which have bee ...
several cigarettes in succession, sometimes using the ember of a finished cigarette to light the next. The term chain smoker often also refers to a person who smokes relatively constantly, though not necessarily ''chaining'' each cigarette. The term applies primarily to cigarettes, although it can be used to describe incessant cigar and pipe smoking as well as vaping. It is a common indicator of
addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to engage in certain behaviors, one of which is the usage of a drug, despite substantial harm and other negative consequences. Repetitive drug use oft ...
.


Causes

Many people chain-smoke when drinking
alcoholic beverage An alcoholic beverage (also called an alcoholic drink, adult beverage, or a drink) is a drink that contains ethanol, a type of alcohol that acts as a drug and is produced by fermentation of grains, fruits, or other sources of sugar. The c ...
s, because
alcohol Alcohol most commonly refers to: * Alcohol (chemistry), an organic compound in which a hydroxyl group is bound to a carbon atom * Alcohol (drug), an intoxicant found in alcoholic drinks Alcohol may also refer to: Chemicals * Ethanol, one of sev ...
potentiates
nicotinic acetylcholine receptor Nicotinic acetylcholine receptors, or nAChRs, are receptor polypeptides that respond to the neurotransmitter acetylcholine. Nicotinic receptors also respond to drugs such as the agonist nicotine. They are found in the central and peripheral n ...
s, leading to re-sensitization and hence inducing a craving. The extent to which chain smoking is driven by
nicotine dependence Nicotine dependence is a state of dependence upon nicotine. Nicotine dependence is a chronic, relapsing disease defined as a compulsive craving to use the drug, despite social consequences, loss of control over drug intake, and emergence of wi ...
has been studied. It does not seem that the amount of nicotine delivered is a significant factor, as the puff volume correlates poorly with the frequency of cigarette consumption.


Clinical use

Chain smoking is given as an example of excessive
addictive behaviour An addictive behavior is a behavior, or a stimulus related to a behavior (e.g., sex or food), that is both rewarding and reinforcing, and is associated with the development of an addiction. Apart from the aforementioned addictive behaviors the most ...
in the Diagnostic and Statistical Manual of Mental Disorders. It may be used as a form of
aversion therapy Aversion therapy is a form of psychological treatment in which the patient is exposed to a stimulus while simultaneously being subjected to some form of discomfort. This conditioning is intended to cause the patient to associate the stimulus wit ...
for smokers who are unused to such heavy smoking, inducing them to give up altogether.


Ventilation

Heating, ventilating, and air conditioning (
HVAC Heating, ventilation, and air conditioning (HVAC) is the use of various technologies to control the temperature, humidity, and purity of the air in an enclosed space. Its goal is to provide thermal comfort and acceptable indoor air quality. ...
) professionals claim that an airflow of about 30 cubic meters per minute per smoker is required to maintain satisfactory air quality when the smokers are chain smoking. However, research confirms that current HVAC systems, while important for general air quality, cannot control exposure to
secondhand smoke Passive smoking is the inhalation of tobacco smoke, called secondhand smoke (SHS), or environmental tobacco smoke (ETS), by persons other than the intended "active" smoker. It occurs when tobacco smoke enters an environment, causing its inhala ...
.


See also

*
Tobacco smoking Tobacco smoking is the practice of burning tobacco and ingesting the resulting smoke. The smoke may be inhaled, as is done with cigarettes, or simply released from the mouth, as is generally done with pipes and cigars. The practice is belie ...


References

{{Cigarettes Smoking Substance dependence