The Experience of Nicotine Dependence in Adolescent Smokers

Nurvita Risdiana, Yanuar Fahrizal, Wahyulianto Wahyulianto


Smoking is prevalent in society, especially among men. Most smokers are still adolescents. A cigarette contains nicotine substance that can cause smokers to become dependent on nicotine. Smokers who are already addicted will experience withdrawal syndrome. The earlier age people smoke at, the higher level of dependence they have. The adverse effect of nicotine dependence is that smokers will find it difficult to stop smoking. This study aims to investigate the experiences of adolescent smokers who are dependent on nicotine. This was a qualitative study conducted with a phenomenological approach. Data were collected through an in-depth interview with 5 (five) informants who were selected through purposive sampling technique. Triangulation was employed to enhance the credibility of the study. Data were analyzed using a phenomenological approach. This study resulted in four main themes, namely: age to start smoking; the causes of smoking; perceptions of smoking; experience of smoking cessation. Conclusion that can be drawn for this study was smoking abstinence led to anxiety, decreased concentration and craving to cigarette.


Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, “RISET KESEHATAN DASAR,” Jakarta, 2013.

R. McGee, S. Williams, and S. Nada-Raja, “Is cigarette smoking associated with suicidal ideation among young people?,” Am. J. Psychiatry, vol. 162, no. 3, pp. 619–620, 2005, doi: 10.1176/appi.ajp.162.3.619.

P. Caponnetto and R. Polosa, “Common predictors of smoking cessation in clinical practice,” Respir. Med., vol. 102, no. 8, pp. 1182–1192, 2008, doi: 10.1016/j.rmed.2008.02.017.

A. Charkazi, G. Sharifirad, A. Zafarzadeh, and H. Shahnazi, “Age at Smoking Onset , Nicotine Dependence And Their Association With Smoking Temptation Among Smokers,” Bull. Environ. Pharmacol. Life Sci., vol. 5, no. April, pp. 8–13, 2016.

D. Komasari and A. F. Helmi, “Faktor Faktor Penyebab Merokok Pada Remaja,” J. Psikol., no. 1, pp. 37–47, 2000.

R. D. Goodwin, J. Pagura, R. Spiwak, A. R. Lemeshow, and J. Sareen, “Predictors of persistent nicotine dependence among adults in the United States,” Drug Alcohol Depend., vol. 118, no. 2, pp. 127–133, Nov. 2011, doi: 10.1016/j.drugalcdep.2011.03.010.

Z. Hesami, A. Alvanpour, B. S. Kashani, S. F. Tafti, G. Reza, and Heydari, “Severity of Nicotine Withdrawal Symptoms after Smoking Cessation,” Tanaffos, vol. 9, no. 1, pp. 42–47, 2010.

N. L. Benowitz, “Nicotine Addiction,” N. Engl. J. Med., vol. 362, no. 24, pp. 2295–2303, Jun. 2010, doi: 10.1056/NEJMra0809890.

N. D. Astuti and T. Y. M. Wahyono, “Associations between Smoking and Other Factors with Emotional Mental Disorders among Adolescents,” pp. 55–55, 2019, doi: 10.26911/the6thicph.01.32.

C. P. Mendelsohn, “Teenage smoking: how can the GP help?,” Med. Today, vol. 11, no. 11, pp. 30–37, 2010.

Fithria et al., “Psychological well-being among adolescent smokers,” J. Pediatr., vol. 2013, no. January, pp. 230–237, 2018.

F. R. M. Ali, I. T. Agaku, S. R. Sharapova, E. A. Reimels, and D. M. Homa, “Onset of regular smoking before age 21 and subsequent nicotine dependence and cessation behavior among US adult smokers,” Prev. Chronic Dis., vol. 17, pp. 1–6, 2020, doi: 10.5888/pcd17.190176.

S. D. Mahajan, G. G. Homish, and A. Quisenberry, “Multifactorial Etiology of Adolescent Nicotine Addiction: A Review of the Neurobiology of Nicotine Addiction and Its Implications for Smoking Cessation Pharmacotherapy,” Front. Public Heal., vol. 9, no. July, 2021, doi: 10.3389/fpubh.2021.664748.

S. H. Kollins and R. A. Adcock, “ADHD, Altered Dopamine Neurotransmission, and Disrupted Reinforcement Processes: Implications for Smoking and Nicotine Dependence,” Prog Neuropsychopharmacol Biol Psychiatry, vol. 3, pp. 70–78, 2014, doi: 10.1016/j.pnpbp.2014.02.002.ADHD.

S. Moylan et al., “The Impact of Smoking in Adolescence on Early Adult Anxiety Symptoms and the Relationship between Infant Vulnerability Factors for Anxiety and Early Adult Anxiety Symptoms: The TOPP Study,” PLoS One, vol. 8, no. 5, pp. 1–11, 2013, doi: 10.1371/journal.pone.0063252.

I. Tristanti, “Remaja dan Perilaku Merokok,” 2016.

A. Safitri, M. Avicenna, and N. Hartati, “Faktor-Faktor yang Mempengaruhi Perilaku Merokok pada Remaja,” Tazkiya J. Psychol., vol. 18, no. 1, pp. 47–65, 2013, doi: 10.15408/tazkiya.v18i1.9309.

NIDA, Drugs, Brains, and Behavior: The Science of Addiction. 2018.

F. Fithria, M. Adlim, S. R. Jannah, and T. Tahlil, “Indonesian adolescents’ perspectives on smoking habits: a qualitative study,” BMC Public Health, vol. 21, no. 1, pp. 1–8, 2021, doi: 10.1186/s12889-020-10090-z.

L. Borderías, R. Duarte, J. J. Escario, and J. A. Molina, “Addiction and Other Reasons Adolescent Smokers Give to Justify Smoking,” Subst. Use Misuse, vol. 50, no. 12, pp. 1552–1559, Oct. 2015, doi: 10.3109/10826084.2015.1023453.

H. Y. Song and S. J. Yang, “Factors associated with smoking behaviors in out-of-school youth: Based on an ecological model,” Int. J. Environ. Res. Public Health, vol. 18, no. 12, 2021, doi: 10.3390/ijerph18126380.

K. Kumboyono, A. Y. S. Hamid, J. Sahar, and S. Bardosono, “Community response to the initiation of smoking in Indonesian early adolescents: a qualitative study,” International Journal of Adolescence and Youth, vol. 25, no. 1. pp. 210–220, 2020, doi: 10.1080/02673843.2019.1608273.

H. Tohid, K. Omar, N. A. Muhammad, A. Jaffar, E. M. Md Monoto, and N. Mohd Ishak, “Smoking is worth the risk: Understanding adolescents’ rationalisation of their smoking behaviour,” Pertanika J. Soc. Sci. Humanit., vol. 24, no. 2, pp. 573–585, 2016.

A. Arisona, L. Rahayuwati, A. Prawesti, and H. S. Agustina, “Smoking behavior and the use of cigarette types among university student,” J. Educ. Soc. Res., vol. 10, no. 5, pp. 211–224, 2020, doi: 10.36941/JESR-2020-0100.

J. J. Prochaska and N. L. Benowitz, “The Past, Present, and Future of Nicotine Addiction Therapy,” Annu. Rev. Med., vol. 176, no. 5, pp. 467–486, 2016, doi: 10.1016/j.physbeh.2017.03.040.

A. Setiawati, “Suatu Kajian Molekuler Ketergantungan Nikotin,” Farm. Sains dan Komunitas, vol. 10, no. 2, pp. 121–127, 2013.

H. Juárez Olguín, D. Calderón Guzmán, E. Hernández García, and G. Barragán Mejía, “The Role of Dopamine and Its Dysfunction as a Consequence of Oxidative Stress,” Oxid. Med. Cell. Longev., vol. 2016, p. 9730467, 2016, doi: 10.1155/2016/9730467.

A. Liem, “Pengaruh Nikotin Terhadap Aktivitas Dan Fungsi Otak Serta Hubungannya Dengan Gangguan Psikologis Pada Pecandu Rokok,” Bul. Psikol., vol. 18, no. 2, pp. 37–50, 2016, doi: 10.22146/bpsi.11536.

J. Brown et al., “Cigarette craving and withdrawal symptoms during temporary abstinence and the effect of nicotine gum,” Psychopharmacology (Berl)., vol. 229, no. 1, pp. 209–218, 2013, doi: 10.1007/s00213-013-3100-2.

S. Panday, S. P. Reddy, R. A. C. Ruiter, E. Bergström, and H. de Vries, “Nicotine Dependence and Withdrawal Symptoms among Occasional Smokers,” J. Adolesc. Heal., vol. 40, no. 2, pp. 144–150, 2007, doi: 10.1016/j.jadohealth.2006.09.001.

A. Prasadja, “Merokok dan Kesehatan Tidur,” 2012. (accessed Feb. 26, 2020).

K.-O. Haustein and D. Groneberg, Tobacco or Health? Springer, 2010.

A. Alamsyah and Nopianto, “Determinan perilaku merokok pada remaja,” J. Endur., vol. 2, no. February, pp. 25–30, 2017.

R. F. Ardini and W. Hendriani, “Proses Berhenti Merokok Secara Mandiri Pada Mantan Pecandu Rokok Dalam Usia Dewasa Awal,” J. Psikol. Pendidik. Dan Perkemb., vol. 1, no. 02, pp. 0–7, 2012.



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