Skip to main content
. 2023 Jan 6;25:e41669. doi: 10.2196/41669

Table 3.

Summary of the criteria for e-cigarette addiction and examples of their presence and absence.

Criterion Themes Example reports of presence Example reports of absence
1 Loss of control “I’m actually annoyed by my vaping. I vape quite a lot and reach for my e-cigarette almost automatically.” “I vape 18mg just to avoid vaping constantly.”
2 Unsuccessful attempts to reduce “I increased the nicotine from 0.5 to 2mg because it was not possible to go with less or no nicotine for me.” “I started off with a 6mg dose but decreased it daily. At one point I vaped less than 6mg and then I could live with no nicotine at all. I also think without nicotine the liquid tastes best.”
3 Expenditure of time “When I’m at home I vape constantly, and when I leave the house I always bring more than one vape with me.” a
4 Craving “When I imagine not being able to use my e-cigarette, I get anxious and instantly have to vape.” “I once went to a vaper meeting and went the whole evening without my e-cigarette. No one noticed and I did not feel craving and had such a good evening.”
6 Social problems related to use “My wife doesn’t like it when I vape. When I vape in the house she complains or looks disgusted.” “My manager and I discussed vaping at work and he is okay with it as long as no one complains. Some of my colleagues think my office smells really good because of the e-cigarette.”
7 Restriction of social activities “Since I spend some money on my hardware, I had to stop my hobby for the time being.”
9 Health problems “What I find very annoying is that I constantly feel like I have a cough. It feels like an allergy, which means I sneeze often, and I cough green mucus in the mornings.” “Since I transitioned to the e-cigarette my mental and physical health has improved significantly. I do more sports and my lungs and heart don’t complain anymore when I work out. I used to get panic attacks and was super nervous but not anymore!”
10 Tolerance “As you know, I have been using an e-cigarette for a bit more than a month now. Now, I do not get a buzz from vaping anymore. So, I have put more nicotine into my mix again.” “I am noticing that an increased nicotine dosage has negative effects...I have trouble sleeping, a higher blood pressure, palpitations and so on.”
11 Withdrawal “I often work several hours without a break and cannot vape during that time. Sometimes I get quite angry and my lung complains.” “I believe I could stop vaping anytime. I actually was able to stop smoking more than once. It did not affect me at all, I did not get nervous or anything. In contrast to when I smoked cigarettes, I am now able to concentrate on long books without vaping.”

aNot available. Reports of absence for these themes were not found and examples were not coded.