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.