01790nas a2200241   4500000000100000008004100001260007600042653001900118653001900137653001100156653002000167100002200187700002400209700002300233700002100256700002600277245006100303300001200364490000700376520113700383022001401520020001401534       2010                            d  c06/2010bSociedad Española para el Estudio de la Ansiedad y el Estrés10adisorder onset10apanic disorder10aStress10atobacco smoking1 aCristina Mae Wood1 aAntonio Cano-Vindel1 aItziar Iruarrizaga1 aEsperanza Dongil1 aJosé Martin Salguero00aRelationships between stress, tobacco and panic disorder  a309-3250 v163 aNumerous studies have shown, on the one hand, the existing relationship between high levels of stress and the onset of or increase in tobacco use and, on the other hand, a direct causal relationship between long term nicotine use and the future onset of panic disorder. The aim of this systematic review was to analyse the scientific literature published on the relationship between stress and anxiety and the onset and maintenance of tobacco use in adolescent and adult populations, as well as the negative effects that prolonged smoking can have on the onset of panic disorder. There is evidence of a positive relationship between high levels of stress and the onset of or increase in tobacco use, which in turn multiplies (there is more evidence in this sense) the risk of developing panic disorder in the long term. As a conclusion, tobacco use constitutes a serious risk for mental health, especially in the case of panic disorder. Special importance is given to the development of new and better tobacco prevention and cessation treatments especially designed for those people suffering from high levels of stress and anxiety.  a1134-7937  a2174-0437