Electronic Cigarette Use Intentions Mediate the Association between Low Self Control and Future Use by Internalizing Symptoms Teens who vape or smoke more likely to experience depression and anxiety, study of over 60,000 u.s. students finds. Youth using both e cigarettes and traditional tobacco report the highest levels of mental Tobacco Use Linked to Higher Depression and Anxiety in Adolescents: Study Tobacco Reporter Social Media and E Cigarette Use in Youth: Does Depression Play a Mediating Role? Soumya Upadhyay, Mohammad Karim, Shivank Chhaya, 2026