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The Truth Initiative seems to be aware that mental illness often leads to nicotine use as patients seek symptom relief, pointing out that its surveys reveal that many young people cite feelings of stress, anxiety, or depression as reasons they start and continue vaping. TI tried to argue around this by pointing to nicotine-withdrawal symptoms, which can mirror the effects of depression

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He began testifying a little after 10:45 a.m

& Hbscher, C

Reliability: Person separation indices (PSIs) for all three domains were satisfactory (0.73 to 0.89) with the Signs and Symptoms domain having a slightly higher reliability compared to the other domains