The effect of e‑cigarettes on cognitive function: a scoping review

Article

Novak, Marissa L and Wang, Grace Y.. 2024. "The effect of e‑cigarettes on cognitive function: a scoping review." Psychopharmacology. https://doi.org/10.1007/s00213-024-06607-8
Article Title

The effect of e‑cigarettes on cognitive function: a scoping review

ERA Journal ID14856
Article CategoryArticle
AuthorsNovak, Marissa L and Wang, Grace Y.
Journal TitlePsychopharmacology
Number of Pages11
Year2024
PublisherSpringer
Place of PublicationGermany
ISSN0033-3158
1432-2072
Digital Object Identifier (DOI)https://doi.org/10.1007/s00213-024-06607-8
Web Address (URL)https://link.springer.com/content/pdf/10.1007/s00213-024-06607-8.pdf
Abstract

Aim
Much research has been conducted on the acute effects of nicotine on human cognitive performance, demonstrating both enhancing and impairing cognitive effects. With the relatively recent introduction of electronic cigarettes (‘e-cigarettes’) as a smoking cessation device, little is known about the cognitive effects of e-cigarettes specifically, either as a nicotine replacement device or in the absence of nicotine. The purpose of this review was to present an overview of evidence from empirical studies on the effect of e-cigarettes on cognitive function.

Approach
Guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines (PRISMA-ScR), SCOPUS, PubMed, and EBSCOhost were searched from 2006, the year e-cigarettes were introduced, to June 2023 for relevant papers, along with reference lists checked for additional papers.

Key findings
Seven experimental and four cross-sectional survey studies were identified and included. The majority of the studies only include regular and current cigarette smokers and primarily assessed the acute cognitive effect of e-cigarettes relative to nicotine. While the findings primarily suggest either no or positive effect of e-cigarettes on cognition in cigarette smokers, associations between e-cigarettes and cognitive impairments in memory, concentration and decision making were reported in both cigarette smokers and never-smokers.

Implications and conclusions
The acute cognitive effect of e-cigarettes on regular cigarette smokers appears minimal. However, long-term cognitive effect and their effects on never-smokers are unclear. Given that the increased numbers of e-cigarette users are non-smokers and/or adolescents, research with those naïve to nicotine and a developmentally vulnerable adolescent population on its long-term effect is needed.

KeywordsVaping ; e-cigarettes; Nicotine ; Cognition
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020520205. Psychopharmacology
520304. Health psychology
Byline AffiliationsUniversity of Southern Queensland
School of Psychology and Wellbeing
Centre for Health Research
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