This study examined the relationship between adolescent smoking under
stress, psychological distress, and social support. Sophomore and juni
or high school students, N=1,168, completed Derogatis' Brief Symptom I
nventory, Spielberger's Anger Expression Scale, and revised version of
Coppel's Index of Social Support. White students were more likely to
engage in stress-related smoking than were black students (OR 5.74, 95
% C.I. [4.00, 8.24]), as were adolescents with higher psychological di
stress and lower social-support scores. Adolescent smoking prevention
and cessation programs should consider incorporating behavioral strate
gies aimed at coping with psychological distress and strengthening soc
ial support as students may smoke in response to stress.