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[74] Acute nicotine intoxication has been found to significantly reduce total sleep time and increase REM latency, sleep onset latency, and non-rapid eye movement (NREM) stage 2 sleep time

Hookah, or shisha, is another form of smoking and, thus, nicotine addiction

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The team used the Kessler Psychological Distress Scale, a six-item self-report assessment where participants reported on a 5-point scale the degree to which they experienced feelings or emotions like nervous, hopeless or so depressed that nothing could cheer them up. Scores are developed by summing points for the six experiences