E-cigarettes have increased in popularity and production over the years. Although many individuals believe that e-cigarettes are safe for use, there is increasing evidence that e-cigarette use is associated with negative health consequences. Mindfulness is negatively associated with substance use including traditional cigarette smoking. Although there is limited research on the relationship between mindfulness and e-cigarette use, research on the relationship between mindfulness and traditional cigarette smoking may serve as a guide for e-cigarette use research. The objective of the present study is to test whether mindfulness is a protective factor against e-cigarette use through its effect on variables that are related to conventional cigarette smoking, such as negative affect, difficulties with emotion regulation, distress tolerance, and perceived stress. Eight hundred sixty-seven participants were recruited via online forums and local businesses in Southern California (Mage = 29.2, SD = 10.9; 62.9% male). Multiple mediation analyses revealed that mindfulness was not significantly associated with either lifetime or current e-cigarette use and that negative affect, difficulties with emotion regulation, distress tolerance, and perceived stress did not mediate this relationship. However, mindfulness was significantly associated with all of the proposed mediators. Findings suggest that e-cigarette users and traditional cigarette smokers may be using for different reasons. Given that e-cigarette use is on the rise, particularly among middle and high school aged youth, future research should continue to prioritize prevention efforts by examining potential predictors of use.
School of Behavioral Health
Holly E. R. Morrell
Doctor of Philosophy (PhD)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Electronic Nicotine Delivery Systems; Vaping; Protective Factors; Mindfulness
xiii; 91 p.
Loma Linda University Libraries
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Tran, Denise Dao, "Mediators of the Relationship between Mindfulness and E-cigarette Use" (2020). Loma Linda University Electronic Theses, Dissertations & Projects. 1710.
Loma Linda University Electronic Theses and Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives