Teens who vape or smoke more likely to experience depression and anxiety, study of over 60,000 u.s. students finds. Youth using both e cigarettes and traditional tobacco report the highest levels of mental Electronic Cigarette Use Intentions Mediate the Association between Low Self Control and Future Use by Internalizing Symptoms Vaping is often advertised as harmless, but it has serious health effects, including worsening mental health. As expert Laura Crotty Alexander, MD, UC San Diego, explains to host Erika Moseson, MD, MA, Study: ECigarette Use Linked with Heart Attacks, Depression, Coronary Artery Disease Cardio Care Today