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Publication Detail
Reciprocal associations between smoking cessation and depression in older smokers: findings from the English Longitudinal Study of Ageing.
  • Publication Type:
    Journal article
  • Publication Sub Type:
    Research Support, Non-U.S. Gov't
  • Authors:
    Shahab L, Gilchrist G, Hagger-Johnson G, Shankar A, West E, West R
  • Publication date:
    09/2015
  • Pagination:
    243, 249
  • Journal:
    The British journal of psychiatry : the journal of mental science
  • Volume:
    207
  • Issue:
    3
  • Medium:
    Print-Electronic
  • Status:
    Published
  • Print ISSN:
    0007-1250
  • Language:
    eng
  • Keywords:
    Humans, Prognosis, Longitudinal Studies, Smoking Cessation, Mental Health, Depressive Disorder, Aged, Middle Aged, England, Female, Male
  • Addresses:
    Lion Shahab, PhD, Department of Epidemiology and Public Health, University College London, UK; Gail Gilchrist, PhD, Institute of Psychiatry, King's College London; Gareth Hagger-Johnson, PhD, Institute of Child Health, University College London; Aparna Shankar, PhD, Department of Epidemiology and Public Health, University College London; Elizabeth West, PhD, School of Health and Social Care, University of Greenwich, London; Robert West, PhD, Department of Epidemiology and Public Health, University College London, UK lion.shahab@ucl.ac.uk.
Abstract

Background

Depression is a particular problem in older people and it is important to know how it affects and is affected by smoking cessation.

Aims

To identify reciprocal, longitudinal relationships between smoking cessation and depression among older smokers.

Method

Across four waves, covering six years (2002-2008), changes in smoking status and depression, measured using the 8-item Centre for Epidemiologic Studies Depression Scale, were assessed among recent ex-smokers and smokers (n = 2375) in the English Longitudinal Study of Ageing.

Results

In latent growth curve analysis, smoking at baseline predicted depression caseness longitudinally and vice versa. When both processes were modelled concurrently, depression predicted continued smoking longitudinally (B(β) = 0.21 (0.27); 95% CI = 0.08-0.35) but not the other way round. This was the case irrespective of mental health history and adjusting for a range of covariates.

Conclusions

In older smokers, depression appears to act as an important barrier to quitting, although quitting has no long-term impact on depression.
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