萧条(经济学)
纵向研究
老化
医学
戒烟
人口学
心理健康
老年学
精神科
心理学
内科学
宏观经济学
病理
社会学
经济
作者
Lion Shahab,Gail Gilchrist,Gareth Hagger‐Johnson,Aparna Shankar,Elizabeth West,Robert A. West
标识
DOI:10.1192/bjp.bp.114.153494
摘要
Depression is a particular problem in older people and it is important to know how it affects and is affected by smoking cessation.To identify reciprocal, longitudinal relationships between smoking cessation and depression among older smokers.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.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.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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