Family Practice Vol. 16, No. 2, 202-205
© Oxford University Press 1999
Selections from Current Literature |
Smoking and depression
Department of Family Medicine, SUNY at Stony Brook, Stony Brook, NY 11794, USA.
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Introduction
Smoking and depression
Cigarette smoking continues to be the most common cause of preventable morbidity and mortality in the US (US Department of Health and Human Services. The health consequences of smoking: nicotine addiction).
A substantial body of research suggests that smoking and depression co-occur more frequently than would be expected by chance.
This article reviews literature addressing several issues:
(1)Smokers are more likely to have a history of major depression than non-smokers
(1a) Depression and the dynamics of smoking. A National Perspective.
Anda RF, Williamson DF, Escobedo LG, Mast EE, Giovino GA, Remington PL. JAMA 1990; 264: 15411545.
To obtain a national perspective on the role of depression in the dynamics of smoking, authors of this study analysed data from the first National Health and Nutrition Examination Survey (NHANES 1) and the National Health and Nutrition Examination Survey Epidemiologic follow-up study (NHEFS). They used the Center of Epidemiologic Studies Depression Scale (CES-D) to assess symptoms of depression and define persons as depressed (a score of
Comment
Comment
(2)Smokers with a history of depression have a lower likelihood of successfully quitting, and for those who quit, depression is more apt to be a prominent withdrawal symptom
Comment
(3)The utility of anti-depressant medication for smoking cessation is uncertain
Comments
Conclusion
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D. A. Lloyd and J. Taylor Lifetime cumulative adversity, mental health and the risk of becoming a smoker Health (London) , January 1, 2006; 10(1): 95 - 112. [Abstract] [PDF] |
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