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A longitudinal study of the bi-directional relationship between tobacco smoking and psychological distress in a community sample of young Australian women

Published online by Cambridge University Press:  19 October 2011

J. Leung ,
C. Gartner ,
W. Hall ,
J. Lucke  and
A. Dobson
J. Leung*
Affiliation:
School of Population Health, University of Queensland, Brisbane, Australia
C. Gartner
Affiliation:
UQ Centre for Clinical Research, University of Queensland, Brisbane, Australia
W. Hall
Affiliation:
UQ Centre for Clinical Research, University of Queensland, Brisbane, Australia
J. Lucke
Affiliation:
UQ Centre for Clinical Research, University of Queensland, Brisbane, Australia
A. Dobson
Affiliation:
School of Population Health, University of Queensland, Brisbane, Australia
*
*Address for correspondence: Miss J. Leung, University of Queensland, School of Population Health, Brisbane, Queensland, Australia. (Email: [email protected])
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Abstract

Background

Tobacco smoking and poor mental health are both prevalent and detrimental health problems in young women. The temporal relationship between the two variables is unclear. We investigated the prospective bi-directional relationship between smoking and mental health over 13 years.

Method

Participants were a randomly selected community sample of 10 012 young women with no experience of pregnancy, aged 18–23 years at baseline (1996) from the Australian Longitudinal Study on Women's Health. Follow-up surveys over 13 years were completed in 2000, 2003, 2006 and 2009, allowing for five waves of data. Measures included self-reported smoking and mental health measured by the Mental Health Index from the 36-item short-form health questionnaire and the 10-item Center for Epidemiologic Studies Depression Scale. Sociodemographic control variables included marital status, education level and employment status.

Results

A strong cross-sectional dose–response relationship between smoking and poor mental health was found at each wave [odds ratio (OR) 1.41, 95% confidence intervals (CI) 1.17–1.70 to OR 2.27, 95% CI 1.82–2.81]. Longitudinal results showed that women who smoked had 1.21 (95% CI 1.06–1.39) to 1.62 (95% CI 1.24–2.11) times higher odds of having poor mental health at subsequent waves. Women with poor mental health had 1.12 (95% CI 1.17–1.20) to 2.11 (95% CI 1.68–2.65) times higher odds of smoking at subsequent waves. These results held after adjusting for mental health history and smoking history and sociodemographic factors. Correlation analysis and structural equation modelling results were consistent in showing that both directions of the relationship were statistically significant.

Conclusions

The association between poor mental health and smoking in young women appeared to be bi-directional.

Keywords

Anxietydepressionmental healthpsychological distresssmoking
Type
Original Articles
Information
Psychological Medicine , Volume 42 , Issue 6 , June 2012 , pp. 1273 - 1282
Copyright
Copyright © Cambridge University Press 2011

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References

Andresen, EM, Malmgren, JA, Carter, WB, Patrick, DL (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine 10, 77–84.CrossRefGoogle Scholar
Begg, SJ, Vos, T, Barker, B, Stevenson, C, Stanley, L, Lopez, AD (2007). The Burden of Disease and Injury in Australia 2003. AIHW: Canberra.Google Scholar
Berwick, DM, Murphy, JM, Goldman, PA, Ware, JE, Barsky, AJ, Weinstein, MC (1991). Performance of a 5-item mental health screening test. Medical Care 29, 169–176.CrossRefGoogle Scholar
Boden, JM, Fergusson, DM, Horwood, LJ (2010). Cigarette smoking and depression: tests of causal linkages using a longitudinal birth cohort. British Journal of Psychiatry 196, 440–446.CrossRefGoogle ScholarPubMed
Bolam, B, West, R, Gunnell, D (2011). Does smoking cessation cause depression and anxiety? Findings from the ATTEMPT Cohort. Nicotine & Tobacco Research 13, 209–214.CrossRefGoogle ScholarPubMed
Breslau, N (1985). Depressive symptoms, major depression, and generalized anxiety: a comparison of self-reports on CES-D and results from diagnostic interviews. Psychiatry Research 15, 219–229.CrossRefGoogle ScholarPubMed
Breslau, N, Johnson, EO (2000). Predicting smoking cessation and major depression in nicotine-dependent smokers. American Journal of Public Health 90, 1122–1127.Google ScholarPubMed
Breslau, N, Kilbey, MM, Andreski, P (1993). Nicotine dependence and major depression. New evidence from a prospective investigation. Archives of General Psychiatry 50, 31–35.CrossRefGoogle ScholarPubMed
Breslau, N, Peterson, EL, Schultz, LR, Chilcoat, HD, Andreski, P (1998). Major depression and stages of smoking: a longitudinal investigation. Archives of General Psychiatry 55, 161–166.CrossRefGoogle ScholarPubMed
Caracciolo, B, Giaquinto, S (2002). Criterion validity of the center for epidemiological studies depression (CES-D) scale in a sample of rehabilitation inpatients. Journal of Rehabilitation Medicine 34, 221–225.CrossRefGoogle Scholar
Centers for Disease Control and Prevention (US). 2001. Women and Smoking: A Report of the Surgeon General. Centers for Disease Control and Prevention Office on Smoking and Health (US): Atlanta, GA.Google Scholar
Fergusson, DM, Goodwin, RD, Horwood, LJ (2003). Major depression and cigarette smoking: results of a 21-year longitudinal study. Psychological Medicine 33, 1357–1367.CrossRefGoogle ScholarPubMed
Floyd, AH, Westmaas, JL, Targhetta, V, Moyer, A (2009). Depressive symptoms and smokers' perceptions of lung cancer risk: moderating effects of tobacco dependence. Addictive Behaviors 34, 154–163.CrossRefGoogle ScholarPubMed
Gartner, CE, Barendregt, JJ, Hall, WD (2009). Predicting the future prevalence of cigarette smoking in Australia: how low can we go and by when? Tobacco Control 18, 183–189.CrossRefGoogle Scholar
Gartner, CE, Hall, WD (2009). Australia. In Encyclopedia of Drugs, Alcohol & Addictive Behavior (ed. Korsmeyer, P. and Kranzler, H. R.). Macmillan Reference USA: New York.Google Scholar
Grant, BF, Hasin, DS, Stinson, FS, Dawson, DA, June Ruan, W, Goldstein, RB, Smith, SM, Saha, TD, Huang, B (2005). Prevalence, correlates, co-morbidity, and comparative disability of DSM-IV generalized anxiety disorder in the USA: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine 35, 1747–1759.CrossRefGoogle ScholarPubMed
Haringsma, R, Engels, GI, Beekman, AT, Spinhoven, P (2004). The criterion validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a sample of self-referred elders with depressive symptomatology. International Journal of Geriatrric Psychiatry 19, 558–563.CrossRefGoogle Scholar
Henderson, AS, Jorm, AF, Korten, AE, Jacomb, P, Christensen, H, Rodgers, B (1998). Symptoms of depression and anxiety during adult life: evidence for a decline in prevalence with age. Psychological Medicine 28, 1321–1328.CrossRefGoogle ScholarPubMed
Holahan, CK, Holahan, CJ, Powers, DA, Hayes, RB, Marti, CN, Ockene, JK (2011). Depressive symptoms and smoking in middle-aged and older women. Nicotine & Tobacco Research 13, 722–731.CrossRefGoogle ScholarPubMed
Huppert, FA, Whittington, JE (1995). Symptoms of psychological distress predict 7-year mortality. Psychological Medicine 25, 1073–1086.CrossRefGoogle ScholarPubMed
Jarvis, MJ (2004). Why people smoke. British Medical Journal 328, 277–279.CrossRefGoogle ScholarPubMed
Jorm, AF (2000). Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span. Psychological Medicine 30, 11–22.CrossRefGoogle ScholarPubMed
Kline, J, Stein, Z, Susser, M (1989). Conception to Birth: Epidemiology of Prenatal Development. Oxford University Press: New York.Google Scholar
Korhonen, T, Broms, U, Varjonen, J, Romanov, K, Koskenvuo, M, Kinnunen, T, Kaprio, J (2007). Smoking behaviour as a predictor of depression among Finnish men and women: a prospective cohort study of adult twins. Psychological Medicine 37, 705–715.CrossRefGoogle ScholarPubMed
Lee, C, Dobson, AJ, Brown, WJ, Bryson, L, Byles, J, Warner-Smith, P, Young, AF (2005). Cohort profile: the Australian Longitudinal Study on Women's Health. International Journal of Epidemiology 34, 987–991.CrossRefGoogle ScholarPubMed
Leung, J, Gartner, C, Dobson, A, Lucke, J, Hall, W (2010). Psychological distress is associated with tobacco smoking and quitting behaviour in the Australian population: evidence from national cross-sectional surveys. Australian and New Zealand Journal of Psychiatry 45, 170–178.CrossRefGoogle ScholarPubMed
Lopez, AD, Mathers, CD, Ezzati, M, Jamison, DT, Murray, CJ (2006). Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 367, 1747–1757.CrossRefGoogle ScholarPubMed
Mathews, R, Hall, WD, Gartner, CE (2010). Is there evidence of ‘hardening’ among Australian smokers between 1997 and 2007? Analyses of the Australian National Surveys of Mental Health and Well-Being. Australian and New Zealand Journal of Psychiatry 44, 1132–1136.CrossRefGoogle ScholarPubMed
McNeill, A (2001). Smoking and Mental Health: A Review of the Literature. Smokefree London Programme: London.Google Scholar
Park, ER, Chang, Y, Quinn, V, Regan, S, Cohen, L, Viguera, A, Psaros, C, Ross, K, Rigotti, N (2009). The association of depressive, anxiety, and stress symptoms and postpartum relapse to smoking: a longitudinal study. Nicotine & Tobacco Research 11, 707–714.CrossRefGoogle ScholarPubMed
Pasco, JA, Williams, LJ, Jacka, FN, Ng, F, Henry, MJ, Nicholson, GC, Kotowicz, MA (2008). Tobacco smoking as a risk factor for major depressive disorder: population-based study. The British Journal of Psychiatry 193, 322–326.CrossRefGoogle ScholarPubMed
Radloff, LS (1977). The CES-D: a self-report depression scale for research in the general population. Applied Psychological Measurement 1, 385–401.CrossRefGoogle Scholar
Ragg, M, Ahmed, T (2008). Smoke and Mirrors: A Review of the Literature on Smoking and Mental Illness. Cancer Council NSW: Sydney.Google Scholar
Rasul, F, Stansfeld, SA, Smith, GD, Shlomo, YB, Gallacher, J (2007). Psychological distress, physical illness and risk of myocardial infarction in the Caerphilly study. Psychological Medicine 37, 1305–1313.CrossRefGoogle ScholarPubMed
Silveira, E, Taft, C, Sundh, V, Waern, M, Palsson, S, Steen, B (2005). Performance of the SF-36 Health Survey in screening for depressive and anxiety disorders in an elderly female Swedish population. Quality of Life Research 6, 1263–1274.CrossRefGoogle Scholar
Stahl, D, Sum, CF, Lum, SS, Liow, PH, Chan, YH, Verma, S, Chua, HC, Chong, SA (2008). Screening for depressive symptoms: validation of the center for epidemiologic studies depression scale (CES-D) in a multiethnic group of patients with diabetes in Singapore. Diabetes Care 31, 1118–1119.CrossRefGoogle Scholar
Torres, LD, Barrera, AZ, Delucchi, K, Penilla, C, Perez-Stable, EJ, Munoz, RF (2010). Quitting smoking does not increase the risk of major depressive episodes among users of Internet smoking cessation interventions. Psychological Medicine 40, 441–449.CrossRefGoogle Scholar
Ware, Jr. JE, Sherbourne, CD (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 30, 473–483.CrossRefGoogle ScholarPubMed
Windle, M, Windle, RC (2001). Depressive symptoms and cigarette smoking among middle adolescents: prospective associations and intrapersonal and interpersonal influences. Journal of Consulting and Clinical Psychology 69, 215–226.CrossRefGoogle ScholarPubMed