The associations of smoking dependence motives with depression among daily smokers.
Aims: To investigate how strongly smoking dependence and smoking dependence motives are associated with depressive symptoms among daily smokers and if these associations are independent of measured confounders and shared familial factors. Design Cross‐sectional individual‐based and within‐pair analy...
| Publicado en: | Addiction Vol. 116; no. 8; pp. 2162 - 2175 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151210164&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151210164 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Aug2021 vid: 116 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 151210164 151210164 151210164 10.1111/add.15390 151210164 ppf: 2162 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The associations of smoking dependence motives with depression among daily smokers. aug: au: Piirtola, Maarit Kaprio, Jaakko Baker, Timothy B. Piasecki, Thomas M. Piper, Megan E. Korhonen, Tellervo affil: Institute for Molecular Medicine Finland (FIMM), University of Helsinki, PO. Box 20, 00014 University of Helsinki, Helsinki, Finland sug: subj: Smoking Complications Substance Dependence Complications Depression Risk Factors Motivation Human Male Female Middle Age Finland Twins Cross Sectional Studies Logistic Regression Odds Ratio Confidence Intervals Substance Dependence Risk Factors Sex Factors Affective Disorders Taste Mental Health Family Characteristics Center for Epidemiological Studies Depression Scale Clinical Assessment Tools Scales Middle Aged: 45-64 years Male Female ab: Aims: To investigate how strongly smoking dependence and smoking dependence motives are associated with depressive symptoms among daily smokers and if these associations are independent of measured confounders and shared familial factors. Design Cross‐sectional individual‐based and within‐pair analyses. Setting: Fourth wave of the population‐based Finnish Twin Cohort conducted in 2011. Participants: 918 daily smokers born 1945–1957 (48% men), mean age 59.5 years including 38 twin pairs discordant for depression. Measurements Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale with a cut off value ≥20 for depression. Smoking dependence was assessed using the Fagerström Test for Cigarette Dependence (FTCD) and smoking dependence motives with three subscales from the multi‐dimensional Brief Wisconsin Inventory of Smoking Dependence Motives (WISDM): primary dependence motives (PDM), affective enhancement (AE), and Taste. Logistic regressions, using standardized scores of independent variables and adjusted for multiple confounders with correction for sampling as twin pairs, were used in the individual‐based analyses. Conditional logistic regression was used to control for shared familial factors in discordant twin pairs. Findings Prevalence of depression was 18% (n = 163: 61 [14%] in men, n = 102 [22%] in women). Higher smoking dependence measured by the FTCD (OR 1.45; 95% CI 1.20, 1.75), and dependence motives measured by the PDM (1.56; 1.30, 1.87) and the AE (1.54; 1.28, 1.85) were associated with higher odds of depression. The associations remained after adjusting for individual confounders, except for neuroticism, which attenuated all associations. FTCD, PDM, and AE showed associations with depression within depression‐discordant monozygotic pairs, suggesting an association independent of familial factors. Conclusions: Depression appears to be associated with smoking dependence and smoking dependence motives related to heavy, automatic use and use to regulate affective states. The associations appear to be confounded or mediated by neuroticism but are independent of shared familial influences. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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