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.
© The Royal College of Psychiatrists 2015.