The Tobacco Reference Guide
by David Moyer, MD.

Chapter 11 Other health problems

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Other health problems: Depression and Psychiatric Problems

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There is a strong positive correlation between smoking and depression, and a study

from the Harvard School of Public Health found that in a population of nurses, those

smoking 1 to 25 cigarettes per day had twice the risk of committing suicide. Thegroup

smoking 25 or more cigarettes had four times the risk of suicide when compared to

the nonsmokers.

JAMA, September 1990, p. 1541

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In a study of 6863 adolescents ages 12 to 18 in the United States, smoking status

was a significant predictor for developing symptoms of depression. Overall, 18.8% of

"current established smokers" developed depressive symptoms, compared to 9.8%

of nonsmokers. The odds ratio for depression was 1.86 for male and 2.05 for female

smokers (1.00 for never smokers).

Annals of Behavioral Medicine 19(1):42-50, 1997

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In a study from Australia, subjects reporting high levels of depression and anxiety were

twice as likely to be smokers.

Archives of General Psychiatry 55:161, 1998

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Among patients seeking smoking cessation treatment, as many as 25 to 40% have a

past history of major depression. This is triple the rate for nonsmoking adults.

American Journal of Psychiatry, October 1996 supplement, p. 21

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