Depression, anxiety, and smoking initiation: a prospective study over 3 years.

OBJECTIVES This report considers the extent to which depression and anxiety predict smoking onset in adolescence. METHODS A 6-wave cohort design was used to study a sample of 14- and 15-year-old students (n = 2032) drawn from 44 secondary schools in the state of Victoria, Australia. The students were surveyed between 1992 and 1995 with a computerized questionnaire that included a 7-day retrospective diary for tobacco use and a structured psychiatric interview. RESULTS Experimental smokers were 29 times more likely than non-smokers to make a transition into daily use in the subsequent 6 months. Depression and anxiety, along with peer smoking, predicted initiation of experimental smoking. Specifically, depression and anxiety accentuated risks associated with peer smoking and predicted experimentation only in the presence of peer smoking. CONCLUSIONS The finding that experimental smoking is an overwhelmingly strong predictor of later daily smoking focuses attention on smoking initiation. Depressive and anxiety symptoms are associated with higher risks for initiation through an increased susceptibility to peer smoking influences. Promoting the psychological well-being of adolescents and addressing perceived interpersonal benefits of smoking may play a role in the prevention of adolescent tobacco use.

[1]  John B. Carlin,et al.  Adolescent dieting: healthy weight control or borderline eating disorder? , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[2]  Richard A. Brown,et al.  Cigarette smoking, major depression, and other psychiatric disorders among adolescents. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[3]  J. Carlin,et al.  Is smoking associated with depression and anxiety in teenagers? , 1996, American journal of public health.

[4]  H. Aubin,et al.  Dépression et tabagisme. , 1996 .

[5]  R. Anda,et al.  Depression and smoking initiation among US Latinos. , 1996, Addiction.

[6]  F. Hu,et al.  The Influences of Friends' and Parental Smoking on Adolescent Smoking Behavior: The Effects of Time and Prior Smoking1 , 1995 .

[7]  D. Fergusson,et al.  The role of peer affiliations, social, family and individual factors in continuities in cigarette smoking between childhood and adolescence. , 1995, Addiction.

[8]  G. Giovino,et al.  Epidemiology of tobacco use and dependence. , 1995, Epidemiologic reviews.

[9]  P. Diggle.  Analysis of Longitudinal Data , 1995 .

[10]  K. Bauman,et al.  Peer group structure and adolescent cigarette smoking: a social network analysis. , 1993, Journal of health and social behavior.

[11]  M C Neale,et al.  Smoking and major depression. A causal analysis. , 1993, Archives of general psychiatry.

[12]  B. Flay,et al.  Why children start smoking cigarettes: predictors of onset. , 1992, British journal of addiction.

[13]  L. Covey,et al.  Depressive mood, the single-parent home, and adolescent cigarette smoking. , 1990, American journal of public health.

[14]  J. Helzer,et al.  Smoking, smoking cessation, and major depression. , 1990, JAMA.

[15]  S L Hammar,et al.  Computer-assisted detection and intervention in adolescent high-risk health behaviors. , 1990, The Journal of pediatrics.

[16]  E. Glover,et al.  The development of a computerized assessment for minor psychiatric disorder , 1988, Psychological Medicine.

[17]  Clark C. Presson,et al.  Changes in peer and parent influence during adolescence: Longitudinal versus cross-sectional perspectives on smoking initiation. , 1986 .

[18]  E. Khantzian,et al.  The Self-Medication Hypothesis of Addictive Disorders: Focus on Heroin and Cocaine Dependence , 1985 .

[19]  R. Howell,et al.  Mental health and the use of alcohol, tobacco, analgesics and vitamins in a secondary school population , 1981, Acta psychiatrica Scandinavica.