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The Longitudinal Relationships between Depression and Smoking in Hardcore Smokers Using Autoregressive Cross-Lagged Modeling

Journal of Korean Academy of Nursing 2019³â 49±Ç 1È£ p.69 ~ 79
KMID : 0806120190490010069
ÇÑÁ¤¿ø ( Han Jeong-Won ) - Kyung Hee University College of Nursing Science

ÀÌÇѳª ( Lee Han-Na ) - Changwon National University Department of Nursing

Abstract

Purpose: This study aimed to identify the directionality of the causal relationship and interaction between depression and amount of smoking over time in hardcore smokers using longitudinal descriptive analysis.

Methods: Secondary data from the Korean Welfare Panel Study were analyzed using autoregressive cross-lagged modeling. Participants included 342 hardcore smokers who participated in the 8th to 11th waves of the panel study.

Results: Analyses revealed that change(s) in depression levels according to time had a significant positive relationship with the total amount of smoking per day (¥â=.29, ¥â=.19, ¥â=.17, p<.001), while change(s) in total amount of smoking per day according to time had a significant positive relationship with depression (¥â=.43, ¥â=.50, ¥â=.38, p<.001). Analysis of the cross-lagged effect between depression and total amount of smoking per day showed that depression at one time point had a significantly positive relationship with the total amount of smoking per day at the next time point (¥â=.14, ¥â=.13, ¥â=.13, p=.021), and that the total amount of smoking per day at one time point had a significant positive relationship with depression at the next time point (¥â=.04, ¥â=.04, ¥â=.03, p=.044).

Conclusion: The findings in the present study confirmed a cross-interaction between depression and total amount of smoking per day in hardcore smokers. The present findings could be used to develop appropriate smoking-related interventions.
KeyWords

Depression, Longitudinal Studies, Smoking
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