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There was a large age difference between those two participants that might explain the different outcomes, but Bek cautioned that this is just speculation

Depending on the intensity, cigarette consumption leads to more or less severe discolorations on the fingers

And like drinking, it is classified as such by the World Health Organisation (WHO)

This would then suggest that there is a possibility that public health programmes aimed at reducing major depression may have an impact on reducing cigarette smoking, or conversely, public health programmes that help with ceasing smoking could also have indirect effects on helping to reduce major depression (Fergusson, Goodwin, & Horwood, 2003)