Gender and depression: a study of severity and symptomatology of depressive disorders (ICD‐10) in general practice

Stage, Kurt Bjerregaard; Kragh-Soerensen, Per

doi:10.1034/j.1600-0447.2003.02108.x

Cited by 39 publications

(28 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The fi nding that, with clinical assessment, the results for depressive men and depressive women are not similar is inconsistent with earlier studies (3)(4)(5)8), especially as men had poorer results. The depressive male patients had higher scores than the depressive female patients on each of the DEPS items, which is an unusual fi nding, as in other studies female depressive primary care patients have either scored higher than men on depression scales (3,6,7) or there have been no gender differ ences in the symptomatology of depression (4,5,8).…”

Section: General Discussion Of the Resultscontrasting

confidence: 52%

“…The depressive male patients had higher scores than the depressive female patients on each of the DEPS items, which is an unusual fi nding, as in other studies female depressive primary care patients have either scored higher than men on depression scales (3,6,7) or there have been no gender differ ences in the symptomatology of depression (4,5,8). When BDI and DEPS were compared in another study, item-by-item comparison showed that women had higher scores than men only in item 2 ( feeling blue),but non-depressive men scored higher on items 8 (I have had feelings of worthlessness) and 9 (felt all pleasure and joy has gone from life) (14).…”

Section: General Discussion Of the Resultsmentioning

confidence: 57%

“…Only pain or problems during sexual intercourse were more commonly reported by men (3). In a large Danish study (5) without self-report questionnaires and with only GPs' assessment using the ICD-10 criteria, no gender differences were found in the severity or symptomatology of depression. both depressive and non-depressive patients were analysed separately.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Gender differences in the symptoms of major depression and in the level of social functioning in public primary care patients

Poutanen

Koivisto

Mattila

et al. 2009

European Journal of General Practice

View full text Add to dashboard Cite

Background: There are no great differences in the symptom profi les of depression between the genders in observer rating scales, but women self-report more symptoms. Objective: To compare gender differences in symptom profi les of clinical depression in primary care with a short self-report depression scale and an observer-rated scale for social functioning. Methods: A sample of 436 primary care patients aged 18-64 years were screened using the Depression Scale (DEPS) and interviewed using the Present State Examination (PSE). Level of social functioning was also assessed. Sum scores and single items of DEPS were compared between men and women in the groups of both depressive and non-depressive patients, and the interactions between gender and depression were analysed. Results: Depressive men scored poorer on both instruments. Feeling that everything is an effort and feeling worthless were typical for depressive men. Feeling blue was more typical for non-depressive women than for non-depressive men. Conclusion:In this sample of primary care patients, there were differences in the symptom profi les of depression between men and women. Depressive men more commonly had serious symptoms than depressive women. Clinically, male depression deserves more attention. The psychosocial profi le of public primary care patients in Finland warrants further research.

show abstract

Section: General Discussion Of the Resultscontrasting

confidence: 52%

Section: General Discussion Of the Resultsmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gender differences in the symptoms of major depression and in the level of social functioning in public primary care patients

Poutanen

Koivisto

Mattila

et al. 2009

European Journal of General Practice

View full text Add to dashboard Cite

show abstract

“…A random sample of depressive patients from primary care would therefore provide a more representative sample of depressive patients. Our group has performed a replication of the analyses using a more representative sample of patients from primary care [48]. Also in this representative sample of depressive patients, we found no gender differences in severity or symptomatology of depression according to the ICD-10 criteria for depression [49].…”

Section: Limitationsmentioning

confidence: 99%

Gender Differences in Severity, Symptomatology and Distribution of Melancholia in Major Depression

Stage

Kragh-Soerensen

2003

Psychopathology

View full text Add to dashboard Cite

Background: Studies of gender differences in the clinical presentation of depression have provided divergent results. This study aimed at analyzing gender differences in severity, symptomatology and distribution of melancholia in major depression. Sampling and Methods: The study comprised 930 in- and out-patients (652 women, 278 men) from 6 randomized controlled trials. All patients fulfilled DSM-III or DSM-III-R criteria for major depression. The 17-item Hamilton Depression Scale (HDS) was applied to all patients. A multi-axial evaluation was completed using the Newcastle 1 Depression Rating Scale from 1965 for melancholia (N1) in a subsample of patients (n = 439). A factor analysis on the HDS was performed. Non-parametric statistical tests were used and only gender differences greater than 20% were considered clinically relevant. Results: The median on the HDS total score was 22 and the median number of symptoms was 13 for both men and women. Presentation of specific symptoms was similar for men and women. The factor analysis revealed no gender differences, and neither did analyses on symptoms of Axes II and IV. According to the N1, 80% of the men and 66% of the women suffered from melancholic depression (p = 0.004). Conclusions: In a large and broad sample of in- and out-patients with major depression, the severity and symptomatology of depression were similar for men and women. Melancholic depression was significantly more frequent among male than female patients. Inclusion and exclusion criteria in the randomized controlled trials provided a selected group of patients, which limited the generalisability of the results to an exclusive subgroup of patients treated for depression in routine clinical practice.

show abstract

“…There is some evidence that women with depression have earlier age-atonset [2][3][4] and more frequent episodes [4,5] . Also, women seem to show greater severity of depressive symptoms [2,4,6] , even though this has only been found in hospital settings and not in general practice [7] . A higher prevalence of co-morbid anxiety [3,4,6,[8][9][10] and more pronounced atypical features [3, 4 6 11] among women with depression is quite consistently reported.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences among Patients with a Single Depressive Episode

et al. 2010

View full text Add to dashboard Cite

Background: Studies on gender differences in depression have usually included a mixture of patients with first-episode, chronic and recurrent depression. Consequently, the results might be confounded by the history of depression among participants. The present study evaluated gender differences in sociodemographic, clinical and treatment variables among patients suffering exclusively from single-episode depression. Method: Systematic recruitment of 301 participants via the Danish Psychiatric Central Research Register and assessment by means of questionnaires and interviews regarding psychiatric diagnoses, personality traits and disorders, stressful life events, family history, and treatment response. Results: Female patients showed a higher level of neuroticism and more residual anxiety symptoms after treatment of the depression. There were no gender differences in severity of depression, psychiatric co-morbidity (including personality disorders), stressful life events prior to onset, family loading of psychiatric disorders, or treatment outcome. Conclusion: The results provide evidence for a higher level of anxiety and neuroticism among females with a recent onset of depression, whereas other clinical characteristics of first-episode depression were equivalent between male and female patients. Only patients with contact to a psychiatric hospital were included; thus, the results cannot be generalized to patients in primary care.

show abstract

Gender and depression: a study of severity and symptomatology of depressive disorders (ICD‐10) in general practice

Abstract: No gender differences in the severity or symptomatology of depression were found in a highly representative sample of patients with depressive disorders.

Cited by 39 publications

References 30 publications

Gender differences in the symptoms of major depression and in the level of social functioning in public primary care patients

Gender differences in the symptoms of major depression and in the level of social functioning in public primary care patients

Gender Differences in Severity, Symptomatology and Distribution of Melancholia in Major Depression

Gender Differences among Patients with a Single Depressive Episode

Contact Info

Product

Resources

About