Gender differences in the recognition of depression in old age

Stoppe, Gabriela; Sandholzer, Hagen; Huppertz, Claudia; Duwe, H.; Staedt, J.

doi:10.1016/s0378-5122(99)00024-9

Cited by 60 publications

(36 citation statements)

References 60 publications

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“…35 Future studies should examine this issue, especially as physicians may be less likely to recognize and diagnose mood disorders in these demographic groups. 36,37 This observational study used an experimental design to examine the relationship between physician personality and doctoring behavior. Research on the specific affective, cognitive and behavioral mechanisms through which personality traits influence doctoring behavior might further inform current debates concerning the most cost-effective ways of decreasing the morbidity and mortality of mood disorders.…”

Section: Discussionmentioning

confidence: 99%

Physician Personality Characteristics and Inquiry About Mood Symptoms in Primary Care

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Physician Personality Characteristics and Inquiry About Mood Symptoms in Primary Care

et al. 2008

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“…18 Even in the primary care setting, men with mild depressive symptoms are more likely to be misdiagnosed than women, particularly when evaluated by male practitioners. 19 In instances where symptoms are appropriately interpreted, men may experience denial or under-evaluate their symptoms. 20 Such responses may cause men to avoid treatment, believe that the issue will go away on its own, or think that their symptoms are not serious enough to warrant professional attention.…”

Section: Stigmamentioning

confidence: 99%

Men’s mental health: Connection to urologic health

Matthew¹

2014

CUAJ

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Historically,thespecialtyofurologyhasfocusedonsingle-systemdiseases.Inrecentyears,however,therehasbeenincreasingrecognition oftheinterconnectivitybetweenthevarioussystems,suchascardiovasculardisease,metabolicsyndrome,erectiledysfunctionandprostatecancer.Thisconstellationofdisease/syndromeanddysfunction mayplaceurologistsatthecentreofmen'soverallhealthconcerns. Asurologistsconsideringtakingonaleadershiproleinmen'shealth, theyshouldalsoconsidertheirpotentialinhelpingmensufferingfrom thesignificantburdenofamentalhealthdisorder.Urologistsmay haveauniqueopportunitytoidentifymentalhealthissuesintheir malepatients,influencehealthybehaviourchange,andsuccessfully refermen,whomightotherwisenotseekhelp,toappropriatemedical/ psychologicalcare. Men's mental healthAn estimated 3.4 million Canadian men are currently living with mental illness. 1 This number is likely an underestimation given that a large proportion of men experiencing symptoms of mental illness do not seek the help of a professional. [2][3][4] This gap in care has grave outcomes as Canadian men are at least 3 times more likely to die by suicide than Canadian women 5 -a figure that increases to 7 times among elderly men.6 Specific to urologic diseases/disorders, such as urologic cancers, lower urinary tract symptoms and erectile dysfunction (ED), men experience elevated levels of anxiety and depression. 7,8 For example, the risk of suicide in men with prostate cancer is over 4 times that of a similarly aged man without prostate cancer. 9 Patients with lower urinary tract symptoms (LUTS) experience elevated levels of psychosocial distress, with depression rates of 6% to 21% and anxiety rates of 3% to 10%. 10 An estimated 10% of men with ED suffer from depression, and 2.5% to 37% suffer from anxiety.11 Given the relationship between mental health and overall health-related quality of life, it is clear that increasing numbers of men in general, and men with urologic disease, are suffering a significant burden and that most of this burden remains untreated by healthcare professionals. Barriers to accessing mental health services include stigma, differences in expression of emotional problems (compared to women), maladaptive coping, and lack of awareness of support services in the community. StigmaResults suggest that the most prominent barrier to seeking and accessing mental health services is stigma.12,13 Seeking mental healthcare services remains a secretive and shameful activity for many individuals.14 The anticipation of social consequences and discrimination is often enough to force men into silence. While mental health stigma is not exclusively a male issue, men face a disproportionate amount of stigma, which is often perpetuated by masculine ideals of strength and self-reliance. A firm belief in stoicism and the need to control emotions may lead some men with anxiety and depression to perceive emotional distress as shameful, and hide their symptoms from others. 13,15 Differences in expression of emotional problemsAnother factor that may complicate se...

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“…Depression is the most frequent psychiatric disorder in the elder population (1). Geriatric mood disorders cause suffering, increase medical burden, worsen the outcomes of many medical conditions, and contribute to disability (2).…”

Section: Introductionmentioning

confidence: 99%

“…Several of the risk factors for depression in old age are (incident) physical disorders, sleep disorders or loss of spouse (1). Also, major depression is more frequent in urban than in rural residents (5).…”

Section: Introductionmentioning

confidence: 99%

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Depression Prevalence and Underlying Risk Factors in the Elderly of Hamadan, Iran

Rabiei

Ghaleiha

Hosseini

et al. 2015

Avicenna J Neuro Psych Physio

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Background: Depression is the most frequent psychiatric disorder in the elderly. Nowadays, because of the rise in the absolute number and proportion of elders in societies, the numbers of elders with this condition may be increasing. Objectives: This study was conducted to evaluate depression prevalence and its underlying risk factors in the elder population of Hamadan, Iran. Patients and Methods:In a descriptive-analytic cross-sectional study, 240 over 65 year old subjects (121 males, 119 females), were enrolled in the study. Depression was diagnosed based on the Center of Epidemiological Studies Depression Scale Revised (CESD-R) questionnaire and pooled data were analyzed by SPSS 16 software (SPSS Inc. Chicago IL., USA). Results: Of the total number of 240 elderly, 116 (48.3%) had depression (score 17 or more, based on CESD-R questionnaire). Women were significantly more affected (61.3% vs. 35.7%, P value < 0.001). Other factors, which revealed a significant relationship with depression, were: illiteracy, being jobless or retired, having a chronic disease and dissatisfaction of daily activities. After performing a logistic regression method, only two variables (sex and dissatisfaction of daily activities) were significantly related to depression in the study population. Conclusions: In our study, depression had a remarkable prevalence in elderly, especially in women and in those who suffered from inactive or sedentary life.

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Gender differences in the recognition of depression in old age

Cited by 60 publications

References 60 publications

Physician Personality Characteristics and Inquiry About Mood Symptoms in Primary Care

Physician Personality Characteristics and Inquiry About Mood Symptoms in Primary Care

Men’s mental health: Connection to urologic health

Depression Prevalence and Underlying Risk Factors in the Elderly of Hamadan, Iran

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