Gender-Specific Differences in Depressive Behavior Among Forensic Psychiatric Patients

Streb, Judith; Ruppel, Elena; Möller-Leimkühler, A.M.; Büsselmann, Michael; Franke, Irina; Dudeck, Manuela

doi:10.3389/fpsyg.2021.639191

Cited by 8 publications

(4 citation statements)

References 70 publications

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“…A huge German survey showed that women more often consult psychiatrists or psychotherapists than men [ 66 ]. These differences may be driven by the masculine role model, which inhibits help-seeking behavior [ 67 ]. Such a mechanism might also explain this study’s findings that patients with masculine depression (both women and men) show fewer health services contacts.…”

Section: Discussionmentioning

confidence: 99%

Masculine depression and its problem behaviors: use alcohol and drugs, work hard, and avoid psychiatry!

Zimmermann

Hübner

Mühle

et al. 2023

Eur Arch Psychiatry Clin Neurosci

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The gender role influences vulnerability to mental illness. Substance use, even critical in scale, is perceived as masculine, just like hard (over-)work, while not seeking help. With the ongoing separation between gender and sex, masculine norms become more relevant also to females’ mental health. The male depression concept highlights the role of male symptoms in affective disorders. However, the empirical evidence is still limited. Here, we use the denomination ‘masculine depression’ to open the category for female patients and tested substance use patterns, health services’ utilization, and working hours as predictors in a case–control study of 163 depressed in-patients (44% women; masculine vs. non-masculine depression according to a median split of the Male Depression Rating Scale-22) and 176 controls (51% women). We assessed higher depression severity in patients with masculine (vs. non-masculine) depression. Masculine depression (vs. non-masculine depression and vs. no depression) was predicted by more frequent and critical use of alcohol (including binge drinking), tobacco, and illicit drugs, and by longer working times. Moreover, fewer health services contacts due to mental complaints during the previous year were associated with masculine (vs. non-masculine) depression. Alarmingly, even critical substance misuse was not significantly associated with more frequent health services contacts; however, the higher the depression severity, the more contacts the patients reported. Here, we provide evidence that patients with masculine depression are highly burdened and undertreated, which applies equally to female and male patients. This study identified promising targets to establish specialized care offers.

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Section: Discussionmentioning

confidence: 99%

Masculine depression and its problem behaviors: use alcohol and drugs, work hard, and avoid psychiatry!

Zimmermann

Hübner

Mühle

et al. 2023

Eur Arch Psychiatry Clin Neurosci

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“…They are also consistent with the world risk ratio of 3.2 for sex, with higher rates for older men (Martini et al, 2019; WHO, 2014). Gender-related differences could result from poor ability to diagnose depressive symptoms in men (Streb et al, 2021). This hypothesis arises from the evidence that suicide can be associated with depressive symptoms, and that women, who are diagnosed as suffering from depression more frequently than men, die less from suicide than men.…”

Section: Discussionmentioning

confidence: 99%

Trends and Methods of Suicide in Italy, 1979 to 2016

Terranova

2022

SAGE Open

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The epidemiology of suicide could provide interesting data for societies that are undergoing significant demographic transformations. The main purpose of this study was to analyze the scale of and trends in suicide in Italy during the period 1979 to 2016. The secondary aim was to compare rates and methods of suicide in the elderly with those in other age groups. This was a population-based study on suicide for the period 1979 to 2016. Data on suicide regarding gender and age from the Italian Institute of Statistics and the World Health Organization were examined with linear regression and ANOVA test. The data on the elderly were compared with those for other age groups. Linear regression revealed a significant decline in the overall suicide rate ( F = 180.6; p < .0001). The 45 to 54 age group accounted for the highest suicide rate in recent years (2003–2016). The second highest incidence was among the elderly, with the “young” elderly (65–75 years old) having the highest suicide rate in this group. The male-to-female suicide ratio increased proportionally with age. Hanging was the suicide method most frequently employed independently from age groups. Universal and selective preventive strategies could be developed on the basis of the results of this study. The sensitization of health professionals, families, and friends to specific circumstances could contribute to the decline in the incidence of suicide in specific circumstances of time and place. Further studies are needed in order to better understand social and clinical risk factors related to the risk of suicide in specific age groups.

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“…Jednak w innych, niemieckich badaniach obliczono również współzależność GSDS z BDI II, a wyniki były porównywalne do naszych, w których użyto BDI. Wynik ogólny GSDS 26 u mężczyzn korelował w tym badaniu z BDI II na poziomie r = 0,69, a spośród podskal odnotowano najsilniejsze związki BDI II z depresyjnością (r = 0,73) [38].…”

Section: Podsumowanieunclassified

The Gender-Sensitive Depression Screening GSDS-26 – Polish adaptation and validation of the tool and links to gender stereotypes

Chodkiewicz,

Joanna,

Monika

et al. 2024

Psychiatr Pol

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Cel pracyBadanie miało na celu stworzenie polskiej wersji skali do badania depresji u mężczyzn GSDS 26 AM Möller-Leimkühler i współpracowników oraz ocenę jej trafności i rzetelności. Narzędzie mierzy ogólny poziom depresji oraz następujące czynniki: depresyjność, odczuwanie stresu, agresywność, kontrola emocji, spożywanie alkoholu oraz zachowania ryzykowne. Sprawdzono również związki depresji mierzonej GSDS 25 z dostosowaniem się do stereotypowych ról męskich.MetodaW badaniu wzięło udział 1087 osób - 746 mężczyzn oraz 341 kobiet z grupy nieklinicznej. Obok adaptowanej metody zastosowano Skalę Depresji Becka – BDI, Gotland Male Depression Scale GMDS Rutza, Conformity to Masculine Norms Inventory CMNI 22 Mahalika.WynikiWyniki eksploracyjnej i konfirmacyjnej analizy czynnikowej potwierdziły przyjętą strukturę sześcioczynnikową. Współczynniki alfa Cronbacha były zadawalające i porównywalne z wersją oryginalną – wynik ogólny wynosił α =0,92, wynik dla pięciu z sześciu podskal α pomiędzy 0,80 a 0,85, a dla podskali spożywanie alkoholu α= 0,63. Wyniki GSDS 26, podobnie jak w oryginale, wykazywały słabe i umiarkowane związki z dostosowywaniem się do stereotypowych ról męskichWnioskiGSDS ma zadawalające właściwości psychometryczne i nadaje się do wykorzystania w badaniach poziomu depresji charakterystycznej dla mężczyzn.

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Gender-Specific Differences in Depressive Behavior Among Forensic Psychiatric Patients

Cited by 8 publications

References 70 publications

Masculine depression and its problem behaviors: use alcohol and drugs, work hard, and avoid psychiatry!

Masculine depression and its problem behaviors: use alcohol and drugs, work hard, and avoid psychiatry!

Trends and Methods of Suicide in Italy, 1979 to 2016

The Gender-Sensitive Depression Screening GSDS-26 – Polish adaptation and validation of the tool and links to gender stereotypes

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