Gender Differences in Depression

From early adolescence through adulthood, women are twice as likely as men to experience depression. Many different explanations for this gender difference in depression have been offered, but none seems to fully explain it. Recent research has focused on gender differences in stress responses, and in exposure to certain stressors. I review this research and describe how gender differences in stress experiences and stress reactivity may interact to create women's greater vulnerability to depression.     

Pathways Linking Child Physical Abuse,Depression, and Aggressiveness across Genders

Previous research suggests that child physical abuse, depression, and aggressiveness are linked, but gender differences remain poorly understood. This study examined gender differences in the mediational relationships among these constructs, after controlling for the confounding effects of other negative life events. Men and women completed questionnaires about physical abuse and negative life events that occurred prior to age 18, depressive symptoms, and aggressiveness. Results indicated significant gender differences in the pathways between child physical abuse and depression, and between child abuse and aggressiveness, with direct and mediating links pertaining only to men. These findings suggest that links among child physical abuse, depression, and aggressiveness are specific to men, and negative life events might play a more potent role for women.     

Current and past depression as predictors of family functioning: a comparison of men and women in a community sample.

The association between family functioning and parental depression has primarily been studied in samples of women. In particular, very little research exists that examines how parent gender and past diagnoses of depression are related to family functioning. The family relationships of 469 couples from a community sample were examined using self- and partner report measures of the marital relationship and youth report and interviewer-rated measures of the parent-youth relationship. Both currently and formerly depressed men and women were shown to have poorer family functioning than nondepressed and never depressed individuals, respectively. Interactions of gender and depression status indicated that depression and poorer marital functioning were more strongly related for women than for men, but there were few gender differences in the parent-youth relationship. The results highlight the need for further research on men's family functioning and suggest that targeting current depressive symptoms in treatment may not be sufficient to resolve marital and parent-youth difficulties that endure after depressive episodes remit.     

Gender and social support: Taking the bad with the good?

In examining past research, a paradox can be found in the relationships between gender, social support, and depression. Although women report higher levels of depression than men, they also generally report more social support—a factor found to reduce depressive symptoms. In efforts to explain this seeming inconsistency, it was hypothesized that women report both more support and more depression because they are more likely than men to experience both positive and negative aspects of social relationships. Based on a community sample of predominantly Caucasian respondents, findings indicate that greater perceived support among women can be explained by more frequent contact with network members and a tendency to possess relationships characterized by greater intimacy, emotional disclosure, and empathy. However, women also report more frequent negative interactions with network members and are more adversely affected by marital conflict than are men. While negative interactions and conflict cannot account for gender differences in depression, they do help to explain how women can experience both more support and more depression. Among women, the health-enhancing effects of support on depression may be balanced by the detrimental effect of conflict.     

Gender Differences in the Correlates of Self-Referent Word Use: Authority, Entitlement, and Depressive Symptoms

ABSTRACT Past research shows that self-focused attention is robustly positively related to depression, and women are more likely than men to self-focus in response to depressed mood (e.g., R. Ingram, 1990 ; S. Nolen-Hoeksema, 1987 ). The goal of the current study was to further delineate gender differences in the correlates of self-focus as measured through the frequency of spontaneous use of self-referencing words. The frequency of such word use during a life history interview was correlated with self-reports, observations by clinically trained interviewers, and personality judgments by acquaintances. Results indicated that the relationship between self-reference and observations of depressive symptoms was stronger for women than men, and the relationship between self-reference and narcissistic authority and entitlement was stronger for men than for women. Acquaintance ratings supported these correlates. These findings illuminate the importance of using multiple measures and paying attention to gender differences in research on self-focus.     

Developmental Transition of Motherhood: Treating Postpartum Depression Using a Feminist Approach

During the developmental lifeline for women, some individuals are affected by postpartum depression. This article describes the treatment of a Latina woman experiencing postpartum depression. The authors illustrate the feminist approach using counseling interventions that incorporate the client's developmental level, cultural background, and gender. They discuss supporting research for this approach and provide its implications and recommendations.     

GENDER DIFFERENCES IN DEPRESSIVE SYMPTOMS

Large community studies of depressive symptomatology provide mixed evidence concerning gender differences. The present paper investigates the effect of the high skewness typically present in distributions of depressive symptom scores on findings of a gender difference in depression. Because of this skewness, a few extreme scores among women (or in any subgroup) can produce a significant between-groups difference in untransformed scores even when the two groups' distributions are otherwise similar. Data from a community survey ( n = 1316) are consistent with this hypothesis. The data also suggest that gender increases depression scores indirectly, rather than directly, for the few women scoring in the extreme upper tail of the distribution. It is concluded that the gender difference in depressive symptoms lacks robustness, and that when it does occur, the effect of gender on depression can be understood as ndirect, i.e., as mediated by gender differences in rate of employment, job status, education, and income.     

An examination of gender differences in the construct validity of the silencing the self scale

Jack’s (1991) theory of self-silencing was originally designed to explain higher rates of depression in women in comparison to men. However, research finding that men score equal or even higher than women on measures of self-silencing has lead theorists to speculate that self-silencing tendencies may be driven by different motivations and have different consequences for women versus men (Jack & Ali, 2010). Using a sample of 247 college students, we examined gender differences in the construct validity of the Silencing the Self Scale (STSS; Jack & Dill, 1992). We hypothesized that women would score higher on the Externalized Self-Perception subscale, but not the other three subscales. Gender differences in the relationship between the STSS subscales and theoretically-relevant constructs were also explored. The results indicated that women on average scored higher than men on the Externalized Self-Perception subscale, whereas men scored higher on the Care as Self-Sacrifice subscale. Further, there was a significant Gender × Care as Self-Sacrifice subscale interaction in the prediction of depression, such that this subscale was negatively correlated to depression in men, and uncorrelated in women. These results clarify how self-silencing might translate into different mental health outcomes for women and men.     

A Longitudinal Examination of the Directional Effects between Relationship Quality and Well-Being for a National Sample of U.S. Men and Women

The interaction between relationship quality and individual well-being has commonly been examined using a negative conceptualization of these constructs (e.g., relationship aggression and depression, respectively). The present study examines the direction of association between individual well-being and relationship quality. Specifically, we examined if this direction differed based on positive and negative conceptualizations of individual (i.e., life satisfaction and depression) and relationship (i.e., relationship satisfaction and conflict) well-being and how this differed for men and women. Using a series of cross-lagged path analyses across three time points, we found that relationship satisfaction and life satisfaction were mutually influential over time, but life satisfaction was only predictive of later conflict. Further, depression predicted both later relationship conflict and relationship satisfaction. Regarding gender differences, life satisfaction and relationship satisfaction exhibited a cyclical relationship for men but not for women. For women, but not men, depression was related to later relationship satisfaction. Taken together, these results suggest that nuances exist in the association between relationship quality and individual well-being depending on the conceptualization of the construct (negative vs. positive) and gender. More specifically, it appears that life satisfaction, or positive conceptualizations of well-being, may be more relevant to men’s relationship quality whereas depression, or negative conceptualizations of well-being, may be more relevant to women’s relationship quality. Clinical implications and directions for future research are discussed.     

Gender and marital status differences in depression: The effects of chronic strains

Although women evidently have higher depression levels than men and singles have higher depression levels than the married, the reasons for these differences are yet unclear. This paper investigates whether differences in the stress-producing circumstances of the lives of men and women, and the married and unmarried, might explain the differences in their levels of depression. Using data from the National Survey of Families and Households, we found that gender differences in depression were accounted for by chronic strains. Family-based strains and economic hardship are significant predictors of higher distress in women. Chronic strains also explain why variations in depression are more pronounced among the married than among the unmarried.Bowling Green State University     

Performance Involvement,Identity, and Emotion Among Cisgender Male Drag Queens

Quantitative research on levels of depression and gender dysphoria in drag populations is lacking. It is possible that this lack occurs because researchers tend to include drag queens within transgender samples. Such sampling practices may result in inaccurate assumptions about drag queen populations. This study established rates of depression and gender dysphoria in a sample of self-identified cisgender drag queens. Participants reported low levels of gender dysphoria and significantly lower levels of depression than have been found among trans women, however, these participants presented with higher rates of depression than have been found among gay men who do not perform drag. Higher rates of involvement in drag performance were positively correlated with depression and negatively correlated with gender dysphoria. Results indicate that self-identified cisgender drag queens are unlikely to experience gender dysphoria and are less depressed than samples of trans women. The researchers discuss implications and future directions for mental health practitioners.     

The Emerging Gender Gap: Cultural and Economic Conservatism in the Netherlands 1970–1992

Research on gender differences in political alignments and cultural orientations in the past decades reveals a large value change in women relative to that in men, indicating that women might recently have become less conservative than men, whereas women used to be more conservative in many respects. In this article this possible reversal in the gender gap in recent decades is analyzed. Recent research has demonstrated that in the Netherlands women are presently less conservative than men. This lower level of conservatism in Dutch women is apparent with respect to both economic and cultural issues. It is investigated whether these gender differences are due to a reversal in the gender gap in the Netherlands and if so, how this emerging gender gap can be explained. Three explanations are hypothesized: one in terms of the characteristics of the youngest generations (the gender-cohort model), the second in terms of growing structural equality between women and men in general (the situational/structural model), and a specification of the second model, in which differential effects of structural factors for women and men are presumed to have their effect (the gender-interaction model). Neither of the three tested models was in itself able to fully explain the results. The gender gap can partly be explained by growing structural equality between women and men, partly by the fact that the gender gap is largest in the youngest generations (economic conservatism), and partly by the fact that the gender gap is largest between groups of "independent" women and their male counterparts. Possible additional determinants are also discussed.     

Women's health. Review and research agenda as we approach the 21st century

This article reviews past research and projects future research directions regarding women's health. Sex differences in mortality and morbidity, along with evidence that the quality and quantity of these differences are changing, are examined. Over the past decade, concurrent with dramatic changes in lifestyle and social roles for women, mortality rates have shifted, resulting in a decreasing advantage for women. Explaining the consequences of these dynamic changes requires understanding the health effects of such variables as perceived control, the experience of life roles, perceived and actual social support, and redefinition of gender roles. The future portends additional changes that will significantly affect women's health. In establishing an explicit psychological research agenda on women's health, (a) general recommendations for research are provided and (b) important issues that have not yet received a great deal of research attention (e.g., women and AIDS, psychopharmacology, reproductive technologies) are highlighted. This article expands the current discourse in health psychology and raises a number of issues for serious consideration.     

Gender differences in the development of depression

The present study attempted to examine possible gender differences in the vulnerability to depression, specifically with regard to eliciting factors, marital status, age of onset, season of hospitalization, and type of treatment. The records of all patients (67 women and 34 men), treated during 1991 for major depression, dysthymia, or depression NOS at a psychiatric hospital in Southeastern Sweden were examined, and placed in empirically derived categories regarding eliciting factors.
The results indicated significant gender differences with regard to eliciting factors, marital status, and age. The eliciting factor in female depression was most commonly "threat to social bonds" whereas in male depression it was "threat to self esteem" or "threat to self respect". Married women were more prone to depression than were married men, as were men living alone compared to women living alone. Women above 60 years of age were significantly more prone to depression than were men of this age group. The results were discussed from two theoretical perspectives: gender role theory and gender-specific developmental theory.     

Gender typing,importance of multiple roles,and mental health consequences for women

The present study examined the interactive influence of gender role typing and multiple role involvement with regard to specific mental health concerns among middle-class Caucasian women. As with previous research, depression and anxiety proved to be a function of gender role typing (feminine-typed and undifferentiated women displayed greater depression and anxiety relative to masculine-typed or androgynous women) with no differences attributable to multiple role involvement. For substance abuse, however, an interaction effect was obtained. Gender-typed (both masculine and feminine) women striving to excel across multiple roles engaged in greater substance abuse than women not gender typed (androgynous and undifferentiated); indeed, the latter displayed low risk comparable to women not similarly striving at multiple roles regardless of gender typing. A similar interaction previously has been reported with regard to disordered eating. These findings suggest that the lack of gender typing for women may enable them to cope more effectively with the conflicting demands of multiple roles and thereby reduce certain health risk behaviors (e.g., disordered eating and substance abuse), but that other mental health concerns (e.g., depression and anxiety) may not be similarly affected.     

Depression, Disability, And Rehabilitation Services For Women

The purpose of this paper is to review scientific evidence for the co-occurrence of major depressive illness and disability, and to examine this phenomenon specifically for women in the United States today. Following a discussion of different ways of operationalizing the concept of disability, the analysis addresses gender biases in disability measurement as well as in recent research on depression and functional impairment. Next, the results of research regarding co-occurrence of disability and depression are reviewed, highlighting those studies focused specifically on women. Turning to research on rehabilitation services for those with psychiatric disabilities, studies suggest that service delivery models fail to address needs specific to women with mental illness in general, as well as those women experiencing severe depression. Thus, the analysis concludes with a series of suggestions and future directions for investigators seeking to better understand the linkages between depression, disability, and rehabilitation services for women.     

On Margot O;apos;Toole and the Baltimore Case: A Personal Note on the Evolution of My Involvement

Although gender differences in attitudes toward animal research have been reported in the literature for some time, exploration into the nature of these differences has received less attention. This article examines gender differences in responses to a survey of attitudes toward the use of animals in research. The survey was completed by college students and consisted of items intended to tap different issues related to the animal research debate. Results indicated that women were more likely than men to support tenets of the animal protection movement. Likewise, women were more likely than men to favor increased restrictions on animal use and were more concerned than men about the suffering of research animals. Analysis of item contents suggested that women endorsed items reflecting a general caring for animals, were more willing than men to make personal sacrifices such as giving up meat and medical benefits in an effort to protect animals, and were more likely than men to question the use of animals in research on scientific grounds. Men, on the other hand, tended to emphasize the potential benefits arising from the use of animals in research.     

MISPERCEPTIONS OF FRIENDLY BEHAVIOR AS SEXUAL INTEREST: A SURVEY OF NATURALLY OCCURRING INCIDENTS

The studies described in this article examine retrospective reports of naturally occurring misperceptions of friendliness as sexual interest. Previous research has demonstrated that men perceive other people and situations more sexually than women do. The purpose of this research was to examine how this gender difference in perceptions of sexuality is exhibited in actual interactions between women and men. Two surveys of undergraduates were conducted. The results indicated that a large percentage of both women and men had experienced such misperceptions, although more women had than men. Most of these incidents were quickly resolved without problems; however, others involved some degree of forced sexual activity and left the individual feeling angry, humiliated, and depressed. Gender differences in the characteristics of these incidents and reactions to them are described. The implications of these findings for future research on gender differences in perceptions of sexual intent are discussed.     

Is Moving Gendered? The Effects of Residential Mobility on the Psychological Well-Being of Men and Women

To reexamine the negative psychological effects of residential mobility, secondary analyses were conducted using a representative sample. Mobility had significant effects on depression, after controlling for social class, marital status, gender, and employment. In separate analyses by gender, the mobility effect was significant for women only. The “exposure” hypothesis, that women experience more stress, was partially supported: housework, children, and career sacrifices predicted depression, but did not account for the mobility effect. The “vulnerability” hypothesis, that women respond differently to stressors, was partly supported: weak social ties affected women more than men, but did not account for mobility effects. It appears that moving may contribute to gender differences in depression.     

Age and gender differences in and personality correlates of loneliness in different relationships

This study examined age and gender differences in and personality correlates of loneliness in different relationships. Loneliness was measured in three groups of subjects (college men, college women, and elderly women) with the Differential Loneliness Scale which assesses dissatisfaction with four types of relationships (Family, Larger Groups, Friendships, and Romantic/Sexual). Age and gender differences were significant. Compared to elderly women, college women expressed more dissatisfaction with their Family and Large Group relationships. Compared to college women, elderly women expressed more dissatisfaction with their Friendships and Romantic/Sexual relationships. With regard to gender differences, college men expressed more dissatisfaction with Family, Large Group, and Friendship relationships than college women. For each subject group, dissatisfaction scores were correlated with health status, locus of control, social support, depression, and self-consciousness. Correlations varied with type of relationship as well as with age and gender. The group differences and the varying patterns of correlations support the use of a multidimensional approach to the study of loneliness. Results are discussed in terms of previous research and future investigations.