Sex differences in social support, loneliness, and depression among Korean college students

This study examined the sex differences in reports of social support (network size and satisfaction), loneliness, and depression among Korean college students and examined whether measures of social support and loneliness predicted depression scores. In the sample were 452 college students enrolled in four universities in Korea. The women reported a larger social support network size and being less satisfied with their support than the men. Women reported higher scores on the Revised UCLA Loneliness Scale and the Beck Depression Inventory than men. Social support satisfaction scores and network size on the Social Support Questionnaire-6 and scores on the Loneliness Scale predicted scores on Depression in both the groups. Loneliness was the largest predictor of Depression for either sex. The amount of variance in Depression accounted for by Loneliness was 35% for women and 24% for men.     

Multiple Roles of Married Korean Women: Effect on Depression

This study was designed to examine relationships between roles of employed married women in Seoul, South Korea, perceptions of their work role, coping patterns, and levels of depression. The convenience sample contained 382 women, aged 25–55 years, who were living with their husbands and working at least 20 hr weekly. Participants completed five questionnaires: demographic, Center for Epidemiological Studies—Depression Scale, Index of Sex-Role Orientation, Role Sharing, and Coping Strategies. Multiple regression analysis revealed several statistically significant relationships. Higher levels of depression were found in women who perceived motherhood and career roles as incompatible, those who coped by working harder, and those who spent less time helping children with homework. Women who owned their houses had lower levels of depression.     

Social support at university scale, a brief index

A brief, 3-item index of social support among college students, the Social Support at University Scale, is introduced. Its psychometric properties are examined in a sample of 90 college students (51 women, 39 men) and compared with those of an equivalent scale distributed among 100 university staff (67 women, 33 men). The Short-Form Social Support Questionnaire, the Perceived Stress Scale, and the Hospital Anxiety and Depression Scale were also administered to each participant. The data suggest that the Social Support at University Scale possesses internal consistency reliability suitable for research (alpha = .68), external validity as indicated by comparisons between the student and staff samples, concurrent validity as indicated by correlations with measures of generic social support, and criterion validity as indicated by associations with known correlates of social support, namely, perceived stress, anxiety, and depression.     

Symptoms of depression and related factors among Spanish university students

A 554-member stratified random sample of students at a Spanish university (65.9% women; aged 18-34 years) was screened for symptoms of depression using a new Castilian Spanish translation of the Center for Epidemiologic Studies Depression Scale (CES-D) that had been validated by back-translation. Mean CES-D score was 14.2 (SD = 10.3, range 0-54), with a significant difference between the scores of women (M = 15.5; SD = 10.9) and men (M = 11.8; SD = 8.4; t552 = 4.06, p < .0005). Some 33%, of the sample screened positive with the usual CES-D screening threshold of 16, and 16% with the threshold of 24 recommended by Clarke and coworkers. The symptoms most commonly experienced all or most of the time were hopelessness, given the maximum rating by 18.8% of students, difficulty in concentration (17.7%), fatigue (13.9%), inadequacy (13.0%), and disturbance of sleep (12.4%).     

The Perceived Stress Scale: Factor structure and relation to depression symptoms in a psychiatric sample

The present study sought to examine the factor structure and psychometric properties of the Perceived Stress Scale (PSS) when administered to psychiatric patients. We also examined predictive validity of the PSS by assessing the association between the Perceived Stress Scale and the Beck Depression Inventory. A heterogeneous sample of 96 psychiatric patients (48 men, 48 women) completed the Perceived Stress Scale (PSS) and the Beck Depression Inventory. Factor analysis of the PSS established that the scale consisted of two factors. The first factor was comprised primarily of items reflecting adaptational symptoms. In contrast, the second factor consisted of items reflecting coping ability. Both factors had an adequate degree of internal consistency. Finally, a series of regression analyses predicting depression found that both factors accounted for unique variance in depression scores in women, but only the first factor accounted for unique variance in men. It is concluded that the PSS is a multidimensional and internally consistent measure of perceived stress.This research was supported by Grant 410-91-1690 from the social sciences and Humanities Research Council of Canada as well as by grants from the Research and Program Evaluation Committee Brockville Psychiatric Hospital.     

Postnatal depression among mothers in the United Arab Emirates: socio-cultural and physical factors

Postnatal depression (PND) has been found to affect women in cultures around the world. This study sought to further identify the prevalence and related socio-cultural and physical factors in Arab women from the United Arab Emirates (UAE). The study involved a sample of Emirati women recruited in a government maternity hospital in Abu Dhabi who completed demographic questionnaires soon after giving birth (n=125) and the Edinburgh Postnatal Depression Scale (EPDS) at 3 months (n=86) and 6 months postpartum (n=56). Data are presented in three categories of: No Depression (scores of 0-9), Borderline Depression (scores of 10-12) and Depression (scores of 13+). It was found that at 3 months, this sample had 22% of mothers falling into the Depression category and another 22% falling in the Borderline Depression category. At 6 months, this fell to 12.5% Depression category and 19.6% Borderline Depression category. Relationships between higher depression scores and risk factors included; not breastfeeding, giving birth to the first child, poor self body image and view of weight, poor relationship with mother-in-law, and an older age at marriage. Results are discussed in relation to UAE and Islamic culture.     

A Longitudinal Investigation of Psychological Disorders in Patients Prior and Subsequent to a Diagnosis of Ovarian Cancer

This longitudinal study investigated levels of anxiety and depression in women who underwent clinical investigations to diagnose a possible ovarian cancer. Women completed the Hospital Anxiety and Depression Scale (HADS), prior to clinical investigations (Time 1), after receiving diagnostic results (Time 2) and at 3 months follow-up (Time 3). Thirty women completed the assessments at Time 1 and Time 2, and 22 women were re-assessed at Time 3. The majority of the sample (56%) scored as a case of anxiety prior to clinical investigations. A significant decrease in anxiety and depression across time was found. Levels of anxiety and depression between women with a subsequent cancer diagnosis and women with a benign result were not significantly different. This study showed that clinical investigations are a highly anxiety-provoking event. In addition, the diagnosis of cancer did not significantly elevate or maintain levels of anxiety and depression compared to a benign diagnosis.     

Depression and decision-making among intravenous drug users

Two short scales, the TCU Depression Scale and the TCU Decision-making Scale, were psychometrically evaluated in a sample of 145 intravenous drug users. Coefficient alpha reliabilities were .78 for the 6-item TCU Depression Scale and .77 for the 9-item TCU Decision-making Scale. Concurrent validity of the former scale was assessed by correlating scores with those on the Beck Depression Inventory, r = .75. Based on the Beck Depression Inventory Clinical cutoff scores, 83% of the sample showed some depression, with 23% severely depressed, 39% moderately depressed, and 21% mildly depressed. Individuals scoring higher on depression on both tests tended to score lower on decision-making. Significant demographic associations of age, gender, education, and race-ethnicity were found for the depression and decision-making scales. More depression was noted for women, those younger, white, and having less education. Older and more educated intravenous drug users tended to score higher on decision-making. Validity for the depression and decision-making scales was assessed by examining correlations with behaviors. Significant positive correlations were found between depression scores and intravenous use of cocaine only, heroin and cocaine combined, and heroin only. Also, intravenous use of cocaine only and of cocaine and heroin combined were negatively related to decision-making. AIDS sex-risky behavior was positively correlated with depression and negatively correlated with decision-making.     

Insomnia in relation to depression and somatic symptoms

A sample of 358 Kuwaiti volunteer college students responded to the Insomnia Scale, the Somatic Symptoms Inventory, and the Center for Epidemiologic Studies-Depression Scale. The only significant sex difference was in somatic symptoms on which women had a higher mean score than the men. Correlations between scores on the Insomnia Scale and both Depression scales were .51 and .54 and for Somatic Symptoms were .53 and .61 (p < .01) among men and women, respectively. The factor analysis of the intercorrelations yielded a highly loaded general factor for Psychological Disorder in both samples.     

The relationship of marital satisfaction and social support to depressive symptomatology

The relationship between depressive symptomatology, as measured by the short-form Beck Depression Inventory (BDI), and two social support variables was assessed. Based on a sample of 131 married men and 136 married women, the results indicated that the quality of the marital relationship and the frequency of positive social contact with adults other than the spouse were significantly related to depressive symptomatology for both men and women. These two variables accounted for 16% of the variance in BDI scores. Further, analyses of risk for high BDI scores showed that individuals having the least support were 13 times more likely to be in the high-BDI group than individuals with the highest levels of social support. These results suggest that social isolation and marital discord are related to high BDI scores among married adults.     

Association among items from the self-report version of the Hamilton Depression Scale (Carroll Rating Scale) and respondents' sex

The association among items of the self-reported version of the Hamilton Depression Scale (Carroll Rating Scale), answered according to a memory of a maximally disturbing event experienced, and respondents' sex was examined in a nonclinical sample of 320 college students, 164 women (M age=21.7 yr., SD=3.6) and 156 men (M age=23.5 yr., SD=5.8). An assessment of sex bias was also evaluated. Multiple regression analysis showed that statements regarding unhappiness, urge to cry, dizziness and faintness, and waking in the middle of the night were significantly associated with women. Removal of these items from the Carroll Rating Scale Total scores eliminated the sex differences in depression rates. Items that displayed significant sex bias were those regarding behavior and emotions commonly attributed to women within the general population.     

Loneliness, depression, social support, and quality of life in older chronically ill Appalachians

This study's purpose was to describe loneliness and to examine the relationships between loneliness, depression, social support, and QOL in chronically ill, older Appalachians. In-person interviews were conducted with a convenience sample of 60 older, chronically ill, community-dwelling, and rural adults. Those with dementia or active grief were excluded. The UCLA Loneliness Scale (Russell, Peplau, & Cutrona, 1985), Geriatric Depression Scale (Shiekh & Yesavage, 1986), Katz ADL scale (Katz, Down, & Cash, 1970), MOS Social Support Scale (Sherbourne & Stewart, 1991), and a visual analog scale for Quality of Life (Spitzer et al., 1981) scale were used. Diagnoses were obtained through chart reviews. SPSS was used for data analyses. The majority of the 65% female sample (M age = 75 years) were married and impoverished. Participants' number of chronic illnesses averaged more than 3. Over 88% of participants reported at least 1 area of functional impairment. Loneliness was prevalent with UCLA loneliness scores indicating moderate to high loneliness, ranging from 39 to 62 (possible scores were 20-80). Higher loneliness scores correlated with depression, lower Qol, and lower social support, particularly lower emotional support. This study provides evidence that loneliness is a significant problem for older chronically ill Appalachian adults and that it may be related to low emotional support. Further, it provides evidence that this population may be significantly lonely and may not self-identify as lonely. Screening for loneliness and designing interventions that target the emotional aspects of loneliness could be important in this population.     

Sex differences in self-silencing

The construct of self-silencing was proposed to account for women's greater vulnerability to developing depression. This study of 1,117 students (795 women and 322 men) explored possible explanations for the empirical finding that men self-silence to the same or greater extent than women. Analysis showed that men reported more self-silencing than women. A factor analysis confirmed the subscale structure of the Silencing the Self Scale for women and men, with relatively few departures from the originally proposed subscales. Depression and self-silencing scores were correlated positively for both men and women. The results of two multiple regressions, performed separately for men and women, showed that depressive symptomatology accounted for a significant percentage of the variance in self-silencing but that social desirability did not account for a significant increment in the variance accounted for in silencing the self. The scores on the Care as Self-sacrifice and the Divided Self subscales were intercorrelated for women, but not for men, indicating that there may be a sex difference in perception of self-silencing behavior.     

Cognitive vulnerability to depression in never depressed subjects

The purpose of this study was to investigate whether dysfunctional cognitions could be measured in never-depressed individuals after a sad mood prime, and if these dysfunctional cognitions would predict future depression. Subjects were first screened for current or past depression. Never-depressed subjects were randomly assigned to a prime or no-prime condition and completed the Dysfunctional Attitudes Scale. After one month, subjects completed the Beck Depression Inventory. The mood induction was successful in producing a sad mood, but had no effect on accessibility of dysfunctional cognition. Dysfunctional cognitions did predict depressive symptoms one month later, for the women in the sample, but not the men. These results were actually stronger for the unprimed subjects. The results provide some support for the cognitive diathesis-stress model, and suggest that cognitive vulnerability to depression may exist prior to a clinically significant depressive episode. However, mood priming does not appear to be a useful strategy with never-depressed subjects.     

The role of partner characteristics in attachment insecurity and depressive symptoms

Depression is associated with marital distress and attachment insecurity in romantic relationships. In this article, I propose an attachment‐theory model of depression, which links the characteristics of romantic partners to attachment insecurity and depression. I hypothesized that individuals who are avoidant of closeness and/or who devalue their spouses will be perceived as unresponsive to their spouses’ vulnerability, which will increase the spouse's attachment insecurity. Attachment insecurity was then proposed to contribute to depressive symptoms over time. A sample of married or cohabiting couples was recruited to complete questionnaires at an Internet Web site at 2 time points, approximately 3 months apart. Path analysis showed that for both husbands (N= 82) and wives (N= 99), avoidance of closeness in 1 partner was associated with perceived unresponsiveness to vulnerability and attachment insecurity in the other partner. In addition, for husbands, attachment insecurity at T1 predicted depressive symptoms at T2, above and beyond baseline levels of depression. These results provide encouraging support for an attachment‐theory approach to the study and treatment of depression, particularly among married or cohabiting men.     

Development and Validation of the Satisfaction in Couple Relationship Scale (SCR)

The aim of this study was to develop and validate the Satisfaction in Couple Relationship Scale (SCR) in order to provide a tool that is clear and useful for research and professional practice with couples. The sample was made up of 620 participants in a couple relationship (57.7% women and 42.3% men). Most of participants were aged 32 or older (51.6%), were not married (54%), lived with their partner (66.1%) and did not have children (57.9%). The sample was randomly divided in two subsamples in order to study the factor structure or construct validity; a cross-validation strategy was used consisting of an exploratory factor analysis (EFA) on the first one, and a confirmatory factor analysis (CFA) on the second one. Findings resulted in a 10-items scale made up of a single factor that explained 54.14% of the variance, and had excellent internal consistency reliability (α?=?0.93).     

Fear of Success Imagery in the Print Media

The study aimed to assess levels of depressive symptoms and associated risk factors in a sample of students in Bogotá, Colombia. A convenient sample (N = 254) of students at the University Antonio Nariño, Bogotá was invited to complete an online survey that contained questions associated with common risk factors for depression and the Beck Depression Inventory (BDI-II). Chi-square was used to analyze comparisons between demographic and risk factors and severity of depression, and comparisons between those depressed and not depressed. Odds Ratios and their 95% confidence interval (95% CI) were computed through logistic regression model developed for each independent variable. The point-prevalence of current depressive symptoms was 36.2%; women 47.3% and men 21.3%. Risk factors associated with depression included being a woman, having a previous diagnosis, suicidal ideation and (or) intent, sleep problems, a recent loss, and a history of family depression and alcoholism. The study confirms the high incidence of depression and associated risk factors in students. The results demonstrate a need for prevention measures, early detection and early intervention.     

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.     

Sex differences of salivary cortisol secretion in patients with major depression

Depression is associated with increased cortisol secretion and occurs more often in women than in men. Thus, it has been hypothesized that differences in cortisol secretion might, in part, be responsible for the greater risk of developing depression in women. However, only few studies have examined sex differences in baseline cortisol secretion in depressed patients and healthy controls. We examined sex effects on cortisol secretion in 52 medication-free patients with major depression (37 women, 15 men, mean ± SD age 35 ± 11 years, Hamilton Depression Scale mean score 27 ± 5) and 50 healthy age- and sex-matched control subjects. Salivary cortisol concentrations were measured at 8:00, 12:00, 16:00, and 22:00 h. Repeated measures analysis of covariance revealed a group × sex interaction (p = 0.05). Post hoc tests revealed higher cortisol concentrations in depressed compared to healthy men [F(1;29) = 7.5, p = 0.01]. No differences were found between depressed and non-depressed women. Our results do not support the hypothesis that differences in cortisol secretion between depressed and non-depressed subjects are more pronounced in women than in men. Study characteristics and methods as well as sex-specific confounding variables such as menstrual cycle, menopause and the use of oral contraceptives may account for inconclusive results across studies.