Gender Differences in Self-Reports of Depression: The Response Bias Hypothesis Revisited

This study was designed to revisit the response bias hypothesis, which posits that gender differences in depression prevalence rates may reflect a tendency for men to underreport depressive symptoms. In this study, we examined aspects of gender role socialization (gender-related traits, socially desirable responding, beliefs about mental health and depression) that may contribute to a response bias in self-reports of depression. In addition, we investigated the impact of two contextual variables (i.e., cause of depression and level of intrusiveness of experimental follow-up) on self-reports of depressive symptoms. Results indicated that men, but not women, reported fewer depressive symptoms when consent forms indicated that a more involved follow-up might occur. Further, results indicated differential responding by men and women on measures of gender-related traits, mental health beliefs, and beliefs about depression and predictors of depressed mood. Together, our results support the assertion that, in specific contexts, a response bias explanation warrants further consideration in investigations of gender differences in rates of self-reported depression.     

SILENCING THE SELF

Silencing the self theory (Jack, 1991) holds that women's depression is closely related to experiences in close relationships, especially if women conform with societal norms for feminine relationship roles. In conforming, Jack believes that women develop relationship schema that heighten vulnerability to loss of self-esteem and depressive symptomatology. An exploratory study addressed relationships among self-report measures of silencing the self, dyadic adjustment, demographic variables, and depressive symptomatology in a community sample of 155 cohabiting women and men, including 37 heterosexual couples from which both partners provided data. Although relationship adjustment was no more closely associated with depressive symptomatology for women than for men, silencing the self was. Demographic variables (number of children, employment status, and income) accounted for a significant proportion of variance in depressive symptomatology for men but not for women. Women's self-reported silencing was related to both their own and their partner's relationship adjustment.     

Family Caregivers of Persons With Spinal Cord Injury: Predicting Caregivers at Risk for Probable Depression

OBJECTIVE: To determine the percentage of family caregivers of persons with spinal cord injury (SCI) with probable depression and to test the hypothesis that dysfunctional problem-solving abilities would be significantly predictive of risk status after taking into account important demographic characteristics and caregiver health. DESIGN: Correlational and logistic regression analyses of data collected in a cross-sectional design. PARTICIPANTS: Eighteen men and 103 women caregivers (mean age of caregivers = 45.66 years, SD = 12.88) of individuals with SCI. MAIN OUTCOME MEASURE: The Inventory to Diagnose Depression. RESULTS: Nineteen caregivers (15.7%) met criteria on the Inventory to Diagnose Depression for a major depressive disorder. A dysfunctional problem-solving style was significantly predictive of caregiver depression, regardless of the severity of physical impairment of the care recipient or the physical health of the caregiver and caregiver demographic variables. CONCLUSIONS: The percentage of caregivers with probable depressive disorder may parallel that observed among persons with SCI, using a more conservative self-report measure designed to assess symptoms associated with a depressive syndrome. Family caregivers with a dysfunctional problem-solving style and assisting individuals with more severe injuries may have probable depression.     

Gender Disparities in the Mental Health of Urban Survivors of Trauma

Women who experience traumatic events are at higher risk for mental health problems compared to men; however, gaps remain in our understanding of this disparity. A sample of 170 urban adults completed self-report measures. Women were significantly more likely to experience sexual assault and domestic violence compared to men, and they were significantly less likely to experience a robbery or mugging, being threatened with a weapon, or witnessing a death or assault compared to men. Also, women were more likely than men to meet criteria for probable post-traumatic stress disorder (PTSD) and depression after controlling for covariates and trauma level. Our findings suggest a possible differential vulnerability to the development of PTSD and depressive symptoms in women.     

The Correlation Between Depression and Headache: The Role Played by Generational Changes in Female Achievement

The relationship between depression and somatic symptoms such as headache has never been explained. Both depression and headache appear to become more prevalent among women than among men only for cohorts that reach adolescence during periods of great change in opportunities for a female's academic achievement. In Studies 1a and 1b, the same pattern was found to apply to the correlation between depression and headache. In Studies 2a and 2b, self-report measures of depression and headache were found to share significant variance only among female adolescents who reported concerns regarding the limited achievements of their mothers. These females may view the roles of adult women as being limited and may experience stress and low self-esteem associated with depressive and somatic symptomatology.     

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.     

Infant-holding bias variations in mother–child relationships: A longitudinal study

This longitudinal study examined the associations between maternal depressive symptoms and infant holding bias in a sample of N = 43 women during three prospective sessions: during pregnancy, two months after childbirth, and when the child was 19 months of age. The majority of mothers (65.8% on average) held their children on the left side of their body at all three sessions; approximately 30% demonstrated a change in their preference, in particular between the pre- and first post-natal session. Examination of reciprocal associations between holding bias and depression revealed that prior and concurrent depression did not predict changes in holding-side biases, whereas women's holding preferences when their infant was two months old predicted change in pre- to postnatal depressive symptoms; women favouring a right-sided holding bias were significantly more likely to report increased depressive symptoms across the perinatal period, whereas a left-sided holding bias was associated with decreased depressive symptomatology.     

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.     

Differential roles of depressive and anxious symptoms and gender in defensiveness

Among a sample of Air Force cadets facing the prospect of basic training (N= 1,190; 1,005 men and 185 women), the influence of a defensive test-taking style on measures of depressive and anxious symptoms was examined. Participants completed the Beck Depression Inventory (Beck & Steer, 1987) and the Beck Anxiety Inventory (Beck, Epstein, Brown, & Steer, 1988), as well as the MMPI (Hathaway & McKinley, 1943) L scale. Results supported hypotheses that defensiveness would affect a self-report measure of depression but not a self-report measure of anxiety and would do so more among men than women. Applied implications of the results are discussed.     

Relationships between perceived close social support and health practices within community samples of American women and men

In this cross-sectional study the author examined the impact of perceived social support from close interpersonal relationships (e.g., significant other, family, and friends) on health practices in community samples of women and men. Research volunteers (N=373; 189 women, 184 men) from the Northern Wisconsin region completed self-report measures of social support, depression, hassles, health practices (i.e., diet, exercise, relations with health professionals, substance abuse, sleep), and demographic information. After controlling statistically for sociodemographic factors, the authors found that depressive symptoms, hassles, and perceived social support contributed significantly to the prediction of healthy diet and adherence to routine medical attention for women, but not for men. The author also observed for relations between perceived close support and (a) exercise and (b) substance abuse among women. Findings suggest that high levels of social support from one's close social network contribute independently to specific health practices for women, but not for men, and point to the importance of both between- and within-gender assessment of health behavior.     

Negative processing biases predict subsequent depressive symptoms

This study investigated the possible relationship between negative processing biases and subsequent depression. The Scrambled Sentences Test (SST), a measure of processing bias, was administered to a large sample of undergraduates. Participants also completed self-report measures of thought suppression tendencies, current level of depression, and lifetime worst-depression symptoms. High scores on the SST, reflecting a negative processing bias, predicted depression symptoms measured 4 to 6 weeks later, even after controlling for concurrent and past depression. The SST was administered both with and without cognitive load to all participants. The SST with load predicted subsequent depression for both men and women. The SST without load predicted depression for women only. The SST difference score, a measure of the change in scores between the no-load and load conditions, was a significant predictor of subsequent depression for men but not women. Among men, the combination of high thought suppression with either high SST-load scores or high SST difference scores proved to be a particularly strong indicator of vulnerability to subsequent depression.     

Depression in Women with Heart Disease: The Importance of Social Role Performance and Spirituality

Compared with men, women are more likely to experience depression, and depression increases risk of morbidity and mortality in individuals with heart disease. Psychosocial interventions have been developed for depressed patients with heart disease; however, women's experience of chronic disease differs from men's and women may benefit from interventions tailored to address their difficulties. Spirituality and social roles have been related to depressive symptoms in other populations. To identify the relationship between depression and spirituality and social role performance (i.e., role concerns, role rewards and confidence in ability to fulfill roles) in women with heart disease, we assessed depressive symptoms, spirituality, social role functioning and medical history in 125 women with heart disease. After controlling for age and severity of medical conditions, spirituality, role confidence and role concerns were significantly associated with depressive symptoms. Consideration of spirituality and aspects of social role performance may be important when developing psychosocial interventions for depressed women with heart disease.     

Suicidal behavior, negative affect, gender, and self-reported delinquency in college students

The associations among suicidal behavior, negative affect, and delinquency were assessed via an anonymous self-report survey administered to male and female college students ( N = 383). Contrary to our hypothesized results, there were no gender differences in rates of suicidal ideation and attempts. Confirming our hypotheses about gender differences, college men did report significantly more delinquent behavior than college women. College men also scored higher on the suicide-proneness scale, which contained a mixture of death-related, risk-related, and negative self- and health-related items. Furthermore, as predicted, college students with a history of depression, suicide ideation, and/or suicide attempts all reported significantly more delinquent behavior. Self-reported delinquency and current levels of depressive symptomology emerged as significant predictors of suicide-prone behavior for both college men and women, explaining 34% of the variance for women and 17% for men. Levels of engagement in suicide-prone behavior and feelings of depression were elevated in college students with any type of juvenile arrest history. Students with an arrest history were also more likely to have had a diagnosis of depression and to have engaged in suicide ideation in their past. These findings suggest there are complex links between depression, delinquency, and suicidal behavior in college men and women.     

Depression Moderates the Relationship between Body Image and Health-Related Quality of Life in Adolescent Girls

Body image can predict health-related quality of life (HRQoL) in adolescent girls through self-esteem and psychological well-being. Additionally, depression is a significant predictor of adolescents’ HRQoL and is associated with body image. Therefore, we investigated whether the relationship between body image and HRQoL in adolescent girls is moderated by depression. In this cross-sectional study, adolescent girls’ body image, depression, and HRQoL (n?=?385, age: 12–15 years) were measured through self-report questionnaires. Multiple regression and simple slope analyses were conducted to examine the moderating effect of depression. Body image was positively correlated with HRQoL, whereas depression was negatively correlated with body image and HRQoL. Body image, depression, and their interaction explained 44.9% of the variance in HRQoL. Simple slope analysis showed that a more positive body image was associated with higher HRQoL among adolescent girls without depressive symptoms, but was not significantly related to HRQoL for adolescents with depressive symptoms. The moderating effect of depression was confirmed. In conclusion, screening for depression is recommended for adolescent girls prior to implementing body image interventions in schools and the community that are aimed at improving HRQoL. Furthermore, health care providers in schools and the community should provide psychological support for depression along with body image interventions to improve the HRQoL of girls in schools and the community. In particular, for girls with depressive symptoms, depression management should be conducted beforehand.     

Overgeneral Autobiographical Memories: Gender Differences in Depression

Considering the higher prevalence of depression in women than in men, the study of the variables that underlie this gender difference becomes important for both the prevention and the treatment of depression. This study explores gender differences in the relationship between depressive symptoms, rumination, repressive coping, and overgeneral autobiographical memory (OGM) in a nonclinical population. There are 141 men and 148 women who completed the measures of depression, rumination, and repression, and the Autobiographical Memory Test to assess OGM. Women remembered a higher number of specific memories than men. Most importantly, results showed a different pattern of association between rumination, repression, depression, and OGM by gender. Depressive symptoms were associated with repressive coping and OGM in women. However, depressive symptomatology was related to repressive coping but not to OGM in men. These results suggest that the role of OGM in depression may be less important in men than in women. Copyright © 2014 John Wiley & Sons, Ltd.     

Association between tobacco use,depression, and anxiety: A cross-national study among university students from 30 low- and middle-income countries

This study aimed to investigate the association between tobacco use and depression and anxiety in a cross-national study among university students from 30 predominantly low- and middle-income countries. Self-report survey data were collected from 23 073 university students (58.0% female), with a mean age of 20.8 years (SD = 2.5). Following logistic regression analyses, tobacco using university students were more likely to have depressive symptoms and anxiety (posttraumatic stress symptoms = PTSS) than non-tobacco using students. Gender stratified analysis found associations between tobacco use and depressive symptoms were stronger among women than men. The associations between tobacco use and anxiety (PTSD) symptoms were stronger among men than women. In this large cross-national study, current tobacco use was significantly associated with depression and anxiety (PTSD) symptoms. Tobacco use prevention efforts can help alleviating mental health problems among university students.     

Internalizing and Externalizing Symptoms in Sons and Daughters of Mothers with a History of Depression

The purpose of the present study was to examine the independent and joint effects of child gender and informant (mother-report vs. child self-report) on children’s internalizing and externalizing symptoms in an at-risk sample of children of mothers with a history of depression. Data were obtained from mothers with a history of major depressive disorder (N?=?149) and their 9- to 15-year-old children (74 males, 75 females) to assess children’s internalizing and externalizing symptoms. Little evidence was found that maternal depression amplified the typical gender differences in the prevalence of depressive symptoms and behavioral problems. Partial support was found for the hypothesis that maternal depression may equalize the rates of symptoms in boys and girls. There was also some evidence that maternal depression may reverse typical patterns of gender differences in depressive symptoms; i.e., using normative T scores to account for expected rates of problems, boys reported more symptoms than girls. Mothers and children reported significantly different levels of problems depending on child gender. Future research should investigate the processes of risk that may lead to changes in the normative patterns of gender differences in the context of maternal depression.     

A comparison of primary stressors, secondary stressors, and depressive symptoms between elderly caregiving husbands and wives: the Caregiver Health Effects Study

The present study examined gender differences in the experience of primary and secondary caregiving stressors, depressive symptoms, and their interrelationships using a sample of 283 elderly spouse caregivers (145 women, 138 men). Two primary stressors, two secondary stressors, and depressive symptoms were assessed. In general, t-tests indicated that caregiving husbands experience fewer stressors and depressive symptoms than their female counterparts. Multiple group analysis revealed that the primary stressors were more useful in explaining variance associated with the secondary stressors for women than men and that the path coefficients linking amount of caregiving assistance to caregivers' activity restriction was significantly different across men and women. Other paths linking primary stressors, secondary stressors, and depressive symptoms, however, were statistically equivalent across men and women. Hence, although caregiving women and men may vary in their reports of caregiving stressors, the complexity of the caregiving experience appears to be quite uniform for both groups.     

Perceived Criticism and Marital Adjustment Predict Depressive Symptoms in a Community Sample

Depressive symptoms are related to a host of negative individual and family outcomes; therefore, it is important to establish risk factors for depressive symptoms to design prevention efforts. Following studies in the marital and psychiatric literatures regarding marital factors associated with depression, we tested two potential predictors of depressive symptoms: marital adjustment and perceived spousal criticism. We assessed 249 spouses from 132 married couples from the community during their first year of marriage and at three time points over the next 10 years. Initial marital adjustment significantly predicted depressive symptoms for husbands and wives at all follow-ups. Further, perceived criticism significantly predicted depressive symptoms at the 5- and 10-year follow-ups. However, at the 1-year follow-up, this association was significant for men but not for women. Finally, a model where the contributions of marital adjustment and perceived criticism were tested together suggested that both play independent roles in predicting future depressive symptoms. These findings highlight the potential importance of increasing marital adjustment and reducing perceived criticism at the outset of marriage as a way to reduce depressive symptoms during the course of marriage.     

Why do Women get Depressed and Men get Drunk? An Examination of Attributional Style and Coping Style in Response to Negative Life Events Among Canadian Young Adults

Gender differences in alcohol consumption and depressive symptoms are well known. This study focused on the associations of gender with attributional style, coping style, and negative life events in explaining these differences. The association of gender with each of the predictor and outcome variables was examined. One hundred eight (51 men, 57 women) undergraduate university students, ages 18–21, completed validated measures of depression, alcohol consumption, attributional style, coping style, and negative life events. Participants reported mild-moderate levels of depressive symptoms, similar to comparable samples. In contrast, alcohol consumption was lower than expected. Depressive symptoms were associated with negative events and rumination among both men and women. Pessimism and wine consumption were correlated with depression among women only. Although men consumed more alcohol than did women, a gender difference in depressive symptoms was not found. Potential implications of these findings are discussed.