Sex differences in the clinical expression of depression

Recent epidemiological studies have established that the lifetime prevalence rate of depression is greater in women than in men. It was the purpose of the present study to investigate the possibility that the true prevalence of male depression is underestimated because males have learned through social rejection that it is inappropriate for them to openly express depressive feelings. Consistent with this notion that men only express depressive symptoms consonant with their traditional male sex role, a discriminant function analysis performed on the self-reported symptomatology of depressed patients revealed that men were more likely to report sex role appropriate symptoms such as work-related problems and somatic concerns. Since other self-presentational concerns may contribute to the sex difference in depression, it is suggested that future research directly examine the ways in which men experience and express symptoms of depression.An earlier draft of this article was presented at the 55th Annual Meeting of the Eastern Psychological Association, Baltimore, Maryland, April 1984. This research was supported in part by a grant from the Medical Research Council of Canada, awarded to the first author, and Grant No. 6606-1768-46 from the Health Services and Promotions Branch of Health and Welfare Canada, awarded to the second author. The authors would like to thank Dr. Paul Grof, Kaely Hutchinson, and the staff and patients of Hamilton Psychiatric Hospital for their help and cooperation with the project.