Cited by 674Gender Roles and Identity StudiesMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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The Experience of Symptoms of Depression in Men vs Women: Analysis of the National Comorbidity Survey Replication

Martin, Lisa A., Neighbors, Harold W., Griffith, Derek M.·2013·JAMA Psychiatry

DOI 10.1001/jamapsychiatry.2013.1985

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Abstract

IMPORTANCE: When men are depressed they may experience symptoms that are different than what is included in the current diagnostic criteria. OBJECTIVE: To explore whether sex disparities in depression rates disappear when alternative symptoms are considered in the place of, or in addition to, more conventional depression symptoms. DESIGN, SETTING, PARTICIPANTS, AND MAIN OUTCOMES AND MEASURES: Using data from the National Comorbidity Survey Replication, a nationally represented mental health survey, we evaluated sex differences in symptom endorsement in 2 new scales that included alternative depression symptoms. We analyzed sex differences in symptom endorsement using 2-sided, design-based, .05-level t tests and multivariate logistic regression to identify predictors of depression. RESULTS; Men reported higher rates of anger attacks/aggression, substance abuse, and risk taking compared with women. Analyses using the scale that included alternative, male-type symptoms of depression found that a higher proportion of men (26.3%) than women (21.9%) (P = .007) met criteria for depression. Analyses using the scale that included alternative and traditional depression symptoms found that men and women met criteria for depression in equal proportions: 30.6% of men and 33.3% of women (P = .57). CONCLUSIONS AND RELEVANCE: When alternative and traditional symptoms are combined, sex disparities in the prevalence of depression are eliminated. Further study is needed to clarify which symptoms truly describe men's experiences of depression.

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“Addis7 proposes 4 conceptual frameworks within the existing literature that address how gender shapes men’s experiences, expressions, and reactions to depression: (1) the sex differences framework, (2) the masked depression framework, (3) the masculine depression framework, and (4) the gendered response framework.”
Background
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Authors: Martin, L. A., Neighbors, H. W., & Griffith, D. M.
Affiliations: University of Michigan–Dearborn (US)
University of Michigan (US)
Vanderbilt University (US)
Corresponding author: Martin, Lisa A.
ORCID: Martin, Lisa A.
Neighbors, Harold W.
Griffith, Derek M.
Venue: JAMA Psychiatry
Publisher: American Medical Association (AMA)
Published: 2013-10-01
Volume: 70
Issue: 10
Pages: 1100
ISSN: 2168-622X (ISSN-L)
DOI: 10.1001/jamapsychiatry.2013.1985
OpenAlex: W2133574018
Cited by: 674
References: 21
Citations by year: 2026: 52 · 2025: 49 · 2024: 61 · 2023: 59 · 2022: 66 · 2021: 79 · 2020: 62 · 2019: 44 · 2018: 49 · 2017: 43 · 2016: 42 · 2015: 39 · 2014: 26 · 2013: 3
FWCI: 86.90
Type: journal article
Language: en
Open access: closed
Locations: JAMA Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Gender Studies › Gender Roles and Identity Studies
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: depression, sex differences, anger attacks, aggression, substance abuse, risk-taking, diagnostic criteria, depression prevalence, National Comorbidity Survey Replication
MeSH terms: Adolescent, Adult, Aged, Depression, Female, Health Surveys, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Sex Characteristics, Logistic Models, Symptom Assessment

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The Experience of Symptoms of Depression in Men vs Women: Analysis of the National Comorbidity Survey Replication

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