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Gender differences in major depressive disorder: Results from the Netherlands study of depression and anxiety
Abstract
Background Although an overall gender difference in prevalence of major depressive disorder (MDD) has been well established, several questions concerning gender differences in the clinical manifestation of depression remain. This study aims to identify gender differences in psychopathology, treatment, and public health consequences in patients with MDD.Methods Baseline data from the Netherlands Study of Depression and Anxiety (NESDA) were used, including 1115 participants (364 men, 751 women, mean age 41 years) with a DSM-IV diagnosis of current MDD. Characteristics studied included symptom profiles, comorbidity, treatment, and public health consequences.Results Women reported a younger age of onset of single (27.8 years vs. 31.6 years; p=0.001) and recurrent MDD (24.8 years vs. 27.6 years; p=0.014), a higher comorbidity of panic disorder with agoraphobia (24.9% vs. 17.3%; p=0.006) and life-time overall anxiety disorder (77.6% vs. 71.4%; p=0.029) than men. More men than women suffered from comorbid alcohol dependence or abuse (48.1% vs. 24.5%; p<0.001). An increased prevalence of atypical depression in women (24.6% vs. 17.3%; p=0.009) was found. Women were treated more frequently by an alternative caretaker (20.6% vs. 14.8%; p=0.025), men more often in mental health care organizations (61.0% vs. 53.7%; p=0.025). No gender differences in frequency of medication use or counseling were found.Limitations Cross sectional design.Conclusions Main gender differences in the clinical presentation of MDD concerned a younger age of onset, higher anxiety and lower alcohol use comorbidity and higher prevalence of atypical depression in women. These differences were accompanied by differences in health care use.
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“the DSM diagnostic criteria for adolescent MDD have low diagnostic validity and specificity, resulting in unclear diagnostic boundaries especially with regard to generalized and social anxiety”
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Cites
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988
Assessment of suicidal intention: The Scale for Suicide Ideation.
Beck, A. T., Kovacs, M., & Weissman, A. (1979) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.47.2.343 · Cited by 3,419
The Metabolic Syndrome and Cardiovascular Risk
Mottillo, S., Filion, K. B., Genest, J., Joseph, L., Pilote, L., Poirier, P., Rinfret, S., Schiffrin, E. L., & Eisenberg, M. J. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.05.034 · Cited by 3,009
Wittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348
Kessler, R. (1993) · Journal of Affective Disorders · doi:10.1016/0165-0327(93)90026-g · Cited by 2,207 · cited 2×
“The National Comorbidity Survey showed a female preponderance in prevalence of depressive symptoms from an age of 10 years, coinciding with the start of puberty (Kessler et al., 1993).”
BackgroundThe Inventory of Depressive Symptomatology (IDS): Psychometric properties
Rush, A. J., Gullion, C. M., Basco, M. R., Jarrett, R. B., & Trivedi, M. H. (1996) · Psychological Medicine · doi:10.1017/s0033291700035558 · Cited by 2,177
Kessler, R. C. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830160031005 · Cited by 2,085
Puberty and depression: the roles of age, pubertal status and pubertal timing.
ANGOLD, A., COSTELLO, E. J., & WORTHMAN, C. M. (1998) · Psychological Medicine · doi:10.1017/s003329179700593x · Cited by 989
TRIVEDI, M. H., RUSH, A. J., IBRAHIM, H. M., CARMODY, T. J., BIGGS, M. M., SUPPES, T., CRISMON, M. L., SHORES-WILSON, K., TOPRAC, M. G., DENNEHY, E. B., et al. (2004) · Psychological Medicine · doi:10.1017/s0033291703001107 · Cited by 968
The Netherlands Study of Depression and Anxiety (NESDA): rationale, objectives and methods
Penninx, B. W. J. H., Beekman, A. T. F., Smit, J. H., Zitman, F. G., Nolen, W. A., Spinhoven, P., Cuijpers, P. J., de Jong, P. J., van Marwijk, H., Assendelft, W. J., et al. (2008) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.256 · Cited by 930
Self-citationLamers, F., van Oppen, P., Comijs, H. C., Smit, J. H., Spinhoven, P., van Balkom, A. J. L. M., Nolen, W. A., Zitman, F. G., Beekman, A. T. F., & Penninx, B. W. J. H. (2011) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.10m06176blu · Cited by 913
Self-citationThe inventory for depressive symptomatology (IDS): Preliminary findings
Rush, A. J., Giles, D. E., Schlesser, M. A., Fulton, C. L., Weissenburger, J. E., & Burns, C. (1986) · Psychiatry Research · doi:10.1016/0165-1781(86)90060-0 · Cited by 908
Kuehner, C. (2003) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2003.00204.x · Cited by 839
Penninx, B. W., Milaneschi, Y., Lamers, F., & Vogelzangs, N. (2013) · BMC Medicine · doi:10.1186/1741-7015-11-129 · Cited by 839
Self-citationLong-Term Trends in the Use of Complementary and Alternative Medical Therapies in the United States
Kessler, R. C., Davis, R. B., Foster, D. F., Rompay, M. I. V., Walters, E. E., Wilkey, S. A., Kaptchuk, T. J., & Eisenberg, D. M. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-135-4-200108210-00011 · Cited by 746
Gender differences in depression
Angst, J., Gamma, A., Gastpar, M., L�pine, J.-P., Mendlewicz, J., & Tylee, A. (2002) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-002-0381-6 · Cited by 629
Pubertal changes in hormone levels and depression in girls
ANGOLD, A., COSTELLO, E. J., ERKANLI, A., & WORTHMAN, C. M. (1999) · Psychological Medicine · doi:10.1017/s0033291799008946 · Cited by 592
Dumais, A., Lesage, A. D., Alda, M., Rouleau, G., Dumont, M., Chawky, N., Roy, M., Mann, J. J., Benkelfat, C., & Turecki, G. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.11.2116 · Cited by 583
Eaton, W. W. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830230023003 · Cited by 489
Kessler, R. C., DuPont, R. L., Berglund, P. A., & Wïttchen, H. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.12.1915 · Cited by 486
Bolton, J. M., Robinson, J. L., & Sareen, J. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.10.003 · Cited by 483
The Escalating Cost and Prevalence of Alternative Medicine
Maclennan, A. H. (2002) · Preventive Medicine · doi:10.1006/pmed.2002.1057 · Cited by 461
Gender differences in depression: Findings from the STAR*D study
Marcus, S. M., Young, E. A., Kerber, K. B., Kornstein, S., Farabaugh, A. H., Mitchell, J., Wisniewski, S. R., Balasubramani, G. K., Trivedi, M. H., & Rush, A. J. (2005) · Journal of Affective Disorders · doi:10.1016/j.jad.2004.09.008 · Cited by 456
de Graaf, R., Bijl, R. V., Smit, F., Vollebergh, W., & Spijker, J. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.4.620 · Cited by 391
Gender differences in mental health.
Afifi, M. (2007) · PubMed · Cited by 382
Sex differences in depression: a role for preexisting anxiety
Breslau, N., Schultz, L. R., & Peterson, E. (1995) · Psychiatry Research · doi:10.1016/0165-1781(95)02765-o · Cited by 355
Marcus, S. M., Kerber, K. B., Rush, A. J., Wisniewski, S. R., Nierenberg, A., Balasubramani, G. K., Ritz, L., Kornstein, S., Young, E. A., & Trivedi, M. H. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2007.06.012 · Cited by 266
Gender Differences in the Prevalence of Somatic Versus Pure Depression: A Replication
Silverstein, B. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.6.1051 · Cited by 266
Lamers, F., de Jonge, P., Nolen, W. A., Smit, J. H., Zitman, F. G., Beekman, A. T. F., & Penninx, B. W. J. H. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.09m05398blu · Cited by 264
Self-citationToward validation of atypical depression in the community: results of the Zurich cohort study
Angst, J., Gamma, A., Sellaro, R., Heping Zhang, D., & Merikangas, K. R. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00169-6 · Cited by 239
Depression With Atypical Features in the National Comorbidity Survey
Matza, L. S., Revicki, D. A., Davidson, J. R. T., & Stewart, J. W. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.8.817 · Cited by 239
Bausell, R. B., Lee, W., & Berman, B. (2001) · Medical Care · doi:10.1097/00005650-200102000-00009 · Cited by 237
Follow-up and family study of anxious depression
Clayton, P. J., Grove, W. M., Coryell, W. H., Keller, M. B., Hirschfeld, R. M. A., & FAWCETT, J. A. (1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.11.1512 · Cited by 235
Boschloo, L., Vogelzangs, N., Smit, J. H., van den Brink, W., Veltman, D. J., Beekman, A. T. F., & Penninx, B. W. J. H. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.12.014 · Cited by 227
Self-citationPrevention of male suicides: lessons from Gotland study
Rutz, W., von Knorring, L., Pihlgren, H., Rihmer, Z., & Wålinder, J. (1995) · The Lancet · doi:10.1016/s0140-6736(95)90622-3 · Cited by 215
Gender differences in mental health
Tansella, M. (1998) · Cited by 213
Novick, J. S., Stewart, J. W., Wisniewski, S. R., Cook, I. A., Manev, R. M., Nierenberg, A. A., Rosenbaum, J. F., Shores‐Wilson, K., Balasubramani, G. K., Biggs, M. M., et al. (2005) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v66n0807 · Cited by 211
de Graaf, R., Bijl, R. V., Spijker, J., Beekman, A. T. F., & Vollebergh, W. (2003) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-003-0597-4 · Cited by 203
Meadows, G. N., Harvey, C. A., Fossey, E. M., & Burgess, P. M. (2000) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050260 · Cited by 173
Falk, D. E., Yi, H., & Hilton, M. E. (2008) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2007.11.022 · Cited by 151
Clinical and Demographic Factors Associated With DSM-IV Melancholic Depression
Khan, A. Y., Carrithers, J. A., Preskorn, S., Lear, R., Wisniewski, S. R., Rush, A. J., Stegman, D., Kelley, C., Kreiner, K., Nierenberg, A. A., et al. (2006) · Annals of Clinical Psychiatry · doi:10.1080/10401230600614496 · Cited by 129
Determinants of complementary alternative medicine (CAM) use
Al‐Windi, A. (2004) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2004.09.007 · Cited by 125
The search for wellbeing in alternative and complementary health practices
Sointu, E. (2006) · Sociology of Health & Illness · doi:10.1111/j.1467-9566.2006.00495.x · Cited by 122
Is there evidence for a male depressive syndrome in inpatients with major depression?
Möller-Leimkühler, A. M., Ronald Bottlender, A., Strauß, A., & Rutz, W. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00051-x · Cited by 115
Differences in depressive symptom profile between males and females
Smıth, D. J., Kyle, S., Forty, L., Cooper, C., Walters, J., Russell, E., Caesar, S., FARMER, A. E., McGuffin, P., Jones, I. R., et al. (2007) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.10.001 · Cited by 112
Improvement of care for people suffering from depression: the need for comprehensive education
Rutz, W. (1999) · International Clinical Psychopharmacology · doi:10.1097/00004850-199906003-00005 · Cited by 110
Carter, J. D., Joyce, P. R., Mulder, R., Luty, S. E., & McKenzie, J. M. (2000) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00151-8 · Cited by 87
Comorbidity and mixed anxiety-depressive disorders: is there epidemiologic evidence?
Wïttchen, H., & Essau, C. A. (1993) · PubMed · Cited by 86
Agosti, V., & Stewart, J. W. (2001) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00251-2 · Cited by 64
Greenfield, S., Brown, R., Dawlatly, S., Reynolds, J. A., Roberts, S., & Dawlatly, R. J. (2006) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2005.12.001 · Cited by 63
The prevalence of atypical features across mood, anxiety, and personality disorders
Posternak, M. A., & Zimmerman, M. A. (2002) · Comprehensive Psychiatry · doi:10.1053/comp.2002.33498 · Cited by 51
Seppälä, J., Vanhala, M. J., Kautiainen, H., Eriksson, J. G., Kampman, O., Mäntyselkä, P. T., Oksa, H. H., Ovaskainen, Y., Viikki, M., & Koponen, H. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.10.032 · Cited by 47
Sex differences in symptom patterns of recurrent major depression in siblings
Moskvina, V., FARMER, A. E., Jones, I. R., Brewster, S., Ferrero, F., Gill, M., Jones, L. A., Maier, W., Mors, O. N., Owen, M., et al. (2007) · Depression and Anxiety · doi:10.1002/da.20372 · Cited by 24
Gender differences in patients presenting with a single depressive episode according to ICD-10
Kessing, L. V. (2005) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-005-0885-2 · Cited by 20
Gilden, J., Staring, A. B. P., van der Gaag, M., & Mulder, C. L. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.09.025 · Cited by 9
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Metadata
- Authors
- Schuch, J. J. J., Roest, A. M., Nolen, W. A., Penninx, B. W. J. H., & de Jonge, P.
- Affiliations
- University Medical Center Groningen (NL)
- Corresponding author
- Schuch, Jérôme J.J.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 156
- Pages
- 156-163
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2078820641
- Cited by
- 280
- References
- 55
- Citations by year
- 2026: 10 · 2025: 19 · 2024: 20 · 2023: 26 · 2022: 31 · 2021: 31 · 2020: 27 · 2019: 22 · 2018: 26 · 2017: 16 · 2016: 25 · 2015: 18 · 2014: 8
- FWCI
- 12.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- VU Research Portal (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- major depressive disorder, gender differences, age of onset, recurrent depression, panic disorder with agoraphobia, anxiety comorbidity, alcoholism, atypical depression, mental health service utilization, NESDA
- MeSH terms
- Adult, Alcoholism, Anxiety Disorders, Depressive Disorder, Major, Major Depressive Disorder, Employment, Female, Humans, Male, Middle Aged, Netherlands, Sex Factors, Comorbidity, Prevalence, Age of Onset, Young Adult
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