Gender differences in depression and response to psychotropic medication
Abstract
Background In the United States, depression is approximately twice as common among women as among men, across all age groups. Objective This review examines gender differences in the epidemiology and clinical presentation of depression, and explores whether women respond differently than men to antidepressant medications. Methods This is a selective review focusing on current issues in the management of depression, with particular attention to gender differences in the epidemiology, diagnosis, and treatment of the disease. Results Women are more likely than men to have atypical symptoms of depression (eg, hypersomnia, hyperphagia), to have comorbid anxiety disorders, and to attempt suicide. Women are also more likely to have seasonal affective disorder. Mood and anxiety symptoms that seem to be related to the menstrual cycle do not often represent genuine premenstrual dysphoria, but when premenstrual dysphoric disorder does occur, its impact on quality of life is similar to that of major depressive disorder. There is ongoing controversy about whether men and women respond equally well to antidepressant medications, and preliminary evidence suggests that selective serotonin reuptake inhibitors (SSRIs) are more effective in the presence of estrogen. Depression affects about 10% of pregnant women. Antidepressant medication should be considered during pregnancy if depression is moderate or severe, or if withdrawal of maintenance medication is likely to result in recurrent depress…
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Women have greater lifetime prevalence of social and specific phobias, other anxiety disorders, and comorbid depression and anxiety.
“In addition, women have greater lifetime prevalence of social and specific phobias, other anxiety disorders (Wilhelm, Parker, & Hadzi-Pavlovic, 1997), and comorbid depression and anxiety (Gorman, 2006).”
From Gender Differences in Emotion Regulation: An fMRI Study of Cognitive Reappraisal (2008) · cites this paper as Gorman, 2006
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Gender Differences in Emotion Regulation: An fMRI Study of Cognitive Reappraisal
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- Authors
- Gorman, J. M.
- Affiliations
- Harvard University (US)
- Corresponding author
- Gorman, Jack M.
- ORCID
- Gorman, Jack M.
- Venue
- Gender Medicine
- Publisher
- Elsevier BV
- Published
- 2006-06
- Volume
- 3
- Issue
- 2
- Pages
- 93-109
- ISSN
- 1550-8579 (ISSN-L)
- OpenAlex
- W2066650091
- Cited by
- 195
- References
- 8
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 10 · 2022: 3 · 2021: 4 · 2020: 19 · 2019: 4 · 2018: 9 · 2017: 11 · 2016: 7 · 2015: 11 · 2014: 8 · 2013: 10 · 2012: 14
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gender Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- gender differences, depression, antidepressant response, women, comorbid anxiety disorders, suicide risk, seasonal affective disorder, premenstrual dysphoric disorder, menstrual cycle, pregnancy, breastfeeding, neonatal abstinence syndrome, selective serotonin reuptake inhibitors, estrogen, sex differences in treatment response
- MeSH terms
- Breast Feeding, Depression, Female, Humans, Life Change Events, Male, Pregnancy, Pregnancy Complications, Sex Factors, Antipsychotic Agents, Treatment Outcome, Depression, Postpartum
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