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Explaining the gender difference in depressive symptoms.
Abstract
It was hypothesized that women are more vulnerable to depressive symptoms than men because they are more likely to experience chronic negative circumstances (or strain), to have a low sense of mastery, and to engage in ruminative coping. The hypotheses were tested in a 2-wave study of approximately 1,100 community-based adults who were 25 to 75 years old. Chronic strain, low mastery, and rumination were each more common in women than in men and mediated the gender difference in depressive symptoms. Rumination amplified the effects of mastery and, to some extent, chronic strain on depressive symptoms. In addition, chronic strain and rumination had reciprocal effects on each other over time, and low mastery also contributed to more rumination. Finally, depressive symptoms contributed to more rumination and less mastery over time.
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“Studies suggest that women may be more likely to experience many risk factors that increase—or indicate the presence of—thwarted belongingness and perceived burdensomeness, including major depression (i.e., females are approximately twice as likely as males to suffer from Major Depression; Nolen-Hoeksema, Larson, & Grayson, 1999).”
From The interpersonal theory of suicide. (2010) · cites this paper as Nolen-Hoeksema, Larson, & Grayson, 1999
In the citing paper
“Mastery, a person’s perception of the degree of control they have in their lives, was measured using Pearlin’s 7-item Mastery Scale (Cronbach’s alpha = 0.84).”
From Longitudinal impacts of an online safety and health intervention for women experiencing intimate partner violence: randomized controlled trial (2020) · cites this paper as [50]
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“This gender difference in depressive symptoms appears to emerge in early adolescence and then remains throughout the adult life span ( Kessler et al., 1993; Nolen-Hoeksema & Girgus, 1994).”
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“In turn, a number of laboratory and field studies have shown that people who engage in rumination when distressed show longer and more severe periods of depressive symptoms and are more likely to develop full depressive disorders than those who do not engage in rumination (Alloy & Abramson, 1997; Nolen-Hoeksema & Morr…”
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“…frequently than the general population group (e.g., mean RRS scores of general population were 42.01 for women and 39.64 for men in the study by Nolen-Hoeksema et al. 1999; See also Table 1 described below). only one study that examined and showed a positive relationship between autistic…”
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Are Gender Differences in Self-Reported Rumination Explained by Women’s Stereotyping?
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“2001; Nolen-Hoeksema et al. 1999 ), undergraduates (e.g., Mezulis et al. 2002; Zalta and Chambless 2008), and adolescents (Jose and Brown 2008).”
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Revisiting the Factor Structure of the Ruminative Response Scale: a Bifactor Approach
Valencia, P. D., & Paredes-Angeles, R. (2022) · Trends in Psychology · doi:10.1007/s43076-022-00214-2 · Cited by 10
“The 22-item RRS was used extensively to study rumination in relation to depression levels (Nolen-Hoeksema et al., 1994), the onset of depression (Just & Alloy, 1997), and the gender differences observed in this disorder (Nolen-Hoeksema et al., 1999).”
Sociodemographic factors as moderators of COVID-19 stress on depression
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“It is argued that these differences might be due to the fact that females tend to ruminate more on unpleasant experiences compared to male counterparts (Nolen-hoeksema et al., 1999; Tamres et al., 2002).”
Bey, G. (2020) · IntechOpen eBooks · doi:10.5772/intechopen.92248 · Cited by 14
“Research highlights a key role for chronic exposure to negative circumstances, or “strain”, in women’s predisposition toward depressive symptoms [18, 19].”
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Schmidt, K., Lima, A. V. R. D. S., Schmitt, K., Moraes, M. A., & Schmidt, M. (2020) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20190282 · Cited by 9
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“Some of the reported reasons for the gender differences in depressive symptoms include higher chronic strain in women and higher self-concept in men (NolenHoeksema, 2001; Nolen-Hoeksema et al., 1999), adverse sociocultural roles with related adverse experiences (NolenHoeksema et al.”
BackgroundWork-related rumination and its “double-edged sword” effect
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The Effect of Serious Offending on Health: A Marginal Structural Model
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“…compared to boys because girls are more likely to use internal coping mechanisms such as rumination, which is associated with depressive symptoms (Nolen-Hoeksema et al. 1999), and encode these events in more detail (Seidlitz and Diener 1998), while boys are more likely to employ external coping…”
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Evolutionary Lifestyle and Mental Health
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“It is unclear why this pattern differs from other research, which has suggested a stronger relationship among females (e.g., Nolen-Hoeksema, 1987; Nolen-Hoeksema, Larson, and Grayson 1999).”
ResultPositive Beliefs about Rumination, Self-rumination, and Self-reflection
Takano, K., & Tanno, Y. (2010) · The Japanese Journal of Personality · doi:10.2132/personality.19.15 · Cited by 9
Civil Society and Civil Religion as Mutually Dependent
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“His study also found that depressive symptoms at Time 1 predicted more rumination at Time 2, even after controlling for Time 1 rumination levels (Nolen-Hoeksema et al., 1999).”
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“Studies have consistently shown that females are more vulnerable to negative emotional disorders than males (Nolen-Hoeksema et al., 1999; Wang, 2021).”
Witvliet, C. V., Blank, S., & Gall, A. J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.992768 · Cited by 8
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“In relation to men and women in general, Nolen-Hoeksema, Larson, and Grayson (1999) have argued that the higher levels of depression among women can be explained in part by their early gender role socialization experiences, and the stressors resulting from gender identity and roles, such as lower…”
BackgroundQiao, Z., Yang, A., Qiu, X., Yang, X., Zhang, C., Zhu, X., He, J., Wang, L., Bai, B., Sun, H., et al. (2015) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2015.05.011 · Cited by 7
“High levels of neuroticism, a basic personality trait characterized by anxiety and emotional lability, is associated with the development of depression (Nolen-Hoeksema et al., 1999; Ormel et al., 2001), and Goodwin and Gotlib (2004) reported higher neuroticism in female MDD patients than male patients.”
BackgroundMcAllister-Williams, H., Smith, E., Anderson, I. M., Barnes, J. A., Gallagher, P., Grunze, H., Haddad, P. M., House, A. O., Hughes, T. E., Lloyd, A. J., et al. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-205 · Cited by 10
“This questionnaire includes the Big Five Inventory 44 personality questionnaire [68], a negative life events questionnaire adapted from the list of Life Threatening Experiences [69], the Social Circumstances Questionnaire, which is an adaptation of the Social Support Questionnaire [70] as used in the NewMood study [67…”
MethodPsychiatric Disorders - New Frontiers in Affective Disorders
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“In a sample of North American adults, Nolen-Hoeksema et al. (1999) found lower mastery scores in women than in men and a cross-sectional correlation between mastery and depression.”
BackgroundResultInfluentialGender differences in depressive symptoms and reluctance to seek help
cho-hyun-ju, Yim, H., 조선진, & 방명희 (2008) · The Korean Journal of Woman Psychology · doi:10.18205/kpa.2008.13.3.003 · Cited by 10
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“…more frequent in female adolescents (Wade et al., 2002; MARCOTTE et al., 2002; Nolen-Hoeksema and Girgus, 1994; Hankin et al., 2007; HANKIN et al., 1998) and persists in adulthood (Nolen-Hoeksema et al., 1999; Albert, 2015; LUCHT et al., 2003; Kuehner, 2003; BEBBINGTON et al., 2003).”
Kocsel, N., Horváth, Z., Reinhardt, M., Szabó, E., & Kökönyei, G. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e09688 · Cited by 8
“) girls would have higher levels of nonproductive thoughts [14, 28, 53] and somatic symptoms [42] than boys; and 4.”
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“Authors to the likes of Nolen-Hoeksema (1991, 2000) and Nolen-Hoeksema et al. (1999) explain that “rumination is a way of coping with negative emotions that involves repetitive and passive attention on one’s negative emotion and the meaning of one’s negative feelings”.”
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“Specifically, Nolen-Hoeksema et al. (1999) identified three different types of rumination—brooding, reflection, and depression related— which have been found to predict depressive symptoms, with slightly different patterns of association (Nolen-Hoeksema et al., 1999).”
BackgroundRegular Exercise and Depressive Symptoms in Korean Older Adults
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“Gender is another important factor, and most studies have found that women have a higher risk of depressive symptoms than men [64].”
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“(22) It has also been reported that the incidence of depression is two times greater in women compared to men.(23) Postulated explanations for gender differences include psychosocial factors (e.”
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“This result can be explained by the fact that women may tend to be more self-critical and to ruminate more than men (Leadbeater et al., 1999; Nolen-Hoeksema et al., 1999).”
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“Suppressed anger and subsequent “rumination” among women in dyads may be more intense, more frequent, and last longer than among men, thereby creating more severe psychophysiological consequences ( Nolen-Hoeksema, Larson, & Grayson, 1999 ).”
BackgroundADHD and entrepreneurship: the role of perceived team conflict and gender on well-being
Tran, M. H., Wiklund, J., Yu, W., & Pérez‐Luño, A. (2025) · Small Business Economics · doi:10.1007/s11187-025-01111-5 · Cited by 5
“Compared to men, women generally report a greater tendency to rumi-nate on negative social interactions (Nolen-Hoeksema et al., 1999).”
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“One plausible explanation for the higher prevalence among females than males is the more negative life events experienced by females, where they face more financial constraints and lack control over their social and personal lives (Nolen-Hoeksema et al., 1999).”
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“23,25”
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“The five brooding items from the Ruminative Response Scale (RRS; Nolen-Hoeksema et al., 1999; Treynor et al., 2003) were administered at T1 and T2 to assess participants ’ tendencies to ruminate in response to depressed mood.”
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Are cognitive aspects of defense a core feature of anxiety and depression?
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Predictors of Relationship Satisfaction: What's Perfection got to do with it?
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“In the context of depression, evidence for this view has been reported (Nolen-Hoeksema et al., 1999), and the same may be true of social anxiety, but research regarding social anxiety is lacking.”
BackgroundZhou, S., Jin, L., Liu, X., Ding, X., & Zhu, X. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19063508 · Cited by 5
“In English-speaking countries, prevalence rates of depressive symptoms among women are generally higher than among men [14].”
BackgroundCanale, N., Rubaltelli, E., Calcagnì, A., Vieno, A., Giovannoni, M., Devos, G., & Billieux, J. (2022) · International Gambling Studies · doi:10.1080/14459795.2021.2002385 · Cited by 8
“It is thus plausible that the more elevated level of stress and negative affect experienced by women in our society (Nolen-Hoeksema et al., 1999) is a factor that contributes to the gender differences observed in problem gambling and gambling preferences (McCormack et al., 2014; Tschibelu & Elman,…”
BackgroundPersonal Values in Relation to Risk Intelligence: Evidence from a Multi-Mediation Model
Zammitti, A., Russo, A., Santisi, G., & Magnano, P. (2021) · Behavioral Sciences · doi:10.3390/bs11080109 · Cited by 6
Cheng, C. E., Tobin, C. S. T., & Weiss, J. W. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1817032 · Cited by 6
“This may be due, in part, to a tendency for females to internalize their stressors in the forms of anxiety and depression more so than males.(44,45) In a study among older adults, results showed that women’s exposure to financial strain overwhelms their sense of control, leading to greater distress,(46) and women are…”
ResultPrevention and Treatment of Work Addiction
Quiñones, C., & Griffiths, M. D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.028 · Cited by 2
Jampel, J. D., Gazarian, D., Addis, M. E., & Hoffman, E. (2019) · Sex Roles · doi:10.1007/s11199-019-01083-3 · Cited by 9
Adolescent psychological and physiological responses to frustration- and anxiety-provoking stressors
Pollak, K. M., Shao, S., Knutson, J., Gill, H., Lee, Y., McKay, S. L., & Cameron, C. (2019) · Current Psychology · doi:10.1007/s12144-019-00582-6 · Cited by 5
Lapp, M., Quaderi, A., & Corveleyn, X. (2019) · Pratiques Psychologiques · doi:10.1016/j.prps.2018.12.002 · Cited by 7
Breik, W., & Zaza, H. I. (2019) · Gifted Education International · doi:10.1177/0261429418824118 · Cited by 7
“…the tendency among females to cope through investing in close friends may imply that female are more able to adapt to long-term stressors, which help protecting them from emotional distress and, therefore, display lower rates of depression in comparison to males (cf. Nolen-Hoeksema et al., 1999).”
Background
Metadata
- Authors
- Nolen-Hoeksema, S., Larson, J., & Grayson, C.
- Venue
- Journal of Personality and Social Psychology
- Published
- 1999
- Volume
- 77
- Issue
- 5
- Pages
- 1061-1072
- ISSN
- 0022-3514 (ISSN-L)
- 1939-1315
- OpenAlex
- W2083186275
- Cited by
- 1,543
- References
- 0
- Citations by year
- 2026: 20 · 2025: 38 · 2024: 41 · 2023: 65 · 2022: 74 · 2021: 52 · 2020: 103 · 2019: 45 · 2018: 64 · 2017: 99 · 2016: 81 · 2015: 71 · 2014: 70 · 2013: 55 · 2012: 62
- FWCI
- 28.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality and Social Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH51817, R01MH051817)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Keywords
- gender differences, depressive symptoms, rumination, chronic strain, sense of mastery, mediation, reciprocal effects, coping
- MeSH terms
- Adaptation, Psychological, Adult, Aged, California, Depression, Female, Gender Identity, Humans, Interview, Psychological, Male, Middle Aged, Models, Psychological, Negativism, Population Surveillance, Psychiatric Status Rating Scales, Sex Factors, Socioeconomic Factors, Stress, Psychological, Thinking, Sex Distribution
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