Gender differences in life events prior to onset of major depressive disorder: The moderating effect of age.
Open accessAbstract
Theoretical models attempting to explain why approximately twice as many women as men suffer from depression often involve the role of stressful life events. However, detailed empirical evidence regarding gender differences in rates of life events that precede onset of depression is lacking, due in part to the common use of checklist assessments of stress that have been shown to possess poor validity. The present study reports on a combined sample of 375 individuals drawn from 4 studies in which all participants were diagnosed with major depressive disorder and assessed with the Life Events and Difficulties Schedule (Bifulco et al., 1989), a state-of-the-art contextual interview and life stress rating system. Women reported significantly more severe and nonsevere, independent and dependent, and other-focused and subject-focused life events prior to onset of depression than did men. Further, these relations were significantly moderated by age, such that gender differences in rates of most types of events were found primarily in young adulthood. These results are discussed in term of their implications for understanding the etiological role of stressful life events in depression.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The association between major life stress and MDD persists across the entire life course and is especially strong for women in almost all age groups.
“This association persists across the entire life course and is especially strong for women in almost all age groups”
From From stress to inflammation and major depressive disorder: A social signal transduction theory of depression. (2014) · cites this paper as Harkness et al., 2010
The Results (page not provided) report that women with MDD were more likely than men to have experienced a severe event before onset in all three adult age groups, but not in adolescence. The study assessed pre-onset events only in people with MDD aged 13–65; it does not establish that the association persists across the entire life course. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe number and type of stressful life events preceding major depressive episodes vary across the lifespan, but similar research has not been conducted in the context of STBs.
“The number and type of stressful life events preceding major depressive episodes vary across the lifespan (Harkness et al. 2010), but similar research has not been conducted in the context of STBs.”
From Life stress and suicide in adolescents (2019) · cites this paper as Harkness et al. 2010
Interpersonal stress strongly and reliably predicts major depressive episodes.
“Notably, interpersonal stress is a potent and reliable predictor of major depressive episodes (Hammen 2018; Harkness et al. 2010)”
From Life stress and suicide in adolescents (2019) · cites this paper as Harkness et al. 2010
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Nonparametric Statistics for the Behavioral Sciences
Guitton, H., & Siegel, S. (1958) · Revue économique · doi:10.2307/3498751 · Cited by 35,281 · see citing works
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817 · see citing works
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works
Causal Relationship Between Stressful Life Events and the Onset of Major Depression
Kendler, K. S., Karkowski, L. M., & Prescott, C. A. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.6.837 · Cited by 2,486 · see citing works
Kessler, R. (1993) · Journal of Affective Disorders · doi:10.1016/0165-0327(93)90026-g · Cited by 2,207 · see citing works
Monroe, S. M., & Simons, A. D. (1991) · Psychological Bulletin · doi:10.1037/0033-2909.110.3.406 · Cited by 2,143 · see citing works
Self-citationEpidemiology of women and depression
Kessler, R. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00426-3 · Cited by 2,006 · see citing works
Generation of stress in the course of unipolar depression.
Hammen, C. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.4.555 · Cited by 1,446 · see citing works
Preferences in human mate selection.
Buss, D. M., & Barnes, M. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.50.3.559 · Cited by 1,432 · see citing works
Hankin, B. L., & Abramson, L. Y. (2001) · Psychological Bulletin · doi:10.1037/0033-2909.127.6.773 · Cited by 1,343 · see citing works
Adolescent Onset of the Gender Difference in Lifetime Rates of Major Depression: A Theoretical Model
Cyranowski, J. M., Frank, E., Young, E., & Shear, M. K. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.1.21 · Cited by 1,276 · cited 1× · see citing works
“Consistent with Cyranowski et al. (2000), it is possible that women are more sensitive to life events occurring to others (and thus would see these events clustered in close proximity to onset) due to their greater tendency to affiliate (e.g., Buss & Barnes, 1986) and to take on caregiving roles…”
Avison, W. R., Brown, G. W., & Harris, T. (1990) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072630 · Cited by 1,148 · see citing works
Generation of stress in the course of unipolar depression.
Hammen, C. L. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.4.555 · Cited by 1,078 · see citing works
Toward a comprehensive developmental model for major depression in women
Kendler, K. S., Gardner, C. O., & Prescott, C. A. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.7.1133 · Cited by 962 · see citing works
Wilhelm, K. A. (1991) · Choice Reviews Online · doi:10.5860/choice.28-3566 · Cited by 857 · see citing works
Fundamental Statistics for the Behavioral Sciences
Howell, D. C. (1985) · Cited by 853 · see citing works
Trajectories of stressful life events and depressive symptoms during adolescence.
Ge, X., Lorenz, F. O., Conger, R. D., Elder, G. H., & Simons, R. L. (1994) · Developmental Psychology · doi:10.1037/0012-1649.30.4.467 · Cited by 803 · see citing works
Kendler, K. S., Kuhn, J., & Prescott, C. A. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.4.631 · Cited by 799 · see citing works
Neurosis and the Social Environment
Henderson, S., Byrne, D. G., & Duncan‐Jones, P. (1982) · Cited by 731 · see citing works
Monroe, S. M., & Harkness, K. L. (2005) · Psychological Review · doi:10.1037/0033-295x.112.2.417 · Cited by 693 · see citing works
Self-citationStress generation in depression: Reflections on origins, research, and future directions
Hammen, C. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20293 · Cited by 674 · see citing works
Rudolph, K. D., & Hammen, C. (1999) · Child Development · doi:10.1111/1467-8624.00048 · Cited by 646 · see citing works
Dalgard, O. S., Dowrick, C., Lehtinen, V., Vazquez-Barquero, J. L., Casey, P., Wilkinson, G., Ayuso-Mateos, J. L., Page, H., Dunn, G., & The ODIN Group (2006) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-006-0051-5 · Cited by 622 · see citing works
Childhood Experience of Care and Abuse (CECA): A Retrospective Interview Measure
Bifulco, A., Brown, G. W., & Harris, T. O. (1994) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1994.tb01284.x · Cited by 579 · see citing works
Modern Approaches to Conceptualizing and Measuring Human Life Stress
Monroe, S. M. (2008) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.4.022007.141207 · Cited by 567 · see citing works
Self-citationLevinson, D. J. (1978) · Cited by 557 · see citing works
Kendler, K. S., Thornton, L. M., & Prescott, C. A. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.4.587 · Cited by 520 · see citing works
Reliability Studies of Psychiatric Diagnosis
Grove, W. M. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1981.01780290042004 · Cited by 450 · see citing works
Toward a comprehensive developmental model for major depression in men
Kendler, K. S., Gardner, C. O., & Prescott, C. A. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.1.115 · Cited by 411 · see citing works
The influence of genetic factors and life stress on depression among adolescent girls
Silberg, J., Pickles, A., Rutter, M., Hewitt, J., Simonoff, E., Maes, H., Carbonneau, R., Murrelle, L., Foley, D., & Eaves, L. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.3.225 · Cited by 398 · see citing works
A longitudinal study of stress buffering for adolescent problem behaviors.
Windle, M. T. (1992) · Developmental Psychology · doi:10.1037/0012-1649.28.3.522 · Cited by 355 · see citing works
Shih, J. H., Eberhart, N. K., Hammen, C., & Brennan, P. (2006) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3501_9 · Cited by 343 · see citing works
BEBBINGTON, P. E., DUNN, G., JENKINS, R., LEWIS, G., BRUGHA, T., FARRELL, M., & MELTZER, H. (1998) · Psychological Medicine · doi:10.1017/s0033291797006077 · Cited by 330 · see citing works
KENDLER, K. S., & KARKOWSKI-SHUMAN, L. (1997) · Psychological Medicine · doi:10.1017/s0033291797004716 · Cited by 328 · see citing works
Development of gender differences in depression: description and possible explanations
Hankin, B. L., & Abramson, L. Y. (1999) · Annals of Medicine · doi:10.3109/07853899908998794 · Cited by 290 · see citing works
Sex differences in event-related risk for major depression
MACIEJEWSKI, P. K., PRIGERSON, H. G., & MAZURE, C. M. (2001) · Psychological Medicine · doi:10.1017/s0033291701003877 · Cited by 277 · see citing works
Harkness, K. L., Bruce, A. E., & Lumley, M. N. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.4.730 · Cited by 272 · see citing works
Self-citationPERIOD PREVALENCE OF PSYCHIATRIC DISORDERS IN EDMONTON
Bland, R. C., Newman, S. C., & Orn, H. (1988) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1988.tb08545.x · Cited by 200 · see citing works
Gender differences in the onset of depression following a shared life event: a study of couples
Nazroo, J. Y., Edwards, A. C., & Brown, G. W. (1997) · Psychological Medicine · doi:10.1017/s0033291796004187 · Cited by 197 · see citing works
Bouma, E., Ormel, J., Verhulst, F. C., & Oldehinkel, A. J. (2007) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.05.007 · Cited by 193 · see citing works
Neal, M. B., Ingersoll‐Dayton, B., & Starrels, M. E. (1997) · The Gerontologist · doi:10.1093/geront/37.6.804 · Cited by 184 · see citing works
Abela, J. R. Z., & Hankin, B. L. (2008) · Cited by 173 · see citing works
Characterizing life events as risk factors for depression: The role of fateful loss events.
Shrout, P. E., Link, B. G., Dohrenwend, B. P., Skodol, A. E., Stueve, A., & Mirotznik, J. (1989) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.98.4.460 · Cited by 167 · see citing works
Zlotnick, C., Shea, M. T., Pilkonis, P. A., Elkin, I., & Ryan, C. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.8.1021 · Cited by 124 · see citing works
WILLIAMSON, D. E., BIRMAHER, B., ANDERSON, B. P., AL-SHABBOUT, M., & RYAN, N. D. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199505000-00011 · Cited by 123 · see citing works
Hoffmann, J. P., & Su, S. (1998) · Substance Use & Misuse · doi:10.3109/10826089809056256 · Cited by 115 · see citing works
Daley, S. E., Hammen, C. L., & Rao, U. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.3.525 · Cited by 109 · see citing works
McQuaid, J. R., Monroe, S. M., Roberts, J. E., Kupfer, D. J., & Frank, E. (2000) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.109.4.787 · Cited by 89 · see citing works
Self-citationPersonality, stressful life events, and treatment response in major depression.
Bulmash, E. L., Harkness, K. L., Stewart, J. G., & Bagby, R. M. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0017149 · Cited by 72 · see citing works
Self-citationMcQuaid, J. R., Monroe, S. M., Roberts, J. E., et al. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.4.787 · Cited by 66 · see citing works
Self-citationJordanova, V., Stewart, R. J., Goldberg, D. P., Bebbington, P., Brugha, T. S., Singleton, N., Lindesay, J. E. B., Jenkins, R., Prince, M. J., & Meltzer, H. (2007) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-007-0209-9 · Cited by 62 · see citing works
Severe life events predict specific patterns of change in cognitive biases in major depression
Monroe, S. M., Slavich, G. M., Torres, L. D., & Gotlib, I. H. (2007) · Psychological Medicine · doi:10.1017/s0033291707000281 · Cited by 49 · see citing works
Self-citationLife Events, Social Support, and Onset of Major Depressive Episode in Finnish Patients
Leskelä, U. S., Melartin, T. K., Lestelä-Mielonen, P. S., Rytsälä, H. J., Sokero, T. P., Heikkinen, M. E., & Isometsä, E. T. (2004) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000126705.15497.c9 · Cited by 46 · see citing works
Harkness, K. L., & Monroe, S. M. (2006) · Journal of Affective Disorders · doi:10.1016/j.jad.2005.12.009 · Cited by 44 · see citing works
Self-citationPerris, H. (1984) · Journal of Affective Disorders · doi:10.1016/0165-0327(84)90060-0 · Cited by 40 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Bifulco A Brown G Edwards A Harris T Neilson E Richards C Robinson R 1989 Life Events and Difficulties Schedule (LEDS–2): Vol. 1. Life events manual London, England Royal Holloway and Bedford New College, University of London
- First MB Spitzer RL Gibbon M Williams JBW 2002 Structured Clinical Interview for DSM–IV–TR Axis I Disorders, Research Version, Patient Edition. (SCID–I/P) New York, NY Biometrics Research
Cited by
Sorted by citations
Slavich, G. M., & Irwin, M. R. (2014) · Psychological Bulletin · doi:10.1037/a0035302 · Cited by 2,206 · see citing works
Self-citationWhy is depression more common among women than among men?
Kuehner, C. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)30263-2 · Cited by 1,752 · see citing works
Eaton, N. R., Keyes, K. M., Krueger, R. F., Balsis, S., Skodol, A. E., Markon, K. E., Grant, B. F., & Hasin, D. S. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0024780 · Cited by 701 · see citing works
The Emerging Field of Human Social Genomics
Slavich, G. M., & Cole, S. W. (2013) · Clinical Psychological Science · doi:10.1177/2167702613478594 · Cited by 523 · see citing works
Self-citationRisk factors for depression: an autobiographical review
Hammen, C. (2018) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050817-084811 · Cited by 483 · see citing works
Slavich, G. M., & Sacher, J. (2019) · Psychopharmacology · doi:10.1007/s00213-019-05326-9 · Cited by 383 · see citing works
Self-citationLife stress and suicide in adolescents
Stewart, J. G., Shields, G. S., Esposito, E. C., Cosby, E. A., Allen, N. B., Slavich, G. M., & Auerbach, R. P. (2019) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-019-00534-5 · Cited by 144 · see citing works
Self-citationChildhood Adversity and Cumulative Life Stress: Risk Factors for Cancer-Related Fatigue
Bower, J. E., Crosswell, A. D., & Slavich, G. M. (2014) · Clinical Psychological Science · doi:10.1177/2167702613496243 · Cited by 86 · see citing works
Self-citationKhorashad, B. S., Baron-Cohen, S., Roshan, G. M., Kazemian, M., Khazai, L., Aghili, Z., Talaei, A., & Afkhamizadeh, M. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2427-4 · Cited by 67 · see citing works
La Rocque, C. L., Harkness, K. L., & Bagby, R. M. (2014) · Journal of Adolescence · doi:10.1016/j.adolescence.2014.05.012 · Cited by 44 · see citing works
Self-citationLi, Y., Xie, Y., Xu, Y., Xian, X., Wang, R., Cai, L., Li, G., & Li, Y. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.03.003 · Cited by 22 · see citing works
- Authors
- Harkness, K. L., Alavi, N., Monroe, S. M., Slavich, G. M., Gotlib, I. H., & Bagby, R. M.
- Affiliations
- Queen's University (CA)
- University of Notre Dame (US)
- University of California, San Francisco (US)
- Stanford University (US)
- Centre for Addiction and Mental Health (CA)
- ORCID
- Venue
- Journal of Abnormal Psychology
- Published
- 2010-11
- Volume
- 119
- Issue
- 4
- Pages
- 791-803
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- PMC
- PMC3638862
- OpenAlex
- W2134026694
- Cited by
- 116
- References
- 56
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 10 · 2023: 6 · 2022: 14 · 2021: 7 · 2020: 9 · 2019: 6 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 10 · 2014: 10 · 2013: 9 · 2012: 6
- FWCI
- 9.63
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Sick Kids Foundation
- Ontario Mental Health Foundation
- National Institutes of Health (MH-60802)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
- Keywords
- gender differences, major depressive disorder, life events, depression onset, age moderation, early adulthood, contextual interviews, depression in women
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Analysis of Variance, Major Depressive Disorder, Depressive Disorder, Major, Female, Humans, Interview, Psychological, Life Change Events, Male, Middle Aged, Models, Psychological, Risk Factors, Severity of Illness Index, Sex Factors, Logistic Models
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review