The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.
Gender differences in depression
Abstract
It is commonly suggested that a female preponderance in depression is universal and substantial. This review considers that proposition and explanatory factors. The view that depression rates are universally higher in women is challenged with exceptions to the proposition helping clarify candidate explanations. 'Real' and artefactual explanations for any such phenomenon are considered, and the contribution of sex role changes, social factors and biological determinants are overviewed. While artefactual factors make some contribution, it is concluded that there is a higher order biological factor (variably determined neuroticism, 'stress responsiveness' or 'limbic system hyperactivity') that principally contributes to the gender differentiation in some expressions of both depression and anxiety, and reflects the impact of gonadal steroid changes at puberty. Rather than conclude that 'anatomy is destiny' we favour a diathesis stress model, so accounting for differential epidemiological findings. Finally, the impact of gender on response to differing antidepressant therapies is considered briefly.
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“As a general rule of thumb, from puberty onward, internalizing disorders (those during which negative emotions are subjectively experienced) are more commonly seen in women (1–3).”
From Where Sex Meets Gender: How Sex and Gender Come Together to Cause Sex Differences in Mental Illness (2022) · cites this paper as [2]
In the citing paper
“For example, in a depression screening application, gender could be relevant as a sensitive attribute due to reported gender differences in the disorder’s signals [192].”
From Human-centred artificial intelligence for mobile health sensing: challenges and opportunities (2023) · cites this paper as [192]
Citations
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 109,845
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391
Kessler, R. C. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950010008002 · Cited by 12,370
Cross-national epidemiology of major depression and bipolar disorder
Weissman, M. M. (1996) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1996.03540040037030 · Cited by 2,302
Sex Differences and the Epidemiology of Depression
Weissman, M. M. (1977) · Archives of General Psychiatry · doi:10.1001/archpsyc.1977.01770130100011 · Cited by 1,853
Gender Differences in Treatment Response to Sertraline Versus Imipramine in Chronic Depression
Kornstein, S. G., Schatzberg, A. F., Thase, M. E., Yonkers, K. A., McCullough, J. P., Keitner, G. I., Gelenberg, A. J., Thomas, S., Harrison, W. M., & Keller, M. B. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.9.1445 · Cited by 712
American Economic Journal: Economic Policy
Auerbach, A. J. (2009) · American Economic Review · doi:10.1257/aer.99.2.679 · Cited by 526
The Paradox of Declining Female Happiness
Stevenson, B., & Wolfers, J. J. (2009) · American Economic Journal Economic Policy · doi:10.1257/pol.1.2.190 · Cited by 519
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
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
Amish Study, I: Affective disorders among the Amish, 1976-1980
Egeland, J. A., & Hostetter, A. M. (1983) · American Journal of Psychiatry · doi:10.1176/ajp.140.1.56 · Cited by 291
Atypical Depression: A Reappraisal
Parker, G. B., Roy, K., Mitchell, P. B., Wilhelm, K. A., Malhi, G. S., & Hadži-Pavlović, D. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.9.1470 · Cited by 220
Self-citationBrowne, M. A. O., Wells, J. E., Scott, K. M., & McGee, M. A. (2006) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2006.01905.x · Cited by 191
Sex differences in response to citalopram: A STAR∗D report
Young, E. A., Kornstein, S. G., Marcus, S. M., Harvey, A. T., Warden, D., Wisniewski, S. R., Balasubramani, G. K., D, M. F. M., Trivedi, M. H., & Rush, A. J. (2008) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2008.07.002 · Cited by 189
Gender differences in antidepressant drug response
Keers, R., & Aitchison, K. J. (2010) · International Review of Psychiatry · doi:10.3109/09540261.2010.496448 · Cited by 187
Sex and Age Differences in Depression: A Quantitative Synthesis of Published Research
Jorm, A. F. (1987) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678709160898 · Cited by 170
Gender and its effects on psychopathology
(2000) · Choice Reviews Online · doi:10.5860/choice.37-6556 · Cited by 157
Sex differences in minor psychiatric morbidity
Jenkins, R. (1985) · Psychological Medicine Monograph Supplement · doi:10.1017/s0264180100001788 · Cited by 107
Sex Differences in Neuroticism: A Quantitative Synthesis of Published Research
Jorm, A. F. (1987) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678709158917 · Cited by 104
First-Episode Major Depression: Few Sex Differences in Course
Simpson, H. B. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830190059006 · Cited by 104
Sex differences in psychological well-being
Briscoe, M. E. (1982) · Psychological Medicine Monograph Supplement · doi:10.1017/s0264180100001673 · Cited by 99
Gender differences in the phenomenology of bipolar disorder
Kessing, L. V. (2004) · Bipolar Disorders · doi:10.1111/j.1399-5618.2004.00135.x · Cited by 98
Sex differences in lifetime depression rates: fact or artefact?
Wilhelm, K. A., & Parker, G. B. (1994) · Psychological Medicine · doi:10.1017/s0033291700026878 · Cited by 94
Self-citationGender and depression in Anglo-Jewry
Loewenthal, K. M., Goldblatt, V., Gorton, T., Lubitsh, G., Bicknell, H., Fellowes, D., & Sowden, A. J. (1995) · Psychological Medicine · doi:10.1017/s0033291700037545 · Cited by 88
Is sex necessarily a risk factor to depression?
Wilhelm, K. A., & Parker, G. B. (1989) · Psychological Medicine · doi:10.1017/s0033291700012447 · Cited by 84
Self-citationDr. Egeland and Dr. Hostetter Reply
EGELAND, J. A., & HOSTETTER, A. M. (1983) · American Journal of Psychiatry · doi:10.1176/ajp.140.9.1264 · Cited by 81
Gender differences in rates of depression among undergraduates: measurement matters.
Grant, K., Marsh, P. A., Syniar, G., Williams, M., Addlesperger, E., Kinzler, M. H., & Cowman, S. E. (2002) · Journal des adolescens · doi:10.1006/jado.2002.0508 · Cited by 74
Fifteen years on: evolving ideas in researching sex differences in depression
WILHELM, K., PARKER, G., & HADZI-PAVLOVIC, D. (1997) · Psychological Medicine · doi:10.1017/s0033291797005060 · Cited by 69
Self-citationParker, G. B., & Hadži-Pavlović, D. (2004) · Psychological Medicine · doi:10.1017/s0033291703001181 · Cited by 68
Self-citationParker, G. B., & Brotchie, H. (2004) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000116464.60500.63 · Cited by 65
Self-citationPSYCHONEUROENDOCRINOLOGY OF DEPRESSION
Young, E. A., & Korszun, A. (1998) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70007-1 · Cited by 59
Orton, R. (1949) · British Medical Bulletin · doi:10.1093/oxfordjournals.bmb.a073417 · Cited by 53
Chocolate craving when depressed: a personality marker
Parker, G. B., & Crawford, J. (2007) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.106.033746 · Cited by 52
Self-citationSex differences in the experience of depressed mood state over fifteen years
Wilhelm, K. A., Parker, G. B., & Asghari̇, A. (1997) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050016 · Cited by 50
Self-citationGender differences in bipolar II and unipolar depressed outpatients: a 557-case study.
Benazzi, F. (1999) · Annals of Clinical Psychiatry · doi:10.1023/a:1022386213767 · Cited by 49
Women and Depression: A 30 Year Learning Curve
Wilhelm, K. A., Parker, G. B., Geerligs, L., & Wedgwood, L. (2007) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670701732665 · Cited by 49
Self-citationParker, G. B., & Hadzi‐Pavlovic, D. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.00375.x · Cited by 47
Self-citationGender Differences in Bipolar II and Unipolar Depressed Outpatients: A 557-Case Study
Benazzi, F. (1999) · Annals of Clinical Psychiatry · doi:10.3109/10401239909147049 · Cited by 47
Angst, J., & Dobler-Mikola, A. (1984) · Journal of Psychiatric Research · doi:10.1016/0022-3956(84)90029-3 · Cited by 46
Does gender influence response to differing psychotherapies by those with unipolar depression?
Parker, G. B., Blanch, B., & Crawford, J. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.05.020 · Cited by 43
Self-citationFemale Vulnerability to Neurosis: The Influence of Social Roles
Tennant, C., Bebbington, P., & Hurry, J. (1982) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678209159970 · Cited by 34
Gender Differences in Mood and Anxiety Disorders, From Bench to Bedside.
Jayaram, G. (2000) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200010000-00015 · Cited by 28
Gender differences in response to treatments of depression.
Thase, M. E., Frank, E., Kornstein, S. G., & Yonkers, K. A. (2000) · Cited by 28
Gender differences in mood and anxiety disorders : from bench to bedside
Leibenluft, E. (1999) · 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
Personality and Self-Reported Treatment Effectiveness in Depression
Parker, G. B., & Crawford, J. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670902873730 · Cited by 15
Self-citationManagement of Depression by General Practitioners: Impact of Physician Gender
Parker, G. B., & Hyett, M. P. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670902721178 · Cited by 11
Self-citationComputerized Content Analysis of Writings of Mahatma Gandhi
Gottschalk, L. A., & Bechtel, R. J. (2005) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000154834.69192.35 · Cited by 3
Research works printed but not linked: 1
- Thase ME, 2000, Gender and its effects on Psychopathology, 103
Cited by
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The social determinants of mental health and disorder: evidence, prevention and recommendations
Kirkbride, J. B., Anglin, D. M., Colman, I., Dykxhoorn, J. L., Jones, P. B., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., et al. (2024) · World Psychiatry · doi:10.1002/wps.21160 · Cited by 1,619
Kessler, R. C., Sampson, N. A., Berglund, P., Gruber, M. J., Al-Hamzawi, A., Andrade, L., Bunting, B., Demyttenaere, K., Florescu, S., de Girolamo, G., et al. (2015) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796015000189 · Cited by 636
Firth, J., Marx, W., Dash, S., Carney, R., Teasdale, S. B., Solmi, M., Stubbs, B., Schuch, F. B., Carvalho, A. F., Jacka, F., et al. (2019) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000673 · Cited by 566
Self-compassion and Psychological Distress in Adolescents—a Meta-analysis
Marsh, I. C., Chan, S. W. Y., & MacBeth, A. (2018) · Mindfulness · doi:10.1007/s12671-017-0850-7 · Cited by 465
Metadata
- Authors
- Parker, G., & Brotchie, H.
- Affiliations
- Black Dog Institute (AU)
- Corresponding author
- Parker, Gordon
- ORCID
- Parker, Gordon
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2010-10
- Volume
- 22
- Issue
- 5
- Pages
- 429-436
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W2106413222
- Cited by
- 756
- References
- 47
- Citations by year
- 2026: 44 · 2025: 70 · 2024: 87 · 2023: 75 · 2022: 94 · 2021: 56 · 2020: 70 · 2019: 33 · 2018: 33 · 2017: 28 · 2016: 30 · 2015: 40 · 2014: 33 · 2013: 24 · 2012: 24
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Keywords
- gender differences in depression, sex differences in depression, neuroticism, stress responsiveness, sex steroids, puberty, diathesis-stress model, anxiety, antidepressant response
- MeSH terms
- Antidepressive Agents, Anxiety, Depression, Depressive Disorder, Female, Humans, Limbic System, Male, Men, Puberty, Risk Factors, Sex Factors, Gonadal Steroid Hormones, Stress, Psychological, Women, Treatment Outcome
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