Abstract
Considerable controversy has emerged around the issue of sex differences in depression. A recent study of a large sample of young, unmarried college student found no sex differences in degree of depression as measured by the Beck Depression Inventory, and yet significant sex differences emerged in the patterns of symptoms expressed by the most depressed subsample. It was speculated that sex differences in symptom expression may lead to sex differences in self-presentation, help-seeking, and evaluation by professionals — eventuating in predominance of women treated for depression. Two studies were conducted to clarify these issues. The first study attempted to replicate the findings on a similar large sample of college students using discriminant function analysis of male and female responses to the D30 subscale of the Depression scale of the MMPI. The results confirmed the previous finding that depressed men in a college population are more likely to express social withdrawal, cognitive and motivational deficits, and somatic concerns. Depressed women are characterized on the D30 by a lack of confidence, a lack of concern for what happens to them, and being hurt by criticism. The second study examined possible sex differences in the self-labeling of depression, attitudes toward seeking help for depression, and actual help-seeking behaviors. Men and women did not differ in willingness to report depression. However, there were clear sex differences in both help-seeking attitudes and reported behaviors, with men more reluctant to seek help.
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References
Bart, P. B. The sociology of depression. In P. Roman & H. Trice (Eds.), Explorations in psychiatric sociology. Philadelphia; F. A. Davis, 1974.
Beck, A. T. Depression: Clinical, experimental and theoretical aspects. New York: University of Pennsylvania Press, 1967.
Beck, A., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. An inventory for measuring depression. Archives of General Psychiatry, 1961, 4, 53–63.
Bernard, J. Homosociality and female depression. Presented at APA, Washington, D.C., 1976.
Bosse, J., Croghan, L., Greenstein, M., Katz, N., Oliver, J., Powell, D., & Smith, W. Frequency of depression in the freshman year as measured in a random sample by a retrospective version of the Beck Depression Inventory. Journal of Consulting and Clinical Psychology, 1975, 43, 746–747.
Broverman, I., Broverman, D., Clarkson, F., Rosenkrantz, P., & Vogel, S. Sex role stereotypes and clinical judgements of mental health. Journal of Consulting and Clinical Psychology, 1970, 34, 1–7.
Calhoun, L., Cheney, T., & Dawes, A. S. Locus of control, self-reported depression, and perceived causes of depression. Journal of Consulting and Clinical Psychology, 1974, 42, 736.
Dempsey, P. A. A unidimensional depression scale for the MMPI. Journal of Consulting Psychology, 1964, 28, 364–370.
Dweck, C., & Goetz, T. Attributions and learned helplessness. In J. H. Harvey, W. Ickes, & R. Kidd (Eds.), New directions in attribution research (Vol. 2). Hillsdale, N.J.: Lawrence Erlbaum Associates, 1978.
Gove, W. R., & Geerken, M. R. Response bias in surveys of mental health: An empirical investigation. American Journal of Sociology, 1977, 82, 1289–1317.
Gove, W., & Tudor, J. Adult sex roles and mental illness. American Journal of Sociology, 1973, 78, 812–835.
Hammen, C., & Padesky, C. A. Sex differences in the expression of depressive responses on the Beck Depression Inventory. Journal of Abnormal Psychology, 1977, 86, 609–614.
Hammen, C. L., & Peters, S. D. Differential responses to male and female depressive reactions. Journal of Consulting and Clinical Psychology, 1977, 45, 994–1001.
Ickes, W., & Layden, M. A. Attributional styles. In J. Harvey, W. Ickes, & R. Kidd (Eds.), New directions in attribution research (Vol. 2). Hillsdale, N.J.: Lawrence Erlbaum Associates, 1978.
Levitt, E. E., & Lubin, B. Depression: Concepts, controversies & some new facts. New York: Springer, 1975.
Markush, R., & Favero, R. Epidemiologic assessment of stressful life events, depressed mood, and psychophysiological symptoms — A preliminary report. In B. S. Dohrenwend & B. P. Dohrenwend (Eds.), Stressful life events: Their nature and effects. New York: Wiley, 1974.
Phillips, D. L. Rejection of the mentally ill: The influence of behavior and sex. American Sociological Review, 1964, 29, 679–697.
Radloff, L. Sex differences in depression: The effects of occupation and marital status. Sex Roles, 1975, 1, 249–265.
Silverman, C. The epidemiology of depression. Baltimore: Johns Hopkins Press, 1968.
Tatsuoka, M. M. Selected topics in advanced statistics: (No. 6). Discriminant analysis. Champaign, Ill.: Institute for Personality and Ability Testing, 1970.
Weissman, M., & Klerman, G. Sex differences and the epidemilogy of depression. Archives of General Psychiatry, 1977, 34, 98–111.
Zigler, E., & Phillips, L. Social effectiveness and symptomatic behavior. Journal of Abnormal and Social Psychology, 1960, 61, 231–238.
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Padesky, C.A., Hammen, C.L. Sex differences in depressive symptom expression and help-seeking among college students. Sex Roles 7, 309–320 (1981). https://doi.org/10.1007/BF00287545
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DOI: https://doi.org/10.1007/BF00287545