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Is sex necessarily a risk factor to depression?

Published online by Cambridge University Press:  09 July 2009

Kay Wilhelm  and
Gordon Parker
Kay Wilhelm*
Affiliation:
School of Psychiatry, University of New South Wales, and Mood Disorders Unit, Prince Henry Hospital, Sydney, Australia
Gordon Parker
Affiliation:
School of Psychiatry, University of New South Wales, and Mood Disorders Unit, Prince Henry Hospital, Sydney, Australia
*
1Address for correspondence: Dr Kay Wilhelm, School of Psychiatry, Prince Henry Hospital, Little Bay 2036, Sydney, Australia.
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Synopsis

To isolate and quantify possible determinants of any increased prevalence of depressive disorders in women we studied a select group of men and women, initially similar in terms of a number of putative social determinants of depression, and reviewed the sample five years later when social role diversity was anticipated. We used the Diagnostic Interview Schedule (DIS) to generate DSM-III and RDC diagnoses to estimate lifetime depressive disorders, and established (via corroborative reports) the likely accuracy of those data. Despite lifetime depression being a relatively common experience, no significant sex differences in depressive episodes were demonstrated, suggesting the possible irrelevance of biological factors in determining any sex difference. As there was not major social role divergence over the five year study, we interpret the lack of a sex difference as a consequence, and suggest that findings support the view that social factors are of key relevance in determining any female preponderance in depression described in general population studies.

Type
Research Article
Information
Psychological Medicine , Volume 19 , Issue 2 , May 1989 , pp. 401 - 413
Copyright
Copyright © Cambridge University Press 1989

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References

American Psychiatric Association, (1980) Diagnostic and Statistical Manual of Mental Disorders, third edn. APA: Washington, DC. Google Scholar
Angst, J. & Dobler-Mikola, A. (1984). The definition of depression. Journal of Psychiatric Research 18. 401–406.CrossRefGoogle ScholarPubMed
Anthony, J. C., Folstein, M., Romanoski, A J., Von Korff, M. R., Nestadt, G. R., Chahal, R., Merchant, A., Brown, C. H., Shapiro, S., Kramer, M. & Gruenberg, E.M (1985). Comparison of the lay Diagnostic Interview Schedule and a standardized psychiatric diagnosis: experience in Eastern Baltimore. Archives of General Psychiatry 42. 667–675.CrossRefGoogle Scholar
Bem, S. L. (1974) The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology 42, 155–162.CrossRefGoogle ScholarPubMed
Blatt, S. J., D'Affliti, J. P. & Quinlan, D. M. (1975). Depressive Experiences Questionnaire. Unpublished report. Department of Psychology, Yale University.Google Scholar
Boyd, J. H. & Weissman, M. M. (1981). Epidemiology of affective disorders a reexamination and future directions. Archives of General Psychiatry 38. 1039–1046.CrossRefGoogle ScholarPubMed
Briscoe, M. (1982). Sex differences in psychological well-being. Psychological Medicine. Monograph Supplement I.Google Scholar
Cohen, J. (1977). Statistical Power Analysis for the Behavioral Sciences, third edn. Academic Press: New York.Google Scholar
Congalton, A A. (1969). Status and Prestige in Australia. Cheshire Publishing: Melbourne.Google Scholar
Costello, C. G. & Comrey, A. L. (1967). Scales for measuring depression and anxiety. Journal of Psychology 66, 303–313.CrossRefGoogle ScholarPubMed
Endicott, J. & Spitzer, R. L. (1978). A diagnostic interview: the Schedule for Affective Disorders and Schizophrenia. Archives of General Psychiatry 35, 773–782.CrossRefGoogle Scholar
Eysenck, H. J. & Eysenck, S. B. (1964). Manual of the Eysenck Personality Inventory. Hodder and Stoughton: London.Google Scholar
Finlay-Jones, R (1986). Factors in the teaching environment associated with severe psychological distress among school teachers. Australian and New Zealand Journal of Psychiatry 20, 304–313 CrossRefGoogle ScholarPubMed
Folstein, M. F., Romanoski, A., Nestadt, G., Chahal, R., Merchant, A., Shapiro, S., Kramer, M., Anthony, J., Gruenberg, E. M. & McHugh, P. R. (1985). Brief report on the clinical appraisal of the Diagnostic Interview Schedule carried out at the Johns Hopkins site of the Epidemiological Catchment Area programme of the NIMH. Psychological Medicine 15, 809–814.CrossRefGoogle Scholar
Goldberg, D. P., Cooper, B. & Eastwood, M. R. (1970). A standardised psychiatric interview suitable for use in community surveys. British Journal of Preventive and Social Medicine 24, 18–23.Google Scholar
Hagnell, O., Lanke, J., Rorsman, B. & Ojesjo, L. (1982). Are we entering an age of melancholy? Depressive illnesses in a prospective epidemiologic study over 25 years the Lundby study, Sweden. Psychological Medicine 12, 279–289.CrossRefGoogle Scholar
Hammen, C. L. & Padesky, C. A. (1977). Sex differences in the expression of depressive responses on the Beck Depression Inventory. Journal of Abnormal Psychology 86, 609–614.CrossRefGoogle ScholarPubMed
Helzer, J. E., Robins, L. N., McEvoy, L. T., Spitznagel, E. L., Stoltzman, R. K., Farmer, A. & Brockington, I F (1985). A comparison of clinical and Diagnostic Interview Schedule diag-noses: Physician reexamination of lay-interviewed cases in the general population. Archives of General Psychiatry 42, 657–666 CrossRefGoogle Scholar
Hirschfeld, R. M. A. Klerman, G. L., Gough, H. G., Barrett, J., Kordins, J. & Chodoff, P. (1977). A measure of interpersonal dependency. Journal of Personal Assessment 4, 610–618.CrossRefGoogle Scholar
Jenkins, R. (1985) Sex differences in minor psychiatric morbidity. Psychological Medicine Monograph Supplement 7.CrossRefGoogle Scholar
Jorm, A. F. (1987) Sex and age differences in depression A quantitative synthesis of published research. Australian and New Zealand Journal of Psychiatry 21, 46–53.CrossRefGoogle ScholarPubMed
Katz, R. & McGuffin, P. (1987) Neuroticism in family depression. Psychological Medicine 17, 155–161 CrossRefGoogle Scholar
Leckman, J. R., Sholomskas, D., Thompson, D., Belanger, A. & Weissman, M. M. (1982). Best estimate of lifetime prevalence diagnosis: a methodological study. Archives of General Psychiatry 39. 879–883.CrossRefGoogle Scholar
Murphy, J. M. (1986) Trends in depression and anxiety: Men and women. Acta Psychiatrica Scandinavica 73, 113–127.CrossRefGoogle ScholarPubMed
Oliver, J. M. & Simmons, M. E. (1985). Affective disorders and depression as measured by the Diagnostic Interview Schedule and the Beck Depression Inventory in an unselected adult population. Journal of Clinical Psychology 41, 469–476.3.0.CO;2-R>CrossRefGoogle Scholar
Parker, G. (1979). Sex differences in non-clinical depression Australian and New Zealand Journal of Psychiatry 13, 127–132.CrossRefGoogle ScholarPubMed
Parker, G. (1987). Are the lifetime prevalence estimates in the ECA study accurate? Psychological Medicine 17, 275–282.CrossRefGoogle ScholarPubMed
Regier, D. A., Myers, J. K., Dramer, M., Robins, L. H., Blazer, D. G., Hough, R. L., Eaton, W. W. & Locke, B. Z. (1984) The NIMH Epidemiologic Catchment Area program: historical context, major objectives and study population characteristics Archives of General Psychiatry 41, 934–941.CrossRefGoogle ScholarPubMed
Reich, T., Rice, J., Andreasen, N. & Clayton, P. (1980) A preliminary analysis of the segregation distribution of primary major depressive disorder Psychiatric Bulletin 16, 34–36.Google ScholarPubMed
Renwick, P. A. & Lawler, E. E. (1978) Special report on work papers. Psychology Today 11, 53–65.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry 38, 381–389 CrossRefGoogle ScholarPubMed
Robins, L. N., Helzer, J. E., Weissman, M. M., Orvaschel, H., Gruenberg, G., Burke, J. D. & Regier, D A. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry 41, 949–958.CrossRefGoogle ScholarPubMed
Romans-Clarkson, S E., Walton, V A., Herbison, G. P. & Mullen, P. (1988). A study of women who refused to participate in a community survey of psychiatric disorder. Australian and New Zealand Journal of Psychiatry 22, 19–29.CrossRefGoogle Scholar
Rosenberg, M. (1965). The Measurement of Self-Esteem, Society and the Adolescent Self-image. Princeton University Press: Princeton, New Jersey.CrossRefGoogle Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1981) Research Diagnostic Criteria (RDC) for a Selected Group of Functional Disorders. Updated Third Edition (6/80). Typescript obtained from New York State Psychiatric Institute (Dr Endicott).Google Scholar
Weissman, M. M. & Klerman, G. L. (1977). Sex differences and the epidemiology of depression. Archives of General Psychiatry 34, 98–111.CrossRefGoogle ScholarPubMed
Weissman, M. M. & Myers, J. K (1978). Affective disorders in a US urban community. The use of Research Diagnostic Criteria in an epidemiological survey. Archives of General Psychiatry 35, 1304–1311.CrossRefGoogle Scholar
Weissman, M M., Leaf, P J., Holzer, C. E., Myers, J. K. & Tischler, G. L (1984). The epidemiology of depression: an update on sex differences in rates. Journal of Affective Disorders 7, 179–188.CrossRefGoogle ScholarPubMed
Wilson, P. H. (1979) Behavioural and Pharmacological Treatment of Depression. Unpublished PhD thesis. University of New South Wales.Google Scholar