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Is Sex Necessarily a Risk Factor to Depression?

Published online by Cambridge University Press:  02 January 2018

Tirril Harris
Affiliation:
MRC Research Team, Department of Social Policy and Social Administration, Royal Holloway and Bedford New College, 11 Bedford Square, London WC1B 3RA
Paul Surtees
Affiliation:
MRC Biostatistics Unit, 5 Shaftesbury Road, Cambridge CB2 2BQ
John Bancroft
Affiliation:
MRC Reproductive Biology Unit, Royal Edinburgh Hospital, Edinburgh EH10 5HR

Abstract

“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
The Current Literature
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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References

Bancroft, J. & Sartorius, N. (1990) The effects of oral contraceptives on the well being and sexuality of women. Oxford Reviews of Reproductive Biology, 5792.Google Scholar
Bebbington, P. E., Dean, C., Der, G., et al (1991) Gender, parity and the prevalence of minor affective disorder. British Journal of Psychiatry, 158, 4045.CrossRefGoogle ScholarPubMed
Endicott, J., Halbreich, U., Schacht, S., et al (1981) Premenstrual changes and affective disorders. Psychosomatic Medicine, 43, 519529.Google Scholar
Gater, R. A., Dean, C. & Morris, J. (1989) The contribution of childbearing to the sex difference in first admission rates for affective psychosis. Psychological Medicine, 19, 719724.Google Scholar
Gilligan, C. (1982) In a Different Voice. Cambridge, MA: Havard University Press.Google Scholar
Halbreich, U. & Endicott, J. (1985) Relationship of dysphoric pre–menstrual changes to depressive disorders. Acta Psychiatrica Scandinavica, 71, 331338.Google Scholar
Jenkins, R. (1985) Sex differences in minor psychiatric morbidity. Psychological Medicine, suppl. 7.Google Scholar
Kendell, R. E., Chalmers, J. C. & Platz, C. (1987) Epidemiology of puerperal psychoses. British Journal of Psychiatry, 150, 662673.Google Scholar
Nolen–Hoeksema, S. (1987) Sex differences in unipolar depression: evidence and theory. Psychological Bulletin, 101, 259282.Google Scholar
Oakley–Browne, M. A., Joyce, P. R., Wells, J. E., et al (1989) Christchurch Psychiatric Epidemiology Study, Part II: Six month and other period prevalences of specific psychiatric disorders. Australian and New Zealand Journal of Psychiatry, 23, 327340.Google Scholar
Parker, G. (1987) Are the lifetime prevalence estimates in the ECA study accurate? Psychological Medicine, 17, 275282.CrossRefGoogle ScholarPubMed
Reoier, D. A., Myers, J. K., Dramer, M., et al (1984) The NIMH Epidemiologic Catchment Area program: historical context, major objectives and study population characteristics. Archives of General Psychiatry, 41, 934941.Google Scholar
Robins, L. N., Helzer, J. E., Crouch an, J., et al (1981) National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics and validity. Archives of General Psychiatry, 38, 381389.Google Scholar
Robins, L. N., Helzer, J. E., Weissman, M. M., et al (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949958.CrossRefGoogle ScholarPubMed
Romans–Clarkson, S. E., Walton, V. A., Herbison, G. P., et al (1988) Marriage, motherhood and psychiatric morbidity in New Zealand. Psychological Medicine, 18, 983990.Google Scholar
Rubinow, D. R., Roy–Byrne, P. P., Moban, M. C., et al (1986) Pre–menstrual mood change: characteristic patterns in women with and without pre-menstrual syndrome. Journal of Affective Disorders, 10, 8590.Google Scholar
Shaw, C. (1989) Recent trends in family size and family building. Population Trends, 58, 1922.Google Scholar
Veevers, J. E. (1973) Parenthood and suicide: an examination of a neglected variable. Social Science and Medicine, 7, 135144.CrossRefGoogle ScholarPubMed
Warner, P. & Bancroft, J. (1990) Factors related to self–reporting of the premenstrual syndrome. British Journal of Psychiatry, 157, 249260.Google Scholar
Weissman, M. M., Leaf, P. J., Tischler, G. L., et al (1988) Affective disorders in five United States communities. Psychological Medicine, 18, 141153.Google Scholar
Wells, J. E., Bushnell, J. A., Hornblow, A. R., et al (1989) Christchurch Psychiatric Epidemiology Study, Part I: Methodology and lifetime prevalence for specific psychiatric disorders. Australian and New Zealand Journal of Psychiatry, 23, 315326.CrossRefGoogle ScholarPubMed
Wilhelm, K. & Parker, G. (1989) Is sex necessarily a risk factor depression? Psychological Medicine, 19, 401413.Google Scholar
Young, M. A., Fogg, L. F., Scheftner, W. A., et al (1990) Sex differences in the lifetime prevalence of depression: does varying the diagnostic criteria reduce the female/male ratio? Journal of Affective Disorders, 18, 187192.Google Scholar
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