1 West Virginia University, Morgantown, WV, USA.
2 Michael E. Debakey VA Medical Center, Houston, TX, USA.
Am J Mens Health. 2018 Jan;12(1):19-29. doi: 10.1177/1557988315619676. Epub 2015 Dec 3.
Evidence suggests that men who strongly endorse masculine traits display an atypical presentation of depression, including more externalizing symptoms (e.g., anger or substance use), but fewer typical, internalizing symptoms (e.g., depressed mood or crying). This phenomenon has not been adequately explored in older adults or women. The current study used the externalizing subscale of the Masculine Depression Scale in older and younger men and women to detect atypical symptoms. It was predicted that individuals who more strongly endorsed masculine traits would have higher scores on the measure of externalizing symptoms relative to a measure of typical depressive symptoms Center for Epidemiologic Studies-Depression Scale. It was anticipated that results would differ by age-group but not by gender. Multigroup path analysis was used to test the hypothesis. The hypothesized path model, in which endorsement of masculine traits was associated with lower scores on the Center for Epidemiologic Studies-Depression Scale and with scores on the externalizing, but not internalizing, factor of the Masculine Depression Scale, fit the data well. Results differed significantly by age-group and gender. Masculine individuals reported lower levels of typical depressive symptoms relative to externalizing symptoms, but further research is needed within age- and gender groups. Results are consistent with the gendered responding framework and suggest that current assessment tools, which tend to focus on internalizing symptoms of depression, may not detect depression in individuals who endorse masculine traits.
有证据表明,强烈认同男性特征的男性表现出非典型的抑郁症状,包括更多的外化症状(例如,愤怒或物质使用),但较少出现典型的内化症状(例如,情绪低落或哭泣)。这种现象在老年人或女性中尚未得到充分探讨。本研究在老年男性和女性中使用男性抑郁量表的外化量表来检测非典型症状。研究预测,与典型抑郁症状量表(流行病学研究中心抑郁量表)相比,更强烈认同男性特征的个体在外化症状测量上的得分会更高。预计结果会因年龄组而异,但不会因性别而异。多组路径分析用于检验假设。假设的路径模型中,男性特征的认同与流行病学研究中心抑郁量表得分较低以及男性抑郁量表的外化但非内化因子得分相关,该模型很好地拟合了数据。结果因年龄组和性别而异。与内化症状相比,男性个体报告的典型抑郁症状水平较低,但仍需要在年龄组和性别组内进行进一步研究。结果与性别反应框架一致,并表明目前倾向于关注抑郁的内化症状的评估工具可能无法检测到认同男性特征的个体的抑郁症状。