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男性抑郁症问题。

Depression's Problem With Men.

机构信息

Second-year medical student in the dual degree UC Berkeley-UCSF Joint Medical Program. .

出版信息

AMA J Ethics. 2021 Jul 1;23(7):E586-589. doi: 10.1001/amajethics.2021.586.

Abstract

Too many men who suffer from depression remain undiagnosed. While men are diagnosed with depression at half the rate of women, they die by suicide 3 to 4 times as frequently. Gendered processes of socialization affect how some boys and men express depression. Notably, gender disparities in diagnosis disappear when "male-typical" symptoms of depression are incorporated. Historically and to this day, masculinities have created barriers to care. Addressing disparities in depression diagnoses and treatment requires making psychological services affordable, adopting collaborative care models, revisiting sex as a risk factor for depression, and reexamining major depressive disorder's diagnostic criteria.

摘要

太多患有抑郁症的男性未被诊断出来。尽管男性被诊断出抑郁症的比例只有女性的一半,但他们自杀的几率却是女性的 3 到 4 倍。社会化的性别过程会影响一些男孩和男性表达抑郁的方式。值得注意的是,当纳入“男性典型”的抑郁症状时,诊断方面的性别差异就会消失。从历史上到今天,男子气概一直是获得护理的障碍。解决抑郁症诊断和治疗方面的差异需要使心理服务负担得起,采用协作护理模式,重新审视性别作为抑郁风险因素,并重新检查重性抑郁障碍的诊断标准。

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