"Getting on with life": Women's experiences and ways of coping with depression.

Explored women's experiences of depression, and in particular how women living in rural communities understand, experience, and cope with feelings of distress unaided by professional help. Participants were 15 women (aged 23–60 yrs) living in rural areas of central New Brunswick who completed a semistructured interview. The purpose of the interview was to explore their experiences of depression and their ways of coping with these experiences. The women's accounts were analyzed using thematic and discourse analysis methods. A central theme revealed in the analysis was that women's understanding of their experiences was interwoven with their attempts to live up to the ideals and practices of the "good" woman. Within this context, depressive experiences were viewed as a taken-for-granted or expected part of their everyday lives. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is life stress more likely to provoke depressive episodes in women than in men?

One of the most consistent findings in psychiatric research is that rates of major depression are at least twofold higher among women than among men. Although there is considerable agreement in the literature that life events play a role in producing, triggering, or maintaining episodes of depression, less is known about the relationship among gender, life events, and depression. In the present study, we compared the rates, focus ("interpersonal" vs. "non-interpersonal"), and timing of stressful life experiences reported in rigorous interviews of male and female patients with unipolar recurrent depression and nondepressed contrast subjects. Consistent with hypotheses, female patients were more likely to experience stressful life experiences than their male counterparts; rates of stressful life experiences did not differ between female and male controls. Unexpectedly, rates of interpersonal stress did not differ among males and females regardless of patient or control status. We also found no significant differences in the timing of pre-onset events: stressful events were generally concentrated in the period immediately preceding onset for both men and women. Thus, although these data suggest that life stress may play a larger role in the provocation of recurrent episodes of depression for women than for men, there do not seem to be sex differences in the extent to which interpersonal vs. noninterpersonal events and difficulties are associated with depression onset or in the temporal distribution of events. Implications of these results are discussed in the context of research on other putative factors contributing to gender differences in rates of depression.     

Gender differences in experiences of sexual harassment: Data from a male-dominated environment.

The goal of this investigation was to examine gender differences in experiences of sexual harassment during military service and the negative mental health symptoms associated with these experiences. Female (n = 2,319) and male (n = 1,627) former reservists were surveyed about sexual harassment during their military service and current mental health symptoms. As expected, women reported a higher frequency of sexual harassment. Further, women had increased odds of experiencing all subtypes of sexual harassment. Being female conferred the greatest risk for experiencing the most serious forms of harassment. For both men and women, sexual harassment was associated with more negative current mental health. However, at higher levels of harassment, associations with some negative mental health symptoms were stronger for men than women. Although preliminary, the results of this investigation suggest that although women are harassed more frequently than men, clinicians must increase their awareness of the potential for sexual harassment among men in order to provide the best possible care to all victims of harassment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An evaluation of the adequacy of cognitive/behavioural theories for understanding depression in women.

Four cognitive/behavioral theories (CBTs) of depression are evaluated against the criterion of their ability to account for the finding that rates of depression are higher in women than in men. A review of relevant research leads to the conclusion that CBTs as currently formulated are unable to account for the predominance of women among the depressed. In addition, because CBTs are implicitly male-biased in their assumptions about factors that increase vulnerability to depression, these theories, and the therapies derived from them, are inadequate for the purpose of furthering an understanding of depression in women. Models being developed by feminist theorists and therapists are considered potentially more promising for understanding depression in women. (French abstract) (0 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Feelings of attachment to siblings and well-being in later life.

On the basis of an adult model of sibling attachment, I hypothesized that the well-being of older persons depends on their perception of the closeness of the sibling bond, on their perception of any disruption of that bond, and on the sex combination of the siblings being considered. In all, 83 persons, aged 61 to 91 years, were interviewed about their relationships with each of their living siblings. They rated their feelings of closeness, conflict or rivalry, and indifference to the sibling. A measure of depression was used as the indicator of well-being. Separate correlational analyses were carried out for the four sex combinations of siblings. Closeness of the bond to a sister (by both men and women) was related to less depression. Also, women's perceptions of conflict and indifference in their relationships with sisters were related to increased depression. Findings are interpreted in terms of attachment theory and sex role expectations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Metaphors in the talk of "depressed" women in psychotherapy.

Variations in how we describe, explain, and treat "depression" and in who is labeled "depressed" attest to the significance of the social-historical contexts in which our understandings and practices are based. A prevalent, modern-day (Western) conception of "depression" is as a gendered (primarily female), devalued condition characterized by a discourse of the deficient self. In an effort to learn more about the particular forms of this discourse, the metaphors used by 10 depressed women (aged 28–62 yrs) to talk to their psychotherapists about their "selves" in relation to their perceived difficulties were studied. Two broad cultural imperatives were constructed from these metaphors: (1) Don't be too mothering and (2) Don't be too child-like. At the core of these 2 imperatives were messages about the importance of autonomy, for both oneself and others. This valuing of autonomy can be clearly located at the heart of 20th-century Western ideals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Experiences of women in cardiothoracic surgery. A gender comparison

OBJECTIVE: To assess the career and practice experiences of cardiothoracic surgeons, with references to gender similarities and differences. DESIGN: Four-step mailed 115-question survey. SUBJECTS: All identified women, and a cohort of men, certified by the American Board of Thoracic Surgery. MAIN OUTCOME MEASURES: Academic rank, career background, salary, perceptions and experiences of harassment or discrimination, and personal life characteristics. RESULTS: No differences were found in training backgrounds. More men (64%) than women (52%) were in university practices. Comparable proportions of men and women were assistant professors (27%), but more men (27%) than women (13.6%) were full professors. Fifty-eight percent of women and 21% of men reported salaries of less than $250000; 62% of men and 32% of women had incomes over $350000. Career satisfaction was comparable between genders; however, women perceived the promotion process as unfair and unrelated to academic rank. Both genders encouraged men toward a surgical career; men were less likely than women to encourage women to pursue a surgical career (P < .01). Women, much more than men, believed that discrimination hindered their career development (P < .001). Characteristics of personal life were also considerably different between the genders. CONCLUSION: Although practice and training parameters for male and female cardiothoracic surgeons are comparable, work experiences, personal life, and career rewards such as salary and promotion, and perception of discrimination are different.     

Studying intergenerational transmission of eating attitudes and behaviors: Methodological and conceptual questions.

Associations between parent and child attitudes and behaviors related to eating and weight were examined among college-age men and women and their mothers and fathers (ns?=?44, 47, 87, and 66, respectively). Parent attitudes and behaviors were assessed from the perspective of the parent and the student, and 2 pathways of influence were examined: modeling and direct criticism. In general, students' attitudes and behaviors were more strongly related to perceptions of their parents rather than to parents' own self-reports. There was more support for perceived direct criticism as a pathway of influence, particularly for daughters. Perceived criticism about eating and appearance had large associations with student attitudes and behaviors. Weight loss behavior was related to perceived criticism among daughters and to perceived paternal eating attitudes among sons. Results highlight important methodological and conceptual questions for intergenerational research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults.

Questionnaire data about criminal victimization experiences were collected from 2,259 Sacramento-area lesbians, gay men, and bisexuals (N?=?1,170 women and 1,089 men). Approximately 1/5 of the women and 1/4 of the men had experienced victimization because of their adult sexual orientation. Hate crimes were less likely than nonbias crimes to have been reported to police. Compared with other recent crime victims, lesbian and gay hate-crime survivors manifested significantly more symptoms of depression, anger, anxiety, and posttraumatic stress. They also displayed significantly more crime-related fears and beliefs, lower sense of mastery, and more attributions of their personal setbacks to sexual prejudice than did nonbias crime victims and nonvictims. Comparable differences were not observed among bisexuals. The findings highlight the importance of recognizing hate-crime survivors' special needs in clinical settings and in public policy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The meaning of difference: Gender theory, postmodernism, and psychology.

Two recent postmodern movements, constructivism and deconstruction, challenge the idea of a single meaning of reality and suggest that meanings result from social experience. We show how these postmodern approaches can be applied to the psychology of gender. Examining gender theories from a constructivist stand-point, we note that the primary meaning of gender in psychology has been difference. The exaggeration of differences, which we call alpha bias, can be seen in approaches that focus on the contrasting experiences of men and women. The minimizing of differences, beta bias, can be seen in approaches that stress the similarity or equality of men and women. From a deconstructivist position, we examine previously hidden meanings in the discourse of therapy that reveal cultural assumptions about gender relations. Paradoxes in contemporary constructions of gender impel us to go beyond these constructions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A model of meaning-making coping and growth in combat veterans.

More than 1.6 million military men and women have deployed to fight the global war on terror. Although studies have suggested that approximately one third of these service men and women return with a mental health condition or a brain injury, a gap remains in our understanding about how these individuals cope with and grow from their experiences. In this article, we review the existing body of research related to growth and recovery from trauma and then propose an empirically informed and contextually sensitive model to guide future research with combat veterans. We draw from research focused on resilience, posttraumatic growth, and decline (negative or pathological) change trajectories, and we propose that meaning-making coping is a core mechanism of the posttraumatic growth process for combat veterans. Implications for practitioners and the next steps for future research are presented. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Toward an understanding of depression from the standpoint of women: Exploring contributions of qualitative research approaches.

Provides an introduction to the special issue of Canadian Psychology on depression in women. "Depression" is recognized as one of the more common mental health problems and also one that is particularly prevalent among women. One major limitation of mainstream theorizing is the taken-for-granted view of depression as a form of internal "psychopathology," a phenomenon which can be understood without regard to sociocultural context. An approach that avoids this limitation is one in which contextual aspects of women's lives are included from the outset by following a research process that begins with the lived experiences of women. A focus on women's experiences also leads to consideration of the contributions of qualitative approaches to research on depression which are compatible with both a feminist standpoint perspective and social constructionist epistemologies. The articles in this special issue are intended to contribute to the development of new knowledge about depression in women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in the relations between depressive symptoms and drinking behavior among problem drinkers: A three-wave study.

Prior research has suggested that the relation between depression and drinking behavior is stronger for women than for men. In a 3-wave study spanning 3 years, we examined the nature of reciprocal relations between depressive symptoms and drinking behavior among women (n?=?207) and men (n?=?207) seeking detoxification or referral services for their drinking problems. Latent variable structural equation modeling analyses revealed that more baseline depression was associated with less alcohol consumption 1 year later among women and men. However, later on, more depression predicted heavier alcohol consumption, but only among women. Among women and men, heavier alcohol consumption predicted more subsequent depression, although the timing of this effect differed by gender. Reciprocal effects between depression and drinking problems were found only among men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Vers une compréhension de la dépression dans la perspective des femmes: Exploration de la contribution des approches de la recherche qualitative.

Provides an introduction to the special issue of Canadian Psychology on depression in women. "Depression" is recognized as one of the more common mental health problems and also one that is particularly prevalent among women. One major limitation of mainstream theorizing is the taken-for-granted view of depression as a form of internal "psychopathology," a phenomenon which can be understood without regard to sociocultural context. An approach that avoids this limitation is one in which contextual aspects of women's lives are included from the outset by following a research process that begins with the lived experiences of women. A focus on women's experiences also leads to consideration of the contributions of qualitative approaches to research on depression which are compatible with both a feminist standpoint perspective and social constructionist epistemologies. The articles in this special issue are intended to contribute to the development of new knowledge about depression in women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of patients'' global assessment of arthritis impact. A 2-year study of 216 patients with RA

The dominant ideology of the premenstrual woman is that of a person who has no control over her moods, cognition and behaviour because of her fluctuating hormone levels. The social influence of this stereotype has been put forward as an explanation for discrepancies between retrospective and prospective accounts of premenstrual experiences. However, recent research has found that women can and do distinguish between their own experience and that of the stereotype. What their own experience is (positive as well as negative) was the question that we set out to answer in this study. Nine undergraduate women were interviewed about their menstrual cycle experiences. Using qualitative analysis of their subjective accounts, a clear distinction between self and other premenstrual experiences emerged. While the women did experience premenstrual symptoms, they considered them to be relatively minor in comparison to what they defined as premenstrual syndrome. Furthermore, none of them had previously considered any positive menstrual cycle related experiences but the management of menstruation was emphatically viewed as a 'hassle'. We conclude that women can and do distinguish their own experience from the premenstrual stereotype and this needs to be recognized in the treatment setting; there is a lack of positive discourse for the menstrual cycle which needs to be developed and more attention needs to be paid to menstrual management because it is of great concern to women but is currently not discussed openly.     

Age, gender, and individual differences in memory failure appraisal.

Young adults (22 men and 24 women) and older adults (24 men and 24 women) rated 12 gender-neutral vignettes describing short-term, long-term, and very-long-term memory failures. Vignette target persons were young (aged 21–32 yrs) or older (aged 65–75 yrs) men or women. Ss of both age and gender groups used a double standard: Failures of older targets of both genders were rated as signifying greater mental difficulty than failures of young targets; failures of young targets were attributed to lack of effort and attention. Young Ss judged very-long-term failures more harshly than did older Ss. Ss' objective memory performance, self-rated memory failure frequency, memory failure discomfort, and depression made little difference in their target person ratings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

What's the latest? Cultural age deadlines for family transitions

Several questions about the degree to which cultural schedules exist for the timing of life transitions, as well as the nature of these schedules, remain unexplored. In this article, we examine age timetables for central family transitions. Do individuals perceive age deadlines for these transitions, and by what ages do they think that men or women should have experienced them? How much consensus exists about these deadlines? Why are they considered important, and what consequences are perceived for men or women who miss them? A key theoretical question with which we are concerned is whether contemporary thinking about these deadlines can be considered "normative." A random sample of 319 adults from the Chicago metropolitan area were interviewed about eleven separate life-course transitions, six of which were from the family sphere. By and large, the majority of respondents perceived deadlines for most of the family transitions discussed. While the deadlines cited were quite variable in range, they were also concentrated within a narrow band of ages. The dimensions underlying individuals' thinking about deadlines were centered primarily on the development of self and personality, or were linked to concerns about the sequencing of roles and experiences over lifetime. However, late timing was generally thought to be acceptable, accompanied by little social tension, and without consequences for the individual's life or the lives of other persons to whom one is intimately connected. While a rough, "normal biography" of family life existed in the minds of our respondents, the deadlines attached to that biography were flexible guidelines for the course of family life, not rigid, normative principles. These findings are discussed in light of recent debates about life-course theory and research.     

Becoming a parent: The relation between prenatal expectations and postnatal experience.

The relationship between individuals' prenatal expectations about parenthood and their postnatal experience of parenthood was examined. Seventy-three primiparous couples were interviewed during the 3rd trimester of pregnancy and asked open-ended questions regarding their expectations. A content analysis of these expectations identified several themes. A cluster analysis, using these themes as variables, identified 3 clusters of women labeled prepared, fearful, and complacent and 4 clusters of men labeled prepared, fearful, complacent, and mixed. Postnatal comparisons indicated that women and men in the prepared cluster generally demonstrated better adjustment than did individuals in the other clusters. Results are discussed in terms of the content of expectations about parenthood, gender differences in these expectations, and the association between prenatal expectations and postnatal experiences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differences in symptom reports between men and women with rheumatoid arthritis

OBJECTIVE: To determine if differences exist between men and women in their reports and evaluations of rheumatoid arthritis (RA) symptoms, and, if so, to identify explanations of those differences. METHOD: Data from a longitudinal panel study of persons with RA were used. Symptom reports were defined as individuals' evaluation of body states, e.g., evaluations of the severity of pain. Analyses were controlled for sociodemographic, clinical, and psychological characteristics. RESULTS: In unadjusted analyses, women were more likely to evaluate their symptoms as severe. Adjustment for sociodemographic and clinical characteristics changed these results very little. Controlling for depressive symptoms decreased the magnitude of associations somewhat. Analyses controlling for additional respondent-reported clinical characteristics (Health Assessment Questionnaire score, number of painful joints) yielded dramatically different results; in no case did women evaluate their symptoms significantly more severely than men. CONCLUSION: Our analyses suggest that women reported more severe symptoms, but that these differences may be due to more severe disease rather than a tendency by women to over-report symptoms or over-rate symptom severity. Future research should examine whether physicians respond to reports or prescribe treatments differently for men and women.