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1

Curran, Joseph. "Depression in men." Mental Health Practice 9, no. 6 (March 2006): 31. http://dx.doi.org/10.7748/mhp.9.6.31.s27.

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Porche, Demetrius J. "Depression in Men." Journal for Nurse Practitioners 1, no. 3 (October 2005): 138–39. http://dx.doi.org/10.1016/j.nurpra.2005.09.013.

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3

Symonds, Cathy, and Ian M. Anderson. "Depression in men." Trends in Urology & Men's Health 2, no. 6 (November 2011): 21–25. http://dx.doi.org/10.1002/tre.230.

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4

Page, Stewart. "Depression in men, depression in women, and the depressing nature of theories of depression." Canadian Psychology/Psychologie canadienne 31, no. 3 (1990): 292–94. http://dx.doi.org/10.1037/h0078922.

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Ilias, Ioannis, Salvatore Alesci, Philip Gold, and George Chrousos. "Depression and Osteoporosis in Men: Association or Casual Link?" HORMONES 5, no. 1 (January 15, 2006): 9–16. http://dx.doi.org/10.14310/horm.2002.11164.

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Carnahan, Ryan M., and Paul J. Perry. "Depression in Aging Men." Drugs & Aging 21, no. 6 (2004): 361–76. http://dx.doi.org/10.2165/00002512-200421060-00002.

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7

Thomas, Sandra P. "Perinatal Depression in Men." Issues in Mental Health Nursing 31, no. 10 (September 2010): 621. http://dx.doi.org/10.3109/01612840.2010.509988.

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Madsen, Svend Aage. "Men and perinatal depression." Trends in Urology & Men's Health 10, no. 2 (March 2019): 7–9. http://dx.doi.org/10.1002/tre.681.

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9

Amiaz, Revital, and Stuart N. Seidman. "Testosterone and depression in men." Current Opinion in Endocrinology, Diabetes and Obesity 15, no. 3 (June 2008): 278–83. http://dx.doi.org/10.1097/med.0b013e3282fc27eb.

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10

Porche, Demetrius James, and Danny G. Willis. "DEPRESSION IN HIV-INFECTED MEN." Issues in Mental Health Nursing 27, no. 4 (January 2006): 391–401. http://dx.doi.org/10.1080/01612840600569658.

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Addis, Michael E. "Gender and Depression in Men." Clinical Psychology: Science and Practice 15, no. 3 (September 2008): 153–68. http://dx.doi.org/10.1111/j.1468-2850.2008.00125.x.

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Guarnero, Peter Andrew, and Jacquelyn H. Flaskerud. "Latino Gay Men and Depression." Issues in Mental Health Nursing 29, no. 6 (January 2008): 667–70. http://dx.doi.org/10.1080/01612840802048949.

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Siu, Alex, Wing Chan, and Elsie Yan. "THE IMPACTS OF DEPRESSION AND SUICIDE ATTEMPTS AMONG OLDER MEN WHO HAVE SEX WITH MEN." Innovation in Aging 6, Supplement_1 (November 1, 2022): 846. http://dx.doi.org/10.1093/geroni/igac059.3033.

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Abstract Suicidality among older adults has attracted much attention due to their vulnerability. Older men who have sex with men (OMSM) have rarely been studied psychologically. Study examines factors that affect the mental health of OMSM, including depression, suicidal tendency, and suicide likelihood. OMSM in the United States are analyzed using descriptive statistics for correlations between depression and suicidal tendency. A literature review helped us select scales based on the regression model we constructed. Control variables were assessed for validity and relevance. A dependent variable was depression, and a dependent variable was suicidal tendencies. Depression and suicidal tendency scores significantly differed between men who have sex with men and the general population (t = 67.084,58.193, P < 0.01). Suicidal tendencies and depression are significantly higher among homosexuals than among general groups. The regression analysis shows older men who have sex with men are more likely to suffer from depression and suicide (P < 0.01). Depression and suicide rates in OMSM are higher than those in the general population. The level of depression, in the intermediary test, mediates both the effect of OMSM on individual suicidal tendency and individual suicidal behavior (P < 0.01). Suicidal tendencies in OMSM can be reduced through depression intervention.
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Eddy, Brandon, Von Poll, Jason Whiting, and Marcia Clevesy. "Forgotten Fathers: Postpartum Depression in Men." Journal of Family Issues 40, no. 8 (February 27, 2019): 1001–17. http://dx.doi.org/10.1177/0192513x19833111.

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Although postpartum depression is common and well-studied in mothers, many fathers also experience symptoms. This qualitative study investigated fathers’ experiences of postpartum depression. Data from secondary sources such as blogs, websites, forums, and chat rooms were analyzed using a combination of phenomenological and content analysis methods to understand father’s experiences of paternal postpartum depression. Six themes emerged from the data including fathers’ needing education, adhering to gender expectations, repressing feelings, being overwhelmed, resentment of baby, and the experience of neglect. These data provide useful information that can aid health care providers, researchers, clinicians, and families in understanding the experience of paternal postpartum depression and in better coping with the challenges these families face.
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Branney, Peter, and Alan White. "Big boys don't cry: depression and men." Advances in Psychiatric Treatment 14, no. 4 (July 2008): 256–62. http://dx.doi.org/10.1192/apt.bp.106.003467.

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Men are a numerical minority group receiving a diagnosis of, and treatment for, depression. However, community surveys of men and of their mental health issues (e.g. suicide and alcoholism) have led some to suggest that many more men have depression than are currently seen in healthcare services. This article explores current approaches to men and depression, which draw on theories of sex differences, gender roles and hegemonic masculinity. The sex differences approach has the potential to provide diagnostic tools for (male) depression; gender role theory could be used to redesign health services so that they target individuals who have a masculine, problem-focused coping style; and hegemonic masculinity highlights how gender is enacted through depression and that men's depression may be visible in abusive, aggressive and violent practices. Depression in men is receiving growing recognition, and recent policy changes in the UK may mean that health services are obliged to incorporate services that meet the needs of men with depression.
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Thase, Michael E., Edward S. Friedman, Amy L. Fasiczka, Susan R. Berman, Ellen Frank, Eric A. Nofzinger, and Charles F. Reynolds. "Treatment of Men With Major Depression." Journal of Clinical Psychiatry 61, no. 7 (July 15, 2000): 466–72. http://dx.doi.org/10.4088/jcp.v61n0702.

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17

Osadshiy, Yu Yu, V. A. Soldatkin, M. N. Kryuchkova, and A. G. Faustova. "Depression in men with testosterone deficiency." Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 121, no. 10 (2021): 19. http://dx.doi.org/10.17116/jnevro202112110119.

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Brownhill, Suzanne, Kay Wilhelm, Lesley Barclay, and Virginia Schmied. "‘Big Build’: Hidden Depression in Men." Australian & New Zealand Journal of Psychiatry 39, no. 10 (October 2005): 921–31. http://dx.doi.org/10.1080/j.1440-1614.2005.01665.x.

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Objective: To investigate men's experience of depression. Method: A sample ofmale and female teachers and students was recruited from four sites of a tertiary education institution to a series of focus groups. A grounded theory approach to qualitative data analysis was used to elucidate men's experience of depression. Content analysis was applied to the women's data to examine similarities and contrasts with the men. Standard measures of mood and dispositional optimism confirmed the non-clinical status of the group. Results: The findings suggest that some men who are depressed can experience a trajectory of emotional distress manifest in avoidant, numbing and escape behaviours which can lead to aggression, violence and suicide. Gender differences appear not in the experience of depression per se, but in the expression of depression. Conclusion: Emotional distress, constrained by traditional notions of masculinity, may explain why depression in men can often be hidden, overlooked, not discussed or ‘acted out’. There are implications for the types of questions asked of men to detect depressive symptoms.
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Seidman, Stuart N., and B. Timothy Walsh. "Testosterone and Depression in Aging Men." American Journal of Geriatric Psychiatry 7, no. 1 (December 1999): 18–33. http://dx.doi.org/10.1097/00019442-199902000-00004.

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20

Brownhill, Suzanne, Kay Wilhelm, Lesley Barclay, and Virginia Schmied. "'Big build': hidden depression in men." Australian and New Zealand Journal of Psychiatry 39, no. 10 (October 2005): 921–31. http://dx.doi.org/10.1111/j.1440-1614.2005.01665.x.

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21

Bennett, Gerald, and Terry A. Badger. "Depression in Men With Prostate Cancer." Oncology Nursing Forum 32, no. 3 (May 1, 2005): 545–56. http://dx.doi.org/10.1188/05.onf.545-556.

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22

Melville, Donald I., David Hope, Dean Bennison, and Brian Barraclough. "Depression among men made involuntarily redundant." Psychological Medicine 15, no. 4 (November 1985): 789–93. http://dx.doi.org/10.1017/s0033291700005018.

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SynopsisNinety-eight men aged 25–50, who were unemployed because of involuntary redundancy and out of work for 2–18 months, completed the Beck Depression Inventory (BDI) and the General Health Questionnaire (GHQ–30). Their scores were compared with those of a group of employed men matched for age and social class. The mean GHQ score for the redundant men was 13–0, compared with 4·0 for the employed group. The mean BDI score was 11·1 for the redundant group and 5·6 for the employed group. Eighteen per cent of the redundant men, compared with 6% of the employed group, scored 18 or more which are scores corresponding to those in depressive illness. We conclude that the prevalence of depressive illness may be increased among redundant men.
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Eales, M. J. "Depression and anxiety in unemployed men." Psychological Medicine 18, no. 4 (November 1988): 935–45. http://dx.doi.org/10.1017/s0033291700009867.

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SynopsisPsychiatric status and psychosocial variables were assessed in a group of 80 unemployed men. Symptoms of depression and anxiety were assessed using the Present State Examination and ‘caseness’ rated according to the Bedford College criteria. Among men who were normal at the time of job loss, 14% developed a ‘case’ disorder and a further 17% a ‘borderline case’ disorder over the first 6 months of unemployment. These rates are similar to those found in studies concerned with a wider range of severe life events. An increased risk of onset was associated with three factors: lack of an intimate relationship with a wife or girlfriend, trait shyness, and preexisting economic difficulties.
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GUILFORD-BLAKE, ROXANNA. "Some Men Talk About Depression Differently." Clinical Psychiatry News 38, no. 4 (April 2010): 17. http://dx.doi.org/10.1016/s0270-6644(10)70193-4.

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25

Fendrikova, A. V., V. V. Skibitskiy, and A. V. Skibitskiy. "Gender Differences in Vascular Stiffness Indicators and Daily Blood Pressure Profile in Patients with Arterial Hypertension and Depressive Disorders." Kardiologiia 60, no. 12 (January 19, 2021): 83–89. http://dx.doi.org/10.18087/cardio.2020.12.n1293.

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Aim To study gender-related characteristics of vascular wall stiffness (VWS), central blood pressure (CBP), and BP diurnal profile in patients with arterial hypertension (AH) and depression.Material and methods This prospective, noninterventional study enrolled 161 patients, including 98 patients with AH and depression (50 (51 %) men and 48 (49 %) women) and 63 patients with AH without depression (32 (50.8 %) men and 31 (49.2 %) women. The 24-h BP monitoring (24-h BPM) with a BPLab Vasotens hardware system was performed for all patients. The following indexes were evaluated: mean diurnal, mean daytime, and mean nighttime systolic and diastolic BP (SBP and DBP); daytime and nighttime SBP and DBP time index; SBP and DBP variability; and suite of metrics characterizing VWS and CBP. Depression was diagnosed with the Hospital Anxiety and Depression Scale (HADS) and the Zung Self-Rating Depression Scale. Statistical analyses were performed using the STATISTICA 12 software.Results In the patient group with AH and depression, practically all indexes of 24-h BPM were higher for men than for women (р<0.05). Most 24-h BPM parameters did not differ in groups of men and women without depression. Independent of gender, 24-h BPM parameters were significantly higher in patients with both AH and depression than in AH patients without depression. Adverse changes in major indexes of VWS and CBP, were more pronounced in men than in women with AH and depression (р<0.05). Adverse changes in most VWS and CBP indexes were more statistically significant for men with AH and depression than for men without depression.Conclusion The presence of depression in men and women with AH was associated with significant pathological changes in both BP diurnal profile and CBP and VWS parameters. Furthermore, adverse changes in indexes were more pronounced for men with depression than for women. The study results should be taken into account in administration of antihypertensive and psychocorrective drug therapy to personalize the treatment and provide not only optimization of diurnal BP profile but also vasoprotection.
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Creighton, Genevieve, John Oliffe, John Ogrodniczuk, and Blye Frank. "“You’ve Gotta Be That Tough Crust Exterior Man”: Depression and Suicide in Rural-Based Men." Qualitative Health Research 27, no. 12 (July 9, 2017): 1882–91. http://dx.doi.org/10.1177/1049732317718148.

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Suicide rates in Canada are highest among rural men. Drawing on photovoice interviews with 13 women and two men living in a small rural Canadian town who lost a man to suicide, we inductively derived three themes to describe how contextual factors influence rural men’s experiences of depression and responses to suicidal thoughts: (a) hiding depression and its cause, (b) manly self-medicating, and (c) mobilizing prevention. Further discussed is how gender relations and ideals of masculinity within rural milieu can inhibit men’s acknowledgment of and help seeking for mental illness issues. Participants strongly endorsed a multifaceted approach to the destabilization of dominant ideals of masculinity that likely contribute to depression and suicide in rural men.
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Bejda, Grzegorz, and Agnieszka Kułak-Bejda. "Depression - is it also a problem for men?" Progress in Health Sciences 12, no. 2 (December 30, 2022): 90–98. http://dx.doi.org/10.5604/01.3001.0016.1752.

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Report of the Organization for Economic Co-operation and Development (OECD - Organiza-tion for Economic Co-operation and Develop-ment) and the European Commission entitled "Health at a Glance: Europe 2018" indicates that in 2016 in EU countries - 17.3% of the popula-tion, or approximately 84 million inhabitants of the Union, struggled with mental disorders such as depression, anxiety and use-related disorders. alcohol and drugs. In 2017, 3.1% of men in the European Union suffered from depression. The highest percentages of male with depression were found in Lithuania and Finland (approx. 4%), including Poland - 2.4% of men. In 2019, symptoms that may indicate depression were more common in 12.2% of men. The paper re-views the available literature on depression in men. The results are discussed in a sub-chapter:Introduction, Extent of depression, Clin-ical basis of male depression, Postpartum de-pression in men, Summary.
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Hu, Ying, Xiao-ni Zhong, Bin Peng, Yan Zhang, Hao Liang, Jiang-hong Dai, Juying Zhang, Xiao-hua Zhong, and Ai-long Huang. "Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China." BMJ Open 9, no. 1 (January 2019): e023498. http://dx.doi.org/10.1136/bmjopen-2018-023498.

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ObjectiveTo compare the prevalence of depression, anxiety and comorbidity between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO) and examine the associated factors with depression and anxiety separately.DesignA cross-sectional study.SettingThe study was conducted in Western China.ParticipantsFrom April 2013 to October 2014, 2422 participants aged 18–65 years, who were male at birth, had engaged in sex with male partners in the past 6 months, self-reported negative or unknown HIV status, were willing to participate and provided informed consent were recruited using non-probability sampling. An anonymous self-administered questionnaire was used to collect the data. A total of 1809 HIV-negative men who have sex with men (MSM) were eligible for the final analysis.ResultsOf 1809 MSM, 16.1% were MSMW and 83.9% were MSMO. The prevalence of depression, anxiety and comorbidity was 50.86%, 36.43% and 32.65%, respectively, for MSMW; these results were higher than those for MSMO (35.18%, 23.52% and 18.91%, respectively). After adjusting for potential confounding factors, the prevalence of depression and anxiety was higher among MSMW than among MSMO. The prevalence of depression and/or anxiety was associated with young age, lower educational level, lower monthly income, lower HIV score and some risky sexual behaviour (had never engaged in HIV counselling, had obtained commercial sexual services in the past 6 months and sometimes/always looked for sexual partners through the internet). The prevalence of depression and anxiety was lower for those who drank less than once a week than for those who never drank.ConclusionOur findings suggest the need to address mental health among MSMW. Future health intervention strategies should integrate mental health services and traditional HIV prevention programmes and should consider the differences between MSMW and MSMO.Trial registration numberChiCTR-TRC-13003849; Pre-results.
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Martin, Sean, Ian Zajac, Andrew Vincent, Robert J. Adams, Sarah Appleton, and Gary A. Wittert. "Effect of depression on health service utilisation in men: a prospective cohort study of Australian men aged 35 to 80 years." BMJ Open 11, no. 3 (March 2021): e044893. http://dx.doi.org/10.1136/bmjopen-2020-044893.

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ObjectivesTo examine the relationship between depression burden, health service utilisation and depression diagnosis in community-based men.DesignProspective cohort study.SettingCommunity-based.ParticipantsMen aged 35–80 years at recruitment (2002–2005), randomly selected from the northern and western suburbs of Adelaide, Australia, without depression at baseline, who attended follow-up visits (2007–2010) (n=1464).Primary and secondary outcome measuresDepression symptoms were categorised into high burden (total score of ≥13 for the Beck Depression Inventory (BDI) or ≥10 for the Centre for Epidemiologic Studies Depression Scale (CES-D) or low burden (<13 for the BDI or <10 for the CES-D). Diagnosed depression was determined by patient-reported physician diagnosis. Frequent general practitioner (GP) visits were those occurring 5+ times over the preceding year. Use of national medical and prescription services (Medicare Benefit Schedule and Pharmaceutical Benefit Scheme; MBS and PBS) was assessed through data linkage.ResultsFrequent attendance and depression diagnosis was more common in men with a high than low burden of depression symptoms (45.9% vs 29.3%–18.7% vs 1.9%, p<0.001). Depression diagnoses were also more common in frequent GP attenders compared with low-average attenders (5.1% vs 2.2%, p<0.001). Among men with high burden of symptoms, there was no age-adjusted or multi-adjusted difference for likelihood of depression diagnosis between non-regular and frequent GP attenders. Annualised MBS and PBS expenditure was highest for men with undiagnosed depression.ConclusionsMen with a high burden of depression symptoms have commensurate use of health services when compared with those with a low burden, but only half report a physician diagnosis of depression. Undiagnosed depression led to a higher usage of medical and prescription services.
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Dibble, Kate E., Stefan D. Baral, Matthew R. Beymer, Shauna Stahlman, Carrie E. Lyons, Oluwasolape Olawore, Cheikh Ndour, et al. "Stigma and healthcare access among men who have sex with men and transgender women who have sex with men in Senegal." SAGE Open Medicine 10 (January 2022): 205031212110692. http://dx.doi.org/10.1177/20503121211069276.

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Objectives: Cisgender gay, bisexual, and other men who have sex with men and transgender women experience HIV incidence disparities in Senegal. These analyses determined how depression and different stigma mechanisms related to sexual behavior are associated with healthcare access, sexually transmitted infection testing, and HIV testing among cisgender gay, bisexual, and other men who have sex with men and transgender women across three cities in western Senegal. Methods: Logistic regression assessed the relationship of three stigma scales (stigma from family and friends, anticipated healthcare stigma, and general social stigma) and depression with these outcomes. Results: Depression and stigma were not associated with healthcare access, sexually transmitted infection testing, or HIV testing. However, individuals who had disclosed their sexual identity to a medical provider were more likely to test for HIV. Conclusions: Sexual behavior stigma experienced by cisgender gay, bisexual, and other men who have sex with men and trans women in Senegal may not limit access to routine healthcare, but may limit disclosure of sexual orientation and practices, limiting access to appropriate HIV prevention services.
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Alvarez Monrroy, Solange, Lucero Linares Zegarra, and Charles Portilla Revollar. "Intimate partner violence towards men and depression." Journal of Psychology & Clinical Psychiatry 14, no. 5 (September 20, 2023): 139–46. http://dx.doi.org/10.15406/jpcpy.2023.14.00743.

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The objective of the research was to determine if men between the ages of 18 and 45 in a community population from Perú who experience intimate partner violence will experience depression more frequently than men of the same ages who do not experience it. The sample consisted of 380 young people and adults from 18 to 45 years of age from 4 personnel selection centers that participated voluntarily. A demographic record was administered, the Cienfuegos-Martínez Scale of Violence in the Couple Relationship (receiver) (2014) and the Beck Inventory to assess depression (1967). The main results were that men between the ages of 18 and 45 in a community population who experience intimate partner violence will experience depression significantly more frequently than men of the same ages who do not experience it. Although in middle adulthood men experience more intimate partner violence, it is in emerging adulthood when they experience greater depression
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Bloch, Miki, Sheila Stager, Allen Braun, Karim A. Calis, Nanette M. Turcasso, Dale R. Grothe, and David R. Rubinow. "Pimozide-Induced Depression in Men Who Stutter." Journal of Clinical Psychiatry 58, no. 10 (October 15, 1997): 433–36. http://dx.doi.org/10.4088/jcp.v58n1004.

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Coohey, Carol, and Scott D. Easton. "Distal Stressors and Depression among Homeless Men." Health & Social Work 41, no. 2 (March 2, 2016): 111–19. http://dx.doi.org/10.1093/hsw/hlw008.

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Moran, Mark. "Do Men Experience Depression Differently From Women?" Psychiatric News 48, no. 19 (October 4, 2013): 1. http://dx.doi.org/10.1176/appi.pn.2013.10a24.

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Chuick, Christopher D., Jay M. Greenfeld, Stefanie Teri Greenberg, Samuel J. Shepard, Sam V. Cochran, and James T. Haley. "A qualitative investigation of depression in men." Psychology of Men & Masculinity 10, no. 4 (October 2009): 302–13. http://dx.doi.org/10.1037/a0016672.

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Korenman, Stanley G., Jonathan F. Grotts, Douglas S. Bell, and David A. Elashoff. "Depression in Nonclassical Hypogonadism in Young Men." Journal of the Endocrine Society 2, no. 11 (September 21, 2018): 1306–13. http://dx.doi.org/10.1210/js.2018-00137.

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Kilmartin, Christopher. "Depression in men: communication, diagnosis and therapy." Journal of Men's Health & Gender 2, no. 1 (March 2005): 95–99. http://dx.doi.org/10.1016/j.jmhg.2004.10.010.

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Spendelow, Jason S. "Cognitive–Behavioral Treatment of Depression in Men." American Journal of Men's Health 9, no. 2 (April 8, 2014): 94–102. http://dx.doi.org/10.1177/1557988314529790.

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Depression is a significant public health issue and many researchers have suggested that modifications to conventional cognitive–behavioral therapy (CBT) are required to address infrequent help-seeking in men and counter negative effects of traditional masculinity on therapeutic engagement. This narrative review summarizes recommended alterations to CBT in the areas of therapeutic setting, process, and content. Key themes from this literature include a focus on behavioural interventions, and harmful cognitions that orginate from the traditional male gender stereotype. This literature is marked by limited empirical support for many of the recommended treatment modifications, and several options for future research are outlined.
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Pesce, Vanessa, Stuart N. Seidman, and Steven P. Roose. "Depression, antidepressants and sexual functioning in men." Sexual and Relationship Therapy 17, no. 3 (August 2002): 281–87. http://dx.doi.org/10.1080/14681990220149086.

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Almeida, Osvaldo, Andrew Ford, Leon Flicker, Graeme Hankey, Bu Yeap, Paula Clancy, and Jonathan Golledge. "Angiogenesis inhibition and depression in older men." Journal of Psychiatry & Neuroscience 39, no. 3 (May 1, 2014): 200–205. http://dx.doi.org/10.1503/jpn.130158.

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41

Ramirez, Jeffery L., and Terry A. Badger. "Men Navigating Inward and Outward Through Depression." Archives of Psychiatric Nursing 28, no. 1 (February 2014): 21–28. http://dx.doi.org/10.1016/j.apnu.2013.10.001.

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42

Chan, Alex Siu Wing, Iris Po Yee Lo, and Elsie Yan. "Health and Social Inclusion: The Impact of Psychological Well-Being and Suicide Attempts Among Older Men Who Have Sex With Men." American Journal of Men's Health 16, no. 5 (September 2022): 155798832211209. http://dx.doi.org/10.1177/15579883221120985.

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Older adults’ mental health and suicidal tendencies have garnered much attention because of their vulnerability. Few studies have examined the impact of psychological well-being and suicide attempts among older men who have sex with men (OMSM). This study examines the levels of depression and suicidal tendencies among OMSM, factors impacting their mental health, and their likelihood of committing suicide. Descriptive statistics are used to analyze the correlation between depression and suicidal tendencies among OMSM in the United States. We constructed a regression model using relevant data, and scales were selected based on a literature review. The validity and relevance of the control variables were considered. Depression and suicidal tendencies were dependent variables. Data were obtained from the U.S. General Social Survey and analyzed with an ordinary least squares model. There were significant differences between MSM and general groups in depression and suicidal tendency scores ( t = 67.084, 58.193, p < .01). Compared with general groups, MSM scored significantly higher on depression and suicidal tendencies. The regression analysis revealed that sex with men was associated with depression and suicidal tendencies ( p < .01) among older men. This indicates that OMSM generally have higher levels of depression and suicidal tendencies than the general population. Finally, in the intermediary test, the level of depression had a significant mediating effect on the relationship between homosexuality and suicidal tendencies ( p < .01). This suggests that depression intervention can help reduce suicidal tendencies among OMSM.
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Hudson, Darrell L., Jake Eaton, Andrae Banks, Whitney Sewell, and Harold Neighbors. "“Down in the Sewers”: Perceptions of Depression and Depression Care Among African American Men." American Journal of Men's Health 12, no. 1 (June 21, 2016): 126–37. http://dx.doi.org/10.1177/1557988316654864.

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Depression is one of the most common, costly, and debilitating psychiatric disorders in the United States. One of the most persistent mental health disparities is the underutilization of treatment services among African American men with depression. Little is known about appropriateness or acceptability of depression care among African American men. The purpose of this study was to examine perceptions of depression and determine barriers to depression treatment among African American men. A series of four focus groups were conducted with 26 African American men. The average age of the sample was 41 years and most participants reported that they had completed high school. Nearly half of the participants reported that they are currently unemployed and most had never been married. The most common descriptions of depression in this study were defining depression as feeling down, stressed, and isolated. A small group of participants expressed disbelief of depression. The majority of participants recognized the need to identify depression and were supportive of depression treatment. Nonetheless, most men in this sample had never sought treatment for depression and discussed a number of barriers to depression care including norms of masculinity, mistrust of the health care system, and affordability of treatment. Men also voiced their desire to discuss stress in nonjudgmental support groups. Research findings highlight the need to increase the awareness of symptoms some African American men display and the need to provide appropriate depression treatment options to African American men.
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Mohamad Fisal, Zul Aizat, Halimatus Sakdiah Minhat, Nor Afiah Mohd Zulkefli, and Norliza Ahmad. "Biopsychosocial approach to understanding determinants of depression among men who have sex with men living with HIV: A systematic review." PLOS ONE 17, no. 3 (March 14, 2022): e0264636. http://dx.doi.org/10.1371/journal.pone.0264636.

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Introduction Men who have sex with men (MSM) living with HIV are more likely to be depressed than MSM without HIV. The AIDS epidemic will not end if the needs of people living with HIV and the determinants of health are not being addressed. Compared to HIV individuals without depression, depressed HIV individuals have worse clinical outcomes and higher mortality risk. Depression is caused by a complex combination of social, psychological, and biological variables. This systematic review, thereby motivated by the need to address this gap in the literature, aims to articulate determinants of depression among MSM living with HIV according to the biopsychosocial approach. Methodology We systematically searched four databases from 2011 to 2021. We searched for observational studies on determinants of depression among MSM living with HIV. The outcome is depression based on the categorical or numerical outcome. Two reviewers independently extracted data and assessed study risks of bias. Any disagreements are consulted with the third reviewer. Results We identified 533 articles, of which only eight studies are included. A total of 3,172 MSMs are included in the studies. We found the determinants of depression and categorized them according to biological, psychological, and social approaches. Conclusion The determinants of depression with the strongest evidence across studies were enacted HIV-related stigma, unemployment, sleep disturbance, current smoker, black ethnicity, born overseas, ART initiation, and access to mental health care. Despite weaker evidence, the other relevant determinants to be included were older age, internalized stigma, self-efficacy, and social support. Efforts to improve or prevent depression among MSM living with HIV could benefit from addressing the determinants of depression based on the biopsychosocial approach immediately after HIV diagnosis. Integrating mental health screening and care into HIV treatment settings would strengthen HIV prevention and care outcomes and improve access to mental healthcare.
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Zhou, Tianyi, Qiao Chen, and Xiaoni Zhong. "A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model." Healthcare 11, no. 21 (October 29, 2023): 2849. http://dx.doi.org/10.3390/healthcare11212849.

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(1) Background: Men who have sex with men (MSM) have a high prevalence of depression due to stigma. However, whether resilience and social support play a moderating role in the effects of stigma on depression remains to be tested. This study constructed a moderated mediation model to explore the mediating role of perceived stigma in the relationship between enacted stigma and depression and whether this relationship is moderated by social support. (2) Methods: MSM were recruited during November–December 2022 using a non-probability sampling method, and a total of 1091 participants were included. Enacted stigma, perceived stigma, resilience, social support, and depressive symptoms were measured. Mediation and moderated mediation models were used to analyze the relationships between these variables. (3) Results: Moderated mediation analyses show that enacted stigma indirectly affects depression through perceived stigma (β = 0.315, 95% confidence interval = 0.221 to 0.421). Social support had a positive moderating effect between enacted stigma and depressive symptoms (β = 0.194, p < 0.001) and a negative moderating effect between perceived stigma and depressive symptoms (β = −0.188, p < 0.001). (4) Resilience and perceived stigma mediated the relationship between enacted stigma and depression, and the relationship between enacted stigma, perceived stigma, and depression was moderated by social support. Reducing stigma while increasing social support has the potential to alleviate depressive symptoms among Chinese MSM.
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Suñer-Soler, Rosa, Eduard Maldonado, Joana Rodrigo-Gil, Silvia Font-Mayolas, Maria Gras, Mikel Terceño, Yolanda Silva, Joaquín Serena, and Armand Grau-Martín. "Sex-Related Differences in Post-Stroke Anxiety, Depression and Quality of Life in a Cohort of Smokers." Brain Sciences 14, no. 6 (May 21, 2024): 521. http://dx.doi.org/10.3390/brainsci14060521.

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Background: We aimed to study anxiety, depression and quality of life in smokers after stroke by sex. Methods: A longitudinal prospective study with a 24-month follow-up of acute stroke patients who were previously active smokers. Anxiety and depression were evaluated with the Hospital Anxiety and Depression scale, and quality of life was evaluated with the EQ-5D questionnaire. Results: One hundred and eighty patients participated (79.4% men); their mean age was 57.6 years. Anxiety was most prevalent at 3 months (18.9% in men and 40.5% in women) and depression at 12 months (17.9% in men and 27% in women). The worst perceived health occurred at 24 months (EQ-VAS 67.5 in men and 65.1 in women), which was associated with depression (p < 0.001) and Rankin Scale was worse in men (p < 0.001) and depression in women (p < 0.001). Continued tobacco use was associated with worse perceived health at 3 months in men (p = 0.034) and at 12 months in both sexes. Predictor variables of worse perceived health at 24 months remaining at 3 and 12 months were tobacco use in men and neurological damage in women. Conclusion: Differences by sex are observed in the prevalence of anxiety and depression and associated factors and in the predictive factors of perceived health.
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Perkins, Danielle EK. "Challenges to Traditional Clinical Definitions of Depression in Young Black Men." American Journal of Men's Health 8, no. 1 (July 8, 2013): 74–81. http://dx.doi.org/10.1177/1557988313494234.

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Despite high rates of unemployment, incarceration, violence, and suicide experienced by young Black men in America, research conducted in inner-city environments consistently report nonsignificant levels of depression among Black men. The unique history of social exclusion, stereotyping, and discrimination experienced by Black men has significant implications for the accurate assessment of depression. A review of significant historical and current sociological, educational, and legal-justice circumstances that affect the mental health of young Black men is presented. Barriers and limitations to traditional depression assessment and measurement is discussed and followed by recommendations for advancing knowledge of depression in young Black men. Research and practice that seeks to explore and explain sociocultural variances in traditional definitions of depression among young Black men will improve mental health, mental health outreach, and social function in this population.
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Elena, Bocicor Andreea, Buicu Gabriela, Varga Andreea, R. Tatar, Sabau Daniela, I. Tilea, and I. Gabos-Grecu. "Association Between Increased Waist Circumference and Depression and Anxiety Trend." Acta Medica Marisiensis 61, no. 2 (June 1, 2015): 87–90. http://dx.doi.org/10.1515/amma-2015-0028.

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Abstract Introduction: Abdominal adiposity assessed by increased waist circumference and depression have both a high incidence and prevalence and are associated with increased general mortality and cardiovascular risk. Several studies showed a significant association between abdominal obesity, metabolic syndrome and depression. Early detection of these associations is important for for prevention and treatment of this disease. Material and method: Eighty patients were enrolled in a cross-sectional descriptive study. Waist circumference was measured in all patients and an increased waist circumference was considered for subjects with values higher than 80 cm in women and higher than 94 cm in men as. Patients completed standardized questionnaires HADS for assessment of depression and anxiety. A depression (D) score higher than 10 points showed a trend to depression while an anxiety (A) score higher than 10 indicated a tendency to anxiety. The association between increased waist circumference, depression and anxiety was studied. Results: We interviewed 80 patients, 34 (43%) men (mean age 62+/−6.43) and 46 (57%) women (mean age 59+/−5.16). Increased waist circumference was recorded in 22 men, and in 30 women. We noticed a good association between increased waist circumference and both depression (p=0.0006, RR=2.007, 95%CI 1.24-3.24) and anxiety (p=0.017, RR=2.046, 95%CI 1.21-3.45). We found both anxiety and depression risks rather equal in men, while in women we observed a higher depression risk. Conclusions: Increased waist circumference is associated to depression and anxiety tendency in both genders. Depression trend is more powerful in women, while in men both depression and anxiety seen to have an equal frequency. Psychotherapy should be added to lifestyle changes in patients with abdominal adiposity.
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Zheng, Yuping, Jing Gao, and Xiaolin Jiang. "Related factors for depression among Chinese men who have sex with men." Medicine 100, no. 7 (February 19, 2021): e24516. http://dx.doi.org/10.1097/md.0000000000024516.

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Bhattarai, N., J. Charlton, C. Rudisill, and M. C. Gulliford. "Prevalence of depression and utilization of health care in single and multiple morbidity: a population-based cohort study." Psychological Medicine 43, no. 7 (November 1, 2012): 1423–31. http://dx.doi.org/10.1017/s0033291712002498.

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BackgroundThis study aimed to determine whether depression in patients with long-term conditions is associated with the number of morbidities or the type of co-morbidity.MethodA cohort study of 299 912 participants aged 30–100 years. The prevalence of depression, rates of health-care utilization and costs were evaluated in relation to diagnoses of diabetes mellitus (DM), coronary heart disease (CHD), stroke and colorectal cancer.ResultsThe age-standardized prevalence of depression was 7% in men and 14% in women with no morbidity. The frequency of depression increased in single morbidities including DM (men 13%, women 22%), CHD (men 15%, women 24%), stroke (men 14%, women 26%) or colorectal cancer (men 10%, women 21%). Participants with concurrent diabetes, CHD and stroke had a very high prevalence of depression (men 23%, women 49%). The relative rate of depression for one morbidity was 1.63 [95% confidence interval (CI) 1.59–1.66], two morbidities 1.96 (95% CI 1.89–2.03) and three morbidities 2.35 (95% CI 2.03–2.59). Compared to those with no morbidity, depression was associated with higher rates of health-care utilization and increased costs at any level of morbidity. In women aged 55 to 64 years without morbidity, the mean annual health-care cost was £513 without depression and £1074 with depression; when three morbidities were present, the cost was £1495 without depression and £2878 with depression.ConclusionsDepression prevalence and health-care costs are more strongly associated with the number of morbidities than the nature of the co-morbid diagnosis.
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