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Negative life events, social support and gender difference in depression

A multinational community survey with data from the ODIN study
  • Odd Steffen Dalgard
  • Christopher Dowrick
  • Ville Lehtinen
  • Jose Luis Vazquez-Barquero
  • Patricia Casey
  • Greg Wilkinson
  • Jose Luis Ayuso-Mateos
  • Helen Page
  • Graham Dunn
  • The ODIN Group
ORIGINAL PAPER

Abstract

Objective

To explore if differences in negative life events, vulnerability and social support may explain the gender difference in depression.

Methods

Cross-sectional, multinational, community survey from five European countries (n = 8,787). Depression is measured by Beck Depression Inventory, whereas negative life events and social support are measured by various questionnaires.

Results

Women report slightly more negative life events than men do, mainly related to the social network, but more social support in general and in connection with reported life events. This trend is the same in all participating countries except Spain, where there is no gender difference in the reported support. In general, women are not more vulnerable to negative life events than men are. However, women with no social support, who are exposed to life events, are more vulnerable than men without support.

Conclusion

The higher rate of depression in women is not explained by gender differences in negative life events, social support or vulnerability.

Keywords

depression gender social support negative life events 

References

  1. 1.
    Piccinelli M, Wilkinson G (2000) Gender differences in depression. Critical review. Br J Psychiatry 177:486–492CrossRefPubMedGoogle Scholar
  2. 2.
    Kuehner C (2003) Gender differences in unipolar depression: an update of epidemiological findings and possible explanations. Acta Psychiatr Scand 108:163–174CrossRefPubMedGoogle Scholar
  3. 3.
    Prince MJ, Harwood RH, Blizard RA, Thomas A, Mann AH (1997) Social support deficits, loneliness and life events as risk factors for depression in old age. The Gospel Oak project VI Psychol Med 27:323–332CrossRefPubMedGoogle Scholar
  4. 4.
    Wilhelm K, Dewhurst J (1998) Examining sex differences in the impact of anticipated and actual life events. J Aff Disorders 48:37–45CrossRefGoogle Scholar
  5. 5.
    Maciejewski PK, Prigerson HG, Mazure CM (2001) Sex differences in event-related risk for major depression. Psychol Med 31:593–604CrossRefPubMedGoogle Scholar
  6. 6.
    Bebbington PE, Hurry J, Tennant C (1988) Adversity and the symptoms of depression. Int J Soc Psychiatry 34:163–171PubMedGoogle Scholar
  7. 7.
    Kendler KS, Thornton LM, Prescott CA (2001) Gender differences in the rates of exposure to stressful life events and sensitivity to depressogenic effects. Am J Psychiatry 158:587– 593CrossRefPubMedGoogle Scholar
  8. 8.
    Sandanger I, Nygård JF, Sørensen T, Moum T (2004) Is women’s mental health more susceptible than men’s to the influence of surrounding stress? Soc Psychiatry Psychiatr Epidemiol 39:177–184CrossRefPubMedGoogle Scholar
  9. 9.
    Nazroo JY, Edwards AC, Brown GW (1997) Gender differences in the onset of depression following a shared life event: a study of couples. Psychol Med 27:9–19CrossRefPubMedGoogle Scholar
  10. 10.
    Turner RJ, Avison WR (1989) Gender and depression: assessing exposure and vulnerability to life events in a chronically strained population. J Nerv Ment Dis 177:443–455PubMedGoogle Scholar
  11. 11.
    Salokangas RKR, Poutanen O (1998) Risk factors in depression in primary care. Findings of the TADEP project J Aff Disord 48:171–180CrossRefGoogle Scholar
  12. 12.
    Stroebe MS, Stroebe W (1983) Who suffers more? Sex differences in health risks of widowed. Psychol Bull 93:279–301CrossRefPubMedGoogle Scholar
  13. 13.
    Kessler RC, McLeod JD (1984) Sex differences in vulnerability to undesirable life events. Am Sociol Rev 49:620–631CrossRefGoogle Scholar
  14. 14.
    Kessler R (1997) The effects of stressful life events on depression Annu Rev Psychol 38:191–214CrossRefGoogle Scholar
  15. 15.
    Belle D (1982) The stress of caring: women as providers of social support. In: Goldberger L, Breznitz S (eds) Handbook of stress: theoretical and clinical aspects, New York, Free Press pp. 496–505Google Scholar
  16. 16.
    Kendler KS, Myers J, Prescott CA (2005) Sex differences in the relationship between social support and risk for major depression: a longitudinal study of opposite-sex twin pairs Am J Psychiatry 162:250–256CrossRefPubMedGoogle Scholar
  17. 17.
    Brugha T, Weich S, Singleton N et al. (2005) Primary group size, social support, gender and future mental health status in a prospective study of people living in private households throughout Great Britain. Psychol Med 35:705–714CrossRefPubMedGoogle Scholar
  18. 18.
    Brugha T, Bebbington PE, MacCarthy B et al (1990) Gender, social support and recovery from depressive disorders: a prospective clinical study. Psychol Med 20:147–156PubMedGoogle Scholar
  19. 19.
    Dowrick C, Dunn G, Ayuso-Mateos JL, Dalgard OS, Page H, Lehtinen V, Casey P, Wilkinson C, Vasquez Barquero JL, Wilkinson G (2000) Problem solving treatment and group psychoeducation for depression: multicentre randomised controlled trial. BMJ 321:1450–1454CrossRefPubMedGoogle Scholar
  20. 20.
    Nielsen AC, Williams TA (1980) Depression in ambulatory medical patients. Prevalence by self-reported questionnaire and recognition by nonpsychiatric physicians. Arch Gen Psychiatry 37:999–1004PubMedGoogle Scholar
  21. 21.
    Brugha T, Bebbington PE, Tennant C, Hurry J (1985) The list of threatening experiences: a subset of 12 life event categories with considerable long-term contextual threat. Psychol Med 15:189–194PubMedCrossRefGoogle Scholar
  22. 22.
    Tennant C, Andrews G (1977) A scale to measure the cause of life events. Aust N Z J Psychiatry 11:163–167PubMedCrossRefGoogle Scholar
  23. 23.
    Brown GW, Harris T (1978) The social origins of depression. London, Tavistock PublicationsGoogle Scholar
  24. 24.
    Meltzer H (2003) Development of a common instrument for mental health. In: Nosikov A, Gudex C (eds) EUROHIS: developing common instruments for health surveys, Amsterdam, IOS PressGoogle Scholar
  25. 25.
    Ayuso-Mateos JL, Vazquez-Barquero JL, Dowrick C, Lehtinen V, Dalgard OS, Casey P, Wilkinson G, Lasa L, Page H, Dunn G, Wilkinson G, the ODIN group (2001) Depressive disorders in Europe: prevalence in the ODIN study. Br J Psychiatry 179:308–316CrossRefPubMedGoogle Scholar
  26. 26.
    Bebbington PE (1996) The origin of sex differences in depressive disorder: bridging the gap. Int Rev Psychiatry 8:295–332Google Scholar

Copyright information

© Steinkopff Verlag Darmstadt 2006

Authors and Affiliations

  • Odd Steffen Dalgard
    • 1
  • Christopher Dowrick
    • 2
  • Ville Lehtinen
    • 3
  • Jose Luis Vazquez-Barquero
    • 4
  • Patricia Casey
    • 5
  • Greg Wilkinson
    • 6
  • Jose Luis Ayuso-Mateos
    • 7
  • Helen Page
    • 8
  • Graham Dunn
    • 9
  • The ODIN Group
  1. 1.Norwegian Institute of Public healthNydalenOsloNorway
  2. 2.Dept. of Primary CareUniversity of LiverpoolLiverpoolUK
  3. 3.National Research and Development Centre for Welfare and Health STAKESMental Health R&D GroupTurkuFinland
  4. 4.Unidad de Investigacion de Psiquitria SocialHospital Universitario ‘Marqués de Valdecilla’SantanderSpain
  5. 5.Mater Misericordiae HospitalUniversity College DublinDublinIreland
  6. 6.Dept. of PsychiatryUniversity of LiverpoolLiverpoolUK
  7. 7.Dept. of Psychiatry Hospital Universitario de la PrincessaUniversidad Autonoma de MadridMadridSpain
  8. 8.Dept. of PsychologyChester College of Higher EducationChesterUK
  9. 9.Biostatistic Group School of Epidemiology and Health SciencesUniversity of ManchesterManchesterUK

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