Depression in men attending a rural general practice: factors associated with prevalence of depressive symptoms and diagnosis

The British Journal of Psychiatry : the Journal of Mental Science
Christopher ShielsChristopher Hulbert

Abstract

Doctors are less likely to diagnose depression in men than in women. Little research has been conducted to explore the underlying reasons for this in rural settings, or to compare primary care doctors' and male patients' ratings of perceived depression. To identify symptomatic and socio-demographic correlates of depression in men attending a rural practice, and to compare and contrast general practitioners' and patients' assessments of depression. All male patients of working age attending a rural general practice over a 12-month period were invited to participate. Men reporting recent "chest pain" or "feeling tired/little energy", expressing low job enjoyment or with a previous diagnosis of depression were more likely to be scored above threshold on the Hospital Anxiety and Depression Scale-Depression sub-scale. There was little agreement between the doctors and their male patients about the degree of perceived depression. Educational interventions aimed at addressing the diagnosis of depression in men should take greater account of factors within a particular social setting.

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Citations

Jun 30, 2005·Indian Journal of Medical Sciences·Somnath Sengupta
Dec 17, 2008·Acta Psychiatrica Scandinavica·A EhnvallG Parker
Feb 16, 2011·Bipolar Disorders·Anna EhnvallJustine Corry
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Jun 1, 2005·British Journal of Nursing : BJN·Gaëtan Béphage

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