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Swetlitz N, Hinton L, Rivera M, Liu M, Fernandez AC, Garcia ME. Barriers and facilitators to depression care among Latino men in a primary care setting: a qualitative study. BMC PRIMARY CARE 2024; 25:30. [PMID: 38245674 PMCID: PMC10799470 DOI: 10.1186/s12875-024-02275-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 01/14/2024] [Indexed: 01/22/2024]
Abstract
BACKGROUND In the United States, Latinos face a wide array of cultural and structural barriers to accessing and utilizing mental health care. Latino men specifically are at high risk of receiving inadequate mental health care, possibly due to additional obstacles they experience that are related to masculinity. Among men more generally, greater adherence to emotional control and self-reliance is associated with higher depression severity and less depression help-seeking. Men experience more stigma toward depression and help-seeking and are less likely to be diagnosed with depression than women. However, Latino men's barriers and facilitators to depression care remain largely unexplored. The objective of this study was to examine barriers and facilitators to depression care that are related to masculinity among English- and Spanish-speaking Latino men in a primary care setting. METHODS We used convenience and purposive sampling to recruit primary care patients who self-identified as Latino men, spoke English or Spanish, and screened positive for depressive symptoms on the Patient Health Questionnaire-2 or had a history of depression. Semi-structured interviews were conducted between December 2020 and August 2021. The interview guide examined views and experiences of depression, masculinity, and barriers and facilitators to engaging in depression care. Utilizing consensual qualitative research and thematic analysis informed by modified grounded theory, barriers and facilitators to depression care were identified. RESULTS We interviewed thirteen participants who varied in English proficiency, education, income, and country of origin. Barriers and facilitators were placed into three domains-Self-Recognition of Depression, Seeking Help for Depression, and Depression Diagnosis and Treatment. Participants described aspects of masculinity as barriers (emotional control and pressure to provide), facilitators (honesty, courage, collaboration, practicality, and responsibility), or both (self-reliance and autonomy). CONCLUSIONS Masculinity influences barriers and facilitators for depression care among Latino men at the levels of self-recognition, seeking help, and diagnosis and treatment. Clinicians may promote Latino men's engagement in depression care by understanding patients' values and framing depression care as affirming masculinity. Providing education to primary care physicians and other healthcare professionals on gender and depression and addressing structural barriers are essential to providing access to all who need depression care.
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Affiliation(s)
- Nathan Swetlitz
- UC Berkeley, UCSF Joint Medical Program, University of California, Berkeley, Berkeley, CA, USA.
- School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
| | | | - Morgan Rivera
- University of California, Berkeley, Berkely, CA, USA
| | - Mishen Liu
- University of California, Berkeley, Berkely, CA, USA
| | - Anna Claire Fernandez
- UC Berkeley, UCSF Joint Medical Program, University of California, Berkeley, Berkeley, CA, USA
- School of Medicine, University of California, San Francisco, San Francisco, CA, USA
| | - Maria E Garcia
- Multiethnic Health Equity Research Center, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA, USA
- Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA
- Partnerships for Research in Implementation Science for Equity, University of California, San Francisco, San Francisco, CA, USA
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2
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Vickery A. Exploring the Characteristics of Men Aged 55+ Who Use Mental Health Community Care and Support Services: A Secondary Analysis of the Adult Psychiatric Morbidity Study in England. J Aging Health 2024:8982643241227251. [PMID: 38235737 DOI: 10.1177/08982643241227251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
ObjectivesThe aim of this study is to understand the demographic and situational characteristics of men over 55 who have used a community support service. Method: Hierarchical multivariable logistic regression was conducted using anonymised data from the Adult Psychiatric Morbidity Study 2014. Results: Need factors such as having a common mental disorder (CMD), poor general health and having counselling/therapy were the most relevant to use of a community support service. It was more common for older men (85+), single men, and those who reported experiencing several traumatic life events to have used a community support service. Discussion: The results are critically discussed by considering the roles of gender, ageing, and social support, which might influence the use of community support services. There is a need for more awareness of categories such as age and previous service use, and how they might influence community support help seeking.
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Affiliation(s)
- Alex Vickery
- Cardiff School of Education and Social Policy, Cardiff Metropolitan University, Bristol, UK
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3
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Huang CY, Zane NW, Hunter L, Vang L, Apesoa-Varano EC, Joseph J. Promoting mental and physical health of Vietnamese immigrants through a cultural movement intervention. CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY 2023:2023-74921-001. [PMID: 37227854 PMCID: PMC11244578 DOI: 10.1037/cdp0000591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
OBJECTIVES Older Vietnamese adults are among the most underserved groups in the United States, despite being at high risk for stress and other negative experiences (e.g., access to same-language practitioners, transportation barriers, lack of health care). Minimal progress has been made in decreasing treatment barriers for this underserved population. One promising approach involves using indigenous, culturally based interventions to enhance psychological and physical well-being. Such interventions may reduce utilization and quality of care disparities because they emphasize a more holistic approach to health, thereby limiting the shame and face loss often experienced due to the stigma associated with mental illness. The present study examined the efficacy of lishi, a traditional East Asian movement form of exercise, in promoting mental and physical health outcomes for older Vietnamese immigrant adults. METHOD Seventy-one older Vietnamese adults participated in this randomized waitlist control study. Participants were between 60 and 75 years old. Multivariate analysis of covariance was used to determine posttest outcomes differences between the intervention and control groups. RESULTS Intervention group participants experienced significantly higher levels of self-efficacy and physical energy, less bodily pains, and better body balance at posttest compared to the control group. CONCLUSIONS Lishi may be an effective culturally valid intervention for older Vietnamese adults and demonstrated promise at engaging this hard-to-reach population in treatment and services. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Cindy Y. Huang
- Department of Counseling and Clinical Psychology, Teachers College, Columbia University
| | - Nolan W. Zane
- Department of Psychology, Asian American Center on Disparities Research, University of California, Davis
| | - Lynette Hunter
- Department of Theatre and Dance, University of California, Davis
| | - Lay Vang
- College of Education, California State University, Sacramento
| | | | - Jill Joseph
- Betty Irene Moore School of Nursing, University of California, Davis
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Orphanidou M, Kadianaki I, O'Connor C. Depression as an Embodied Experience: Identifying the Central Role of the Body in Meaning-Making and Identity Processes. QUALITATIVE HEALTH RESEARCH 2023; 33:509-520. [PMID: 36922708 DOI: 10.1177/10497323231154210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Α significant part of the psychological research on mental health and illness is interested in how the body can impact one's mental health. This impact is primarily explored using a biomedical framework, in studies that examine the body's role in the emergence of a mental illness, the ways it can signify the presence of an illness (i.e. physical symptoms) and, finally, its role in the treatment process. Within this literature, the body is conceptualised as an object that can be diagnosed and treated. The current study approaches the body as a subject in the experience of depression. Specifically, it demonstrates that the experience of depression is embodied and that the body mediates meaning-making and identity processes. Using qualitative findings from eight interviews with Greek-Cypriot adults diagnosed with depression, we demonstrate that participants make sense of depression through their bodies, as a painful, uncomfortable and agonising experience. Further, we discuss how the struggle to regain control over the body, experienced as hijacked by depression, leads to a disrupted relation with the self and the world that expands beyond the idea of the loss of self, as described in the literature. Theoretical and clinical implications are examined.
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Affiliation(s)
| | - Irini Kadianaki
- Department of Psychology, University of Cyprus, Nicosia, Cyprus
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5
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Smith DT, Mouzon DM, Elliott M. Hegemonic Masculinity and Mental Health Among Older White Men in the U.S.: The Role of Health and Wealth Decline. SEX ROLES 2022. [DOI: 10.1007/s11199-022-01291-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Fisher K, Seidler ZE, King K, Oliffe JL, Rice SM. Men's anxiety: A systematic review. J Affect Disord 2021; 295:688-702. [PMID: 34517242 DOI: 10.1016/j.jad.2021.08.136] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 07/27/2021] [Accepted: 08/27/2021] [Indexed: 11/27/2022]
Abstract
AIM Anxiety disorders are amongst the most commonly diagnosed mental illnesses amongst men; however male-specific anxiety research is lacking. This review explores men's anxiety symptoms and disorders including help-seeking, coping and the role of masculinity. METHOD Four electronic database searches identified 8,333 citations, with 25 studies meeting inclusion criteria. Nineteen studies employed quantitative methods, five studies reported qualitative research, and one utilised mixed methods. RESULTS Unique profiles of anxiety, including psychosomatic symptoms, were identified and persisted over extended periods of time. Men commonly reported self-reliance over formal help-seeking, and typically managed anxiety symptoms through problem-based coping. Masculinity was related to anxiety in complex ways; adherence to norms of toughness could be protective against anxiety onset, while adherence to emotional restrictiveness and heterosexual presentation norms were positively associated with anxiety. The experience of, and help-seeking for anxiety transgressed many men's adherence to masculinity norms resulting in significant social and self-stigmas. LIMITATIONS The anxiety measurement scales utilised were inconsistent across included studies and there was limited scope of research into panic disorders, phobias and agoraphobia. CONCLUSION Findings demonstrate the enduring nature of anxiety for men and a potential under-reporting of symptoms, especially amongst younger men. To better tailor clinical care and public health resources to the needs of men with anxiety disorders, targeted research examining men's lived experiences of (and coping strategies for) anxiety is essential.
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Affiliation(s)
- Krista Fisher
- Orygen, Parkville, Victoria, Australia; Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
| | - Zac E Seidler
- Orygen, Parkville, Victoria, Australia; Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
| | - Kylie King
- Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Victoria, Australia.
| | - John L Oliffe
- University of British Columbia, Vancouver, British Columbia, Canada; Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
| | - Simon M Rice
- Orygen, Parkville, Victoria, Australia; Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
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Yang MS, Mutchler JE. A Malady with No Name: Understanding Experiences of Depression Among Older Hmong Refugees. J Cross Cult Gerontol 2021; 36:217-228. [PMID: 34106391 DOI: 10.1007/s10823-021-09431-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2021] [Indexed: 11/25/2022]
Abstract
We interviewed older Hmong refugees in the U.S. to understand how they experience and define depression. Methods. Data were collected in California (N = 20). The study sample included Hmong immigrants aged 55 and over. The qualitative method allowed for an in-depth understanding of events that occurred throughout the participants' life course and how these events impacted depression in later life. Results. The participants' conceptualization of depression was defined with reference to their lived experiences. Three main conceptualizations emerged: behavioral descriptions of depression, mental or emotional descriptions, and physical descriptions of depression. The use of personal examples to describe depression was common. Our findings suggest that this sample's understanding of depression may not be fully captured by conventional measurement and thus more work is needed to develop a measure of depression that aligns with these respondents' descriptions.
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Affiliation(s)
- Mai See Yang
- Department of Betty Irene Moore School of Nursing, University of California, 4610 X St, Davis Sacramento, CA, 95817, USA.
| | - Jan E Mutchler
- Department of Gerontology, University of Massachusetts Boston, Boston, MA, USA
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8
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Hinton L, La Frano E, Harvey D, Alfaro ED, Kravitz R, Smith A, Apesoa-Varano EC, Jafri A, Unutzer J. Feasibility of a family-centered intervention for depressed older men in primary care. Int J Geriatr Psychiatry 2019; 34:1808-1814. [PMID: 31414506 DOI: 10.1002/gps.5196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Accepted: 08/06/2019] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Families provide considerable support to many older adults with depression, yet few intervention studies have sought to include them. Family participation in depression treatment aligns with the preferences of older men, a group at high risk for depression under treatment. This study examined the feasibility of a family-centered depression intervention for older men in a primary care setting. METHODS A clinical trial was conducted in a Federally Qualified Health Center (FQHC) in California's Central Valley. Depressed older men (age 50 and older) were allocated to usual care enhanced by depression psychoeducation or a family-centered depression intervention delivered by a licensed clinical social worker. Intervention feasibility was assessed in terms of recruitment, retention, and extent of family engagement. The PHQ-9 was administered at baseline, 1, 3, and 6 months. RESULTS For more than 6 months, 45 men were referred to the study; 31 met the inclusion criteria, 23 were successfully enrolled, and 20 (88%) participated in more than or equal to one treatment sessions. Overall, 85% (11 of 13) of men allocated to the intervention engaged a family member in more than or equal to one session and 54% (7 of 13) engaged the family member in more than or equal to three sessions. While men in both groups showed evidence of a significant decline in PHQ-9 scores early on, which attenuated over time, there were no significant between group differences. CONCLUSIONS Our family-centered depression intervention showed acceptable feasibility on the basis of a variety of parameters. Future research on family-based approaches may benefit from longer duration and more intensive treatment as well as additional strategies to overcome recruitment barriers.
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Affiliation(s)
- Ladson Hinton
- Department of Psychiatry and Behavioral Sciences, University of California at Davis, Sacramento, California, USA
| | - Erika La Frano
- Community Health Centers Del Valle, Santa Maria, California, USA
| | - Danielle Harvey
- Department of Public Health Sciences, University of California at Davis, Sacramento, California, USA
| | - Eduardo Delgadillo Alfaro
- Department of Psychiatry and Behavioral Sciences, University of California at Davis, Sacramento, California, USA
| | - Richard Kravitz
- Department of Internal Medicine, University of California at Davis, Sacramento, California, USA
| | - Andrew Smith
- San Joaquin General Hospital, French Camp, California, USA
| | | | - Asma Jafri
- San Joaquin General Hospital, French Camp, California, USA
| | - Jurgen Unutzer
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
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9
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Engman A. Embodiment and the foundation of biographical disruption. Soc Sci Med 2019; 225:120-127. [DOI: 10.1016/j.socscimed.2019.02.019] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Revised: 01/23/2019] [Accepted: 02/11/2019] [Indexed: 12/01/2022]
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10
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Dognin JS, Chen CK. The secret sorrows of men: impact of Dynamic Interpersonal Therapy on ‘masculine depression’. PSYCHOANALYTIC PSYCHOTHERAPY 2018. [DOI: 10.1080/02668734.2018.1458747] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Joanna S. Dognin
- Department of Veterans Affairs, VA New York Harbor Healthcare System – Manhattan Campus, New York, NY, USA
- Department of Psychiatry, New York University School of Medicine, New York, NY, USA
| | - Cory K. Chen
- Department of Veterans Affairs, VA New York Harbor Healthcare System – Manhattan Campus, New York, NY, USA
- Department of Psychiatry, New York University School of Medicine, New York, NY, USA
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11
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Hurd Clarke L, Lefkowich M. 'I don't really have any issue with masculinity': Older Canadian men's perceptions and experiences of embodied masculinity. J Aging Stud 2018; 45:18-24. [PMID: 29735205 DOI: 10.1016/j.jaging.2018.01.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The article explores what older Canadian men consider to be the definition of masculinity, how they evaluate their own masculinity relative to their definition, and how and why they use particular forms of body work in response to aging and their understandings of masculinity. Data are presented from qualitative interviews with 29 community-dwelling men aged 65-89. The men in our study defined masculinity relationally with femininity and homosexuality and identified three hallmarks of masculinity, namely: physical strength, leadership, and virility. While the men tended to emphasize that they were secure in their own masculine identities, some conceded that they diverged from societal definitions of masculinity with respect to their preferred activities, physical attributes, or personal qualities. Many of the men also perceived that aging and the accompanying physical and social changes were threats to their continued ability to be masculine. In an effort to slow down or redress bodily changes that were perceived to be undermining or diminishing their masculinity, the men engaged in exercise and/or were using or considering pharmaceutical interventions such as Viagra and Cialis. We discuss our findings in light of the masculinity literature and age relations theorizing.
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Affiliation(s)
- Laura Hurd Clarke
- School of Kinesiology, The University of British Columbia, 1924-156 West Mall, Vancouver, V6T 1Z2, B.C., Canada.
| | - Maya Lefkowich
- School of Population and Public Health, The University of British Columbia, 2206 East Mall, Vancouver, V6T 1Z3, B.C., Canada.
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Hinton L, Sciolla AF, Unützer J, Elizarraras E, Kravitz RL, Apesoa-Varano EC. Family-centered depression treatment for older men in primary care: a qualitative study of stakeholder perspectives. BMC FAMILY PRACTICE 2017; 18:88. [PMID: 28962555 PMCID: PMC5622558 DOI: 10.1186/s12875-017-0659-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Accepted: 09/20/2017] [Indexed: 11/23/2022]
Abstract
Background Family members often play important roles in the lives of depressed older men and frequently attend primary care visits with their loved ones, yet surprisingly little is known about how to most effectively engage and include family members in depression treatment. However, including family in depression treatment may be difficult due to several factors, such as depression stigma and family conflicts. The objective of this study was to describe challenges in engaging family members in older men’s depression treatment and potential strategies to overcome those challenges. Methods A cross-sectional, qualitative descriptive interview study was conducted in a safety-net, Federally Qualified Health Center in California’s Central Valley. A total of 37 stakeholders were recruited, including 15 depressed older (i.e. age ≥ 60) men, 12 family members, and 10 clinic staff. Depressed men were identified through mail outreach, waiting room screening, and referral. Depressed men identified family members who were later approached to participate. We also recruited a purposeful sample of clinic staff. Interviews explored stakeholder perspectives on family involvement in men’s depression treatment as part of a primary care intervention. Interviews were conducted using a semi-structured interview guide, tape-recorded, transcribed verbatim, and translated if the interview was conducted in Spanish. Results Four themes were identified representing core challenges: engaging men at the right time; preserving men’s sense of autonomy; managing privacy concerns; and navigating family tensions. Stakeholders also provided practical suggestions and advice about how each of these challenges might be addressed. Conclusions While engaging family is a promising approach to strengthen depression care for older men in primary care settings, several potential challenges exist. Family- centered depression intervention development and clinical practice need to anticipate these challenges and to develop approaches and guidelines to address them.
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Affiliation(s)
- Ladson Hinton
- Department of Psychiatry and Behavioral Sciences, University of California Davis, 2230 Stockton Blvd., Sacramento, CA, 95618, USA.
| | - Andrés F Sciolla
- Department of Psychiatry, University of California Davis, 2230 Stockton Blvd., Sacramento, CA, 95618, USA
| | - Jürgen Unützer
- Department of Psychiatry and Behavioral Sciences, 1959 NE Pacific Street, Seattle, WA, 98195, USA
| | - Edward Elizarraras
- Department of Biology, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA, 94132, USA
| | - Richard L Kravitz
- Division of General Internal Medicine, University of California Davis, 4150 V Street, Sacramento, CA, 95817, USA
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Athanasiadis C, Gough B, Robertson S. What do counsellors need to know about male depression? BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2017. [DOI: 10.1080/03069885.2017.1346232] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Chrysostomos Athanasiadis
- Division of Counselling and Psychological Therapies, School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
| | - Brendan Gough
- School of Social Sciences, Leeds Beckett University, Leeds, UK
| | - Steve Robertson
- School of Health and Community Studies, Leeds Beckett University, Leeds, UK
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Rice SM, Aucote HM, Möller-Leimkühler AM, Amminger GP. Confirmatory Factor Analysis of the Gotland Male Depression Scale in an Australian Community Sample. EUROPEAN JOURNAL OF PSYCHOLOGICAL ASSESSMENT 2017. [DOI: 10.1027/1015-5759/a000287] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. The Gotland Male Depression Scale (GMDS) was developed to improve the assessment and identification of depression in men by assessing symptoms that fall outside DSM-V/ICD-10 diagnostic criteria for depression. However, research findings from the GMDS have been markedly discrepant. Attempts to validate the latent GMDS factor structure using exploratory factor analysis (EFA) have yielded inconsistent results, bringing the validity and public health utility of the scale into question. The current study used confirmatory factor analysis to test the construct validity of five competing latent factor models identified from prior research. Data were obtained and analyzed separately from an Australian community sample of adult males (n = 318) and females (n = 345). Fit indices demonstrated the original GMDS two-factor model (distress, depression) to be a poor fit to the data. An alternative mixed three-factor model demonstrated improved model fit, although indices remained marginal. Results question the factor structure validity of the GMDS in the present sample and highlight the need for further psychometric development of the scale.
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Affiliation(s)
- Simon M. Rice
- Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
- School of Psychology, Australian Catholic University, Fitzroy, VIC, Australia
- Centre of Excellence in Youth Mental Health, University of Melbourne, VIC, Australia
| | - Helen M. Aucote
- School of Psychology, Australian Catholic University, Fitzroy, VIC, Australia
| | | | - G. Paul Amminger
- Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
- Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria
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15
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Hinton L. Childhood Adversity's Enduring Impact on Homeless Older Adults. Am J Geriatr Psychiatry 2017; 25:118-119. [PMID: 28017517 DOI: 10.1016/j.jagp.2016.11.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Accepted: 11/30/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Ladson Hinton
- Department of Psychiatry and Behavioral Sciences, University of California, Davis, CA.
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16
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Bates JS, Taylor AC. Positive Affect and Depressive Symptoms: What Dimensions of Grandfather Involvement Matter? JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2016. [DOI: 10.1080/15350770.2016.1160730] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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17
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Apesoa-Varano EC, Barker JC, Unutzer J, Aguilar-Gaxiola S, Johnson MD, Tran C, Guarnaccia P, Hinton L. Idioms of Distress Among Depressed White-Non-Mexican and Mexican-Origin Older Men. J Cross Cult Gerontol 2016. [PMID: 26208782 DOI: 10.1007/s10823-015-9267-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Older men are less likely than older women to receive depression treatment. Latino older men in particular have been found to have significantly lower rates of depression treatment than their white-non-Mexican (WNM) counterparts. Prior research has shown that men are less likely than women to express overt affect and/or report depression symptoms that may prompt primary care physicians' inquiry about depression. Previous studies have overlooked the idioms of distress common among older men. This study investigates: a) the range of idioms of distress that emerge in the narratives of depressed older men, and b) the use of these idioms among depressed WNM and Mexican-origin older men. The present report is based on qualitative data collected through the Men's Health and Aging Study (MeHAS), a mixed-method study of clinically depressed WNM and Mexican-origin older (65 and above) men recruited in primary care settings. Qualitative analysis of 77 interviews led to identification of idioms of distress and informed idiom categories. Study findings show that: a) both groups of men utilized a range of idioms of distress that met current DSM criteria for depression, b) both groups were also likely to utilize idioms that feel outside clinical depression criteria, and c) there were similarities as well as differences between WNM and Mexican-origin men. This study provides a larger vocabulary that clinicians might consider in recognizing depression and initiating depression care for older men from diverse ethnic backgrounds. This is important to improve depression care among older men in general and those of Mexican-origin in particular.
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Moore AA, Neale MC, Silberg JL, Verhulst B. Substance Use and Depression Symptomatology: Measurement Invariance of the Beck Depression Inventory (BDI-II) among Non-Users and Frequent-Users of Alcohol, Nicotine and Cannabis. PLoS One 2016; 11:e0152118. [PMID: 27046165 PMCID: PMC4821457 DOI: 10.1371/journal.pone.0152118] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Accepted: 03/09/2016] [Indexed: 11/19/2022] Open
Abstract
Depression is a highly heterogeneous condition, and identifying how symptoms present in various groups may greatly increase our understanding of its etiology. Importantly, Major Depressive Disorder is strongly linked with Substance Use Disorders, which may ameliorate or exacerbate specific depression symptoms. It is therefore quite plausible that depression may present with different symptom profiles depending on an individual’s substance use status. Given these observations, it is important to examine the underlying construct of depression in groups of substance users compared to non-users. In this study we use a non-clinical sample to examine the measurement structure of the Beck Depression Inventory (BDI-II) in non-users and frequent-users of various substances. Specifically, measurement invariance was examined across those who do vs. do not use alcohol, nicotine, and cannabis. Results indicate strict factorial invariance across non-users and frequent-users of alcohol and cannabis, and metric invariance across non-users and frequent-users of nicotine. This implies that the factor structure of the BDI-II is similar across all substance use groups
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Affiliation(s)
- Ashlee A. Moore
- Center for Clinical and Translational Research, Virginia Commonwealth University, Richmond, VA, United States of America
- Virginia Institute for Psychiatric & Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, United States of America
- * E-mail:
| | - Michael C. Neale
- Virginia Institute for Psychiatric & Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, United States of America
- Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA, United States of America
- Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, United States of America
| | - Judy L. Silberg
- Virginia Institute for Psychiatric & Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, United States of America
- Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA, United States of America
| | - Brad Verhulst
- Virginia Institute for Psychiatric & Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, United States of America
- Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, United States of America
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Roy P, Tremblay G, Robertson S, Houle J. "Do it All by Myself": A Salutogenic Approach of Masculine Health Practice Among Farming Men Coping With Stress. Am J Mens Health 2015; 11:1536-1546. [PMID: 26634855 DOI: 10.1177/1557988315619677] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Farming is often considered one of the most stressful occupations. At the same time, farming men symbolically represent a strong, traditional, or hegemonic form of masculinity based on stoicism, resourcefulness, and resilience to adversity. A contrast is observed between this social representation and their health status, marked by higher levels of stress, social isolation, psychological distress, and suicide than many other subgroups of men. A salutogenic approach was taken in this study to enable the investigation of the social contexts in which farming men positively engage in health-promoting behaviors that may prevent or ameliorate mental health problems. A focus was placed on how farming men cope with stress on their own, and the relationship of this to their popular image of being resourceful and resilient. Thirty-two individual in-depth interviews with farming men and a focus group with five key informants working in rural areas within the Province of Quebec, Canada, were carried out. Self-distraction and cognitive strategies emerged as the most relevant for participants. Notably, taking work breaks conflicted with the discourse of the "relentless worker" that farmers are expected to be. Pathways to positive coping and recovery implied an ambivalence between contemplation of strategies aligned with negative aspects of traditional masculinity norms in North America and strategies aligned with more positive, progressive aspects of these norms based on the importance of family and work life balance. Health promotion and future research should investigate how various positive masculine practices can be aligned with farmers' health and well-being and that of their family.
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Affiliation(s)
- Philippe Roy
- 1 Université de Montréal, Montréal, Québec, Canada
| | | | | | - Janie Houle
- 4 Université du Québec à Montréal, Montréal, Québec, Canada
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Thomeer MB, Reczek C, Umberson D. Relationship dynamics around depression in gay and lesbian couples. Soc Sci Med 2015; 147:38-46. [PMID: 26523788 PMCID: PMC4689633 DOI: 10.1016/j.socscimed.2015.10.048] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Revised: 10/17/2015] [Accepted: 10/19/2015] [Indexed: 11/22/2022]
Abstract
Research on intimate relationship dynamics around depression has primarily focused on heterosexual couples. This body of work shows that wives are more likely than husbands to offer support to a depressed spouse. Moreover, when wives are depressed, they are more likely than husbands to try and shield their spouse from the stress of their own depression. Yet, previous research has not examined depression and relationship dynamics in gay and lesbian couples. We analyze in-depth interviews with 26 gay and lesbian couples (N = 52 individuals) in which one or both partners reported depression. We find evidence that dominant gender scripts are both upheld and challenged within gay and lesbian couples, providing important insight into how gender operates in relation to depression within same-sex contexts. Our results indicate that most gay and lesbian partners offer support to a depressed partner, yet lesbian couples tend to follow a unique pattern in that they provide support both as the non-depressed and depressed partner. Support around depression is sometimes viewed as improving the relationship, but if the support is intensive or rejected, it is often viewed as contributing to relationship strain. Support is also sometimes withdrawn by the non-depressed partner because of caregiver exhaustion or the perception that the support is unhelpful. This study points to the importance of considering depression within gay and lesbian relational contexts, revealing new ways support sustains and strains intimate partnerships. We emphasize the usefulness of deploying couple-level approaches to better understand depression in sexual minority populations.
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Affiliation(s)
| | - Corinne Reczek
- Department of Sociology, The Ohio State University, USA; Department of Women's, Gender, and Sexuality Studies, The Ohio State University, USA
| | - Debra Umberson
- Population Research Center, The University of Texas at Austin, USA; Department of Sociology, The University of Texas at Austin, USA
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