Male depression syndrome is characterized by pronounced Cluster B personality traits

Background - Male depression syndrome (Male-DS) refers to alternative depression symptoms related to the male sex, such as externalizing behaviors, emotional suppression, substance misuse, and risk-seeking. Although these symptoms contribute to gender bias in the diagnosis of depression, Male-DS can...

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Hauptverfasser: Sedlinská, Terezie (VerfasserIn) , Mühle, Christiane (VerfasserIn) , Richter-Schmidinger, Tanja (VerfasserIn) , Weinland, Christian (VerfasserIn) , Kornhuber, Johannes (VerfasserIn) , Lenz, Bernd (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 1 September 2021
In: Journal of affective disorders
Year: 2021, Jahrgang: 292, Pages: 725-732
ISSN:1573-2517
DOI:10.1016/j.jad.2021.05.114
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jad.2021.05.114
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0165032721005590
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Verfasserangaben:Terezie Sedlinská, Christiane Mühle, Tanja Richter-Schmidinger, Christian Weinland, Johannes Kornhuber, Bernd Lenz

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520 |a Background - Male depression syndrome (Male-DS) refers to alternative depression symptoms related to the male sex, such as externalizing behaviors, emotional suppression, substance misuse, and risk-seeking. Although these symptoms contribute to gender bias in the diagnosis of depression, Male-DS can be found in both sexes. In this cross-sectional study, we analyzed associations between Male-DS and clinical personality accentuations. - Methods - We compared clinical personality accentuations between 78 depressed patients with high Male-DS scores (46% women; mean age ± standard error of the mean: 36.5 ± 1.6 years) and 76 depressed patients with low Male-DS scores (43% women; age 44.8 ± 1.7 years). We also explored differences between the two patient groups and 176 healthy controls (51% women; age 37.2 ± 1.0 years). - Results - Depressed patients with high Male-DS scores showed stronger borderline (partial η2 0.121), impulsive (0.112), and antisocial (0.078) personality accentuations than those with low Male-DS scores after Bonferroni adjustment and controlling for sex, depression severity, and age. Relative to healthy controls, patients with high Male-DS values scored higher in all personality dimensions except for the narcissistic dimension. Patients with low Male-DS values scored higher in all Cluster A and C dimensions and the impulsive and borderline dimensions, but their scores were lower in the narcissistic dimension. - Limitations - Cross-sectional design and focus on in-patients. - Conclusions - We found pronounced Cluster B personality in patients with high Male-DS scores versus patients with low scores. Further prospective research is needed to verify that Cluster B personality traits represent a pre-morbid risk factor for Male-DS. 
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