Symptom endorsement in men versus women with a diagnosis of depression: A differential item functioning approach
Symptom endorsement in men versus women with a diagnosis of depression: A differential item functioning approach
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DOI：
10.1177/0020764016653980
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发表时间：
2016-09-01
影响因子：
7.5
通讯作者：
Kavanagh, David J.
中科院分区：
文献类型：
--
作者：
Cavanagh, Anna;Wilson, Coralie J.;Kavanagh, David J.
背景：有一些证据表明，与抑郁女性相比，抑郁男性往往会报告未列为标准诊断标准的其他症状。这可能会导致对男性抑郁症的漏诊或误诊。 目的：本研究旨在澄清抑郁症男性和女性报告的症状是否不同。方法：本研究使用的数据来自 2007 年澳大利亚国家心理健康和福祉调查，该调查是通过世界卫生组织的综合国际诊断访谈收集的。被诊断患有抑郁症并有 12 个月症状的参与者 (n=663) 被确定并纳入本研究。差异项目功能 (DIF) 用于测试抑郁男性和女性是否认同与其病情相关的不同特征。结果：与抑郁相关的三种症状存在性别相关的 DIF。抑郁的女性更有可能报告“食欲/体重紊乱”，而抑郁的男性更有可能报告“酒精滥用”和“药物滥用”。 结论：虽然结果可能反映出男性同时发生酒精和药物滥用的风险更大，但将这些特征纳入评估可能会提高男性抑郁症的检测率，特别是在标准抑郁症状报告不足的情况下。
Background: There is some evidence that, in contrast to depressed women, depressed men tend to report alternative symptoms that are not listed as standard diagnostic criteria. This may possibly lead to an under- or misdiagnosis of depression in men.Aims: This study aims to clarify whether depressed men and women report different symptoms.Methods: This study used data from the 2007 Australian National Survey of Mental Health and Wellbeing that was collected using the World Health Organization's Composite International Diagnostic Interview. Participants with a diagnosis of a depressive disorder with 12-month symptoms (n=663) were identified and included in this study. Differential item functioning (DIF) was used to test whether depressed men and women endorse different features associated with their condition.Results: Gender-related DIF was present for three symptoms associated with depression. Depressed women were more likely to report appetite/weight disturbance', whereas depressed men were more likely to report alcohol misuse' and substance misuse'.Conclusion: While the results may reflect a greater risk of co-occurring alcohol and substance misuse in men, inclusion of these features in assessments may improve the detection of depression in men, especially if standard depressive symptoms are under-reported.