Role of the gender-linked norm of toughness in the decision to engage in treatment for depression.
Role of the gender-linked norm of toughness in the decision to engage in treatment for depression.
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DOI：
10.1176/ps.62.7.pss6207_0740
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发表时间：
2011-07
期刊：
影响因子：
--
通讯作者：
Kravitz RL
中科院分区：
文献类型：
--
作者：
O'Loughlin RE;Duberstein PR;Veazie PJ;Bell RA;Rochlen AB;Fernandez y Garcia E;Kravitz RL
鉴于其在我们的文化中的普遍性和说服力，性别规范-通常被描述为社会强化的，学习的期望是什么意思是一个男人或一个女人-可能会导致抑郁症的服务利用的性别差异。这项研究调查了韧性的性别差异，一种与性别相关的规范，其特征是隐藏痛苦和保持独立的愿望，是否与偏好等待抑郁症自行解决而不进行积极的专业治疗（“观望”方法）有关。参与加州行为风险因素监测系统（BRFSS）调查的参与者（N=1,051）在后续调查中被联系，以评估韧性，如果他们接受抑郁症的诊断，他们更喜欢的治疗方式，以及目前的抑郁症症状。在BRFSS上报告曾被诊断为抑郁症的参与者被过采样三倍。使用线性和logistic回归进行分析。在韧性上得分较高的男性和女性更倾向于等待和观望的方法（OR=1.14，p<0.01）。女性不太可能喜欢等待和观望的方法（OR= 0.58，p<0.04），并且在韧性方面得分较低（B=-0.70，p<0.01）。男性更高的韧性水平部分介导了治疗偏好的性别差异（OR=.91，p<.05）。男性对韧性规范的更大坚持解释了在寻求治疗偏好中观察到的性别差异的一部分，但韧性也破坏了女性的治疗寻求。研究结果可用于通知新的公共卫生通信旨在吸引男性和女性的精神病服务。
Given their prevalence and persuasive power in our culture, gender norms— commonly described as socially reinforced, learned expectations of what it means to be a man or a woman—likely contribute to sex differences in service utilization for depression. This study investigated whether sex differences in toughness, a gender-linked norm characterized by a desire to hide pain and maintain independence, were associated with a preference to wait for depression to resolve on its own without active professional treatment (``wait-and-see” approach). Participants (N=1,051) in the California Behavioral Risk Factor Surveillance System (BRFSS) survey were contacted in a follow-on survey to assess toughness, the kind of treatment they would prefer were they to receive a diagnosis of depression, and current symptoms of depression. Participants who reported ever having been diagnosed as having a depressive disorder on the BRFSS were oversampled threefold. Analyses were conducted using linear and logistic regressions. Men and women who scored higher on toughness had a greater preference for the wait-and-see approach (OR=1.14, p<.01). Women were less likely to prefer the wait-and-see approach (OR=.58, p<.04) and scored lower on toughness (B=−.70, p<.01). Men’s greater levels of toughness partially mediated the sex difference in treatment preferences (OR=.91, p<.05). Men’s greater adherence to the toughness norm explained part of the sex difference observed in treatment-seeking preferences, but toughness undermined women’s treatment seeking as well. Findings could be used to inform novel public health communications intended to attract both men and women to psychiatric services.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
5.7
作者：
Epstein, Ronald M.;Duberstein, Paul R.;Paterniti, Debora A.
通讯作者：
Paterniti, Debora A.
影响因子：
4
作者：
Fischer, AR;Tokar, DM;Snell, AF
通讯作者：
Snell, AF
西班牙裔个体的抑郁症治疗偏好：探索种族、语言和解释模型的影响。
DOI：
10.3122/jabfm.2011.01.100118
发表时间：
2011-01
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
--
作者：
Fernandez Y Garcia E;Franks P;Jerant A;Bell RA;Kravitz RL
通讯作者：
Kravitz RL
影响因子：
16.4
作者：
Addis, ME;Mahalik, JR
通讯作者：
Mahalik, JR