Why Depression Is More Common in Women Than in Men

Why Depression Is More Common in Women Than in Men Depression Causes Print Why Depression Is More Common in Women Than in Men By Nancy Schimelpfening Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be. Learn about our editorial policy Nancy Schimelpfening Medically reviewed by Medically reviewed by Carly Snyder, MD on November 12, 2019 facebook twitter linkedin Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments.   Learn about our Medical Review Board Carly Snyder, MD Updated on February 04, 2020 Depression Overview Types Symptoms Causes & Risk Factors Diagnosis Treatment Coping ADA & Your Rights Depression in Kids Ghislain Marie David de Lossy / Getty Images In This Article Table of Contents Expand Hormonal Differences Socialization Differences Diagnosis Differences View All It has been widely documented that there are gender differences in depression prevalence, with women experiencing major depression more often than men. This risk exists independent of race or ethnicity. One large-scale 2017 study found that these gender differences emerge starting at age 12, with girls and women being twice as likely as men to experience depression.?? Several risk factors have been studied that might account for gender differences in rates of depression. Hormonal Differences Given that the peak onset of depressive disorders in women coincides with their reproductive years (between the ages of 25 to 44 years of age), hormonal risk factors may play a role. Estrogen and progesterone have been shown to affect neurotransmitter, neuroendocrine, and circadian systems that have been implicated in mood disorders.?? The fact that women can experience mood disorders associated with their menstrual cycle, such as  premenstrual dysphoric disorder (PMDD), a mood disorder characterized by depressive symptoms that occur prior to the start of the menstrual cycle, also points to a relationship between female sex hormones and mood. Although menopause is a time when a womans risk of depression declines, the perimenopausal period is a time of increased risk for those with a history of major depression. Other hormonal factors that may contribute to a womans risk for depression are sex differences related to the hypothalamic-pituitary-adrenal (HPA) axis and thyroid function. Depression Statistics Everyone Should Know Socialization Differences Researchers have found that gender differences in socialization could play a role in rates of depression as well.?? Girls are generally socialized to be more nurturing and sensitive to the opinions of others, while little boys are often encouraged to develop a greater sense of mastery and independence in their lives. Masculine gender socialization emphasizes norms such as stoicism, toughness, and the avoidance of anything perceived as feminine, including displays of emotion. Some researchers suggest that this type of socialization may cause depression to manifest differently in men.?? How Cultural Norms Influence Behavior and Gender Value Social Roles It has also been theorized that women who become housewives and mothers may find their roles devalued by society while women who pursue a career outside the home may face discrimination and job inequality or may feel conflicts between their role as a wife and mother and their work. The socialization of gender roles and gender traits has been associated with how well people cope with stress and the effects that stress has on health. Researchers have found that such socialization benefits men in terms of overall health.?? Coping Style Studies also show that women tend to use a more emotion-focused, ruminative coping styleâ€"mulling their problems over in their minds; while men tend to use a more problem-focused, distracting coping style to help them forget their troubles.?? It has been hypothesized that this ruminative coping style could lead to longer and more severe episodes of depression and contribute to womens greater vulnerability to depression. Find Help With the Best Online Resources for Depression Stressful Life Events Evidence suggests that, throughout their lifetimes, women may experience more stressful life events and have a greater sensitivity to them than men. Adolescent girls tend to report more negative life events than boysâ€"usually related to their relationships with their parents and peersâ€"and experience higher levels of distress related to them.?? Studies of adult women have found that women are more likely than men to become depressed in response to a stressful life event and to have experienced a stressful event within six months prior to a major depressive episode.?? However, depression prevalence rates also tend to be fairly consistent globally, which may suggest that biological influences play the largest role and that factors such as socioeconomic status, education, race, diet, and culture are secondary or compounding influences. Diagnosis Differences Researchers have also suggested that there may actually be no difference in prevalence between men and women. These researchers have proposed the idea that it may actually be that women seek help more often than men or report their symptoms differently, leading to them being diagnosed more often than men. Some research indicates that not only may men experience depression differently than women do, but depression among men may also be underdiagnosed. Men tend to experience symptoms such as anger, irritability, sleep disturbances, and substance use. They are also more likely to describe depressive symptoms as stress rather than feelings of sadness. One study published in JAMA Psychiatry found that when depression was measured with these so-call male symptoms, men actually had somewhat higher rates of depression (26.3% for men and 21.9% for women).?? A Word From Verywell Depression is a complex condition that does not have a single, simple cause. Further research is needed to understand sex differences in rates of depression and its diagnosis. The existing research suggests that biological differences between men and women play a significant part in explaining these differences. Cultural expectations, gender roles, and the underdiagnosis of depression in men may also be contributing factors. Why Some People Are More Prone to Depression