Gender differences in the psychopathology
of depressed inpatients |
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Authors: | Email author" target="_blank">D?WinklerEmail author E?Pjrek A?Heiden G?Wiesegger N?Klein A?Konstantinidis S?Kasper |
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Institution: | (1) Department of General Psychiatry, University Hospital for Psychiatry, Währinger Gürtel 18–20, 1090 Vienna, Austria |
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Abstract: | Abstract.
In the last few years there has been increased
scientific effort to describe the gender–specific
psychopathological features of depression. Until now
these studies have not been entirely conclusive, which
could be the result of methodological difficulties. This
report investigates sex differences in the symptom presentation
in an inpatient population: 104 female and 113
male patients suffering from a depressive episode according
to ICD–10 were admitted to the inpatient treatment
at the Department of General Psychiatry in Vienna.
A psychopathological rating according to the
standardized documentation system of the AMDP (Association
for Methodology and Documentation in Psychiatry)
was performed at admission and discharge. At
admission into the hospital women tended to show more
affective lability (p = 0.025), whereas men had higher
scores in affective rigidity (p = 0.032), blunted affect
(p = 0.002), decreased libido (p = 0.028), hypochondriasis
(p = 0.016) and hypochondriac delusions (p = 0.039).
At discharge from the hospital women had significantly
higher scores in dysphoria (p = 0.010), while men were
more prone to have compulsive impulses (p = 0.030). Although
our results were obtained in a selected sample of
inpatients at a university hospital, they are indicative of
psychopathological differences between men and
women in the core symptoms of depression. These differences
may influence diagnostic practice and gender
specific treatment of depression.*Both authors contributed equally |
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Keywords: | gender differences depressive symptoms male depression psychopathology AMDP |
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