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Male-Type and Prototypal Depression Trajectories for Men Experiencing Mental Health Problems

Author

Listed:
  • Simon M. Rice

    (Orygen, Parkville, Melbourne 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Melbourne 3052, Australia)

  • David Kealy

    (Department of Psychiatry, University of British Columbia, Vancouver, BC V6T 1Z4, Canada)

  • Zac E. Seidler

    (Orygen, Parkville, Melbourne 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Melbourne 3052, Australia)

  • John L. Oliffe

    (School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5 Canada
    Department of Nursing, The University of Melbourne, Melbourne, Victoria 3010, Australia)

  • Ronald F. Levant

    (Department of Psychology, University of Akron, Akron, OH 44325-4301, USA)

  • John S. Ogrodniczuk

    (Department of Psychiatry, University of British Columbia, Vancouver, BC V6T 1Z4, Canada)

Abstract

Growing interest in gender-sensitive assessment of depression in men has seen the development of male-specific screening tools. These measures are yet to be subject to longitudinal latent modelling, which limits evidence about the ability of these tools to detect change, especially relative to established screening scales. In this study, three waves of data were collected from 234 men (38.35 years, SD = 14.09) including 3- and 6-month follow-up. Analyses focused on baseline differences and symptom trajectories for the Patient Health Questionnaire (PHQ; prototypic symptoms) and the Male Depression Risk Scale (MDRS; male-type symptoms). At baseline, men not accessing treatment reported higher MDRS scores relative to treatment-engaged men. There was no group difference for the PHQ. Internal consistency (α, ω) coefficients indicated comparable reliability for both measures across the three waves. Multidomain latent growth modelling, including current treatment engagement as a covariate, reported good model fit (CFI = 0.964, TLI = 0.986, RMSEA = 0.081, SRMR = 0.033) with differential findings for the PHQ and MDRS. Consistent with the baseline between-group analysis, current treatment effects were observed for the MDRS, but not the PHQ. Trajectory modelling for the MDRS indicated that greater severity resulted in slower improvement by 6 months. In contrast, there was no difference in the PHQ rate of change between baseline and 6 months. Findings support the psychometric utility of the MDRS as a male-specific symptom domain measure sensitive to both longitudinal change and potential treatment effects for symptomatic men, in ways not discernible by the PHQ. The MDRS may be a useful adjunctive screening tool for assessing men’s depression.

Suggested Citation

  • Simon M. Rice & David Kealy & Zac E. Seidler & John L. Oliffe & Ronald F. Levant & John S. Ogrodniczuk, 2020. "Male-Type and Prototypal Depression Trajectories for Men Experiencing Mental Health Problems," IJERPH, MDPI, vol. 17(19), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7322-:d:424627
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    References listed on IDEAS

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    1. Emslie, Carol & Ridge, Damien & Ziebland, Sue & Hunt, Kate, 2006. "Men's accounts of depression: Reconstructing or resisting hegemonic masculinity?," Social Science & Medicine, Elsevier, vol. 62(9), pages 2246-2257, May.
    2. Oliffe, John L. & Broom, Alex & Rossnagel, Emma & Kelly, Mary T. & Affleck, William & Rice, Simon M., 2020. "Help-seeking prior to male suicide: Bereaved men perspectives," Social Science & Medicine, Elsevier, vol. 261(C).
    3. Richard HERMIDA, 2015. "The problem of allowing correlated errors in structural equation modeling: concerns and considerations," Computational Methods in Social Sciences (CMSS), "Nicolae Titulescu" University of Bucharest, Faculty of Economic Sciences, vol. 3(1), pages 05-17, June.
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    Cited by:

    1. Kieran M. O’Gorman & Michael J. Wilson & Zac E. Seidler & Derek English & Ian T. Zajac & Krista S. Fisher & Simon M. Rice, 2022. "Male-Type Depression Mediates the Relationship between Avoidant Coping and Suicidal Ideation in Men," IJERPH, MDPI, vol. 19(17), pages 1-13, August.

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