Double trouble: maternal depression and alcohol dependence as combined factors in child and family social work

This study, part of a large programme of research incorporating four child and family care teams, focuses on the combined effects of alcohol dependence alongside clinical depression in mothers. A comparison is made between women who were clinically depressed and women who were both clinically depressed and alcohol dependent. The latter group had significantly higher levels of difficulty in social relationship, health, child, and particularly parenting problems. When considered alongside the intensity, duration and range of intervention required, the results indicated that there is considerable concern about the ‘dangerousness’ of this particular group with major implications for policy and practice. Copyright © 2002 John Wiley & Sons, Ltd.     

Depression, marital satisfaction, and marital and personality measures of sex roles*

The present study examined the relationship between depression, marital satisfaction, and marital and personality measures of sex roles. Subjects included 50 couples in which the woman was clinically depressed (and of which 26 were maritally distressed), and 24 nondepressed, nondistressed control couples. Results indicated that compared to nondepressed couples, husbands and wives in relationships in which the wife was depressed showed greater inequality in decision making and dissatisfaction with the distribution of decision making and household tasks; wives additionally indicated greater dissatisfaction with distribution of childrearing responsibilities. The relationship between marital roles and depression was largely mediated by the impact of marital distress in the clinic couples. In addition, depressed wives were less masculine than nondepressed wives, and women with high levels of masculinity reported less depression than women with low levels.     

Gender differences in correlates of recent physical assault among untreated rural and urban at-risk drinkers: role of depression

This study examined gender-specific correlates of past 6-month physical assault victimization among 468 men and 229 women at-risk drinkers recruited from both urban and rural settings. Both alcohol dependence and depression were associated with physical assault, but there were differences for women and men in the pattern of significant correlates. Specifically, for women the presence of alcohol dependence, depression or their comorbidity all were associated with physical assault. For men, depression by itself was not associated with physical assault, but alcohol dependence and especially alcohol dependence comorbid with depression were significant predictors. Further, there were stronger relationships between demographics and physical assault for men. The results have implications regarding identification of risk factors for physical assault victimization among at-risk drinkers. Overall, the results of this study suggest that screening and prevention interventions for physical assault among at-risk drinkers should target both alcohol use disorders and depression.     

The co-occurrence of depression and alcohol dependence symptoms in a community sample of lesbians

Numerous studies have found an association between depression and alcohol use disorders in women. Little is known, however, about the relationship between depression and alcohol use among lesbians. We examined the prevalence of depression and alcohol dependence symptoms as well as the co-occurrence of these two health problems in a large community-based sample of women who self-identified as lesbian. Past year alcohol dependence symptoms were significantly associated with both past year and lifetime depression. Lifetime depression was higher among White and Latina lesbians than among African American lesbians. Younger women and those not currently in a committed relationship more commonly reported past year depression. Younger age was the strongest predictor of the co-occurrence of depression and alcohol dependence symptoms.     

The relationship between negative mood and sexuality in heterosexual college woman and men

Negative mood states, such as depression and anxiety, are typically associated with decreased sexual interest and arousal. However, there is also some evidence that depressed or anxious mood may increase sexual interest or arousal in some individuals. In this study, 663 female college students (mean age = 18.9 years, SD = 1.21) answered questions regarding the effects of anxious and depressed mood on sexual interest and arousal and completed trait measures of sexual excitation and inhibition, anxiety, and depression. The majority of women reported decreased sexual interest and response when feeling depressed or anxious; a minority (about 10%) of women, however, reported increased sexual interest/response during anxious and depressed mood. This sample of women was compared to a sample of 399 college-aged men. In general, men were more likely than women to report increased sexual interest during negative mood states. Of the variables explored, propensity for sexual excitation was the strongest predictor of the relationship between negative mood and sexuality in women. Individual differences in the effects of negative mood may prove relevant to our understanding of a variety of topics, including risky and compulsive sexual behavior and sexual dysfunction.     

The relationship between negative mood and sexuality in heterosexual college women and men

Negative mood states, such as depression and anxiety, are typically associated with decreased sexual interest and arousal. However, there is also some evidence that depressed or anxious mood may increase sexual interest or arousal in some individuals. In this study, 663 female college students (mean age = 18.9 years, SD = 1.21) answered questions regarding the effects of anxious and depressed mood on sexual interest and arousal and completed trait measures of sexual excitation and inhibition, anxiety, and depression. The majority of women reported decreased sexual interest and response when feeling depressed or anxious; a minority (about 10%) of women, however, reported increased sexual interest/response during anxious and depressed mood. This sample of women was compared to a sample of 399 college‐aged men. In general, men were more likely than women to report increased sexual interest during negative mood states. Of the variables explored, propensity for sexual excitation was the strongest predictor of the relationship between negative mood and sexuality in women. Individual differences in the effects of negative mood may prove relevant to our understanding of a variety of topics, including “risky” and “compulsive” sexual behavior and sexual dysfunction.     

Crowding in context: an examination of the differential responses of men and women to high-density living environments

This study examines the question of gender-equivalent outcomes of mental health and social behavior in the context of crowding stress. It tests the hypothesis that gender will influence the exhibition of stress outcomes resulting from exposure to high-density living environments, with women displaying internalized responses and men responding with externalized styles. Expanding on the types of gender-appropriate disorders examined in this area of research, I selected depression, aggression, and withdrawal as gender-specific disorders based on theory and prior research. Multilevel analyses of data from a survey of Toronto residents indicate that, while the effects of household density are conditioned by gender, support for the existence of gender-equivalent outcomes is mixed. While women living in crowded homes are more likely to be depressed, men exposed to high-density living environments do not report increased aggression. However, men report higher levels of withdrawal, and some males respond with both aggression and withdrawal.     

History of child abuse and severity of adult depression: the mediating role of cognitive schema

The link between childhood abuse, adult depression, and anxiety has been well studied, but few studies have empirically explored the mechanism of that link. Using a clinical sample of women, this study examined the relationship between retrospectively measured childhood abuse and neglect and current adult symptoms of anxiety and depression, via the mediating effects of cognitive style. This study found that women who reported a positive abuse history were significantly more depressed and exhibited more maladaptive schemas than women who did not report a history of abuse. Specifically, it would appear that cognitive styles marked by interpersonal disconnection and rejection are particularly pathogenic. These findings contribute to the growing literature by providing support for the role of cognitions in mediating the link between childhood abuse and psychopathology.     

Attachment and depression differentially influence nicotine dependence among male and female undergraduates: a preliminary study

The authors surveyed a convenience sample of 208 undergraduate students who reported that they smoked cigarettes. The primary hypothesis they tested was whether gender predicted nicotine dependence. They further tested whether depression and attachment would mediate or moderate this relationship. Hierarchical regression analyses with social desirability and smoking stage of change entered as covariates indicated that women exhibited greater nicotine dependence than men did (p < .01). Lower attachment scores fully mediated this relationship, whereas elevated depression scores moderated the relationship. These findings suggest that depression and the inability to bond with peers may promote nicotine dependence among young female students.     

Economic Reform in the Czech Republic: Economic Strain,Depression, Hostility,and the Difference Gender Makes*

The Czech Republic is changing rapidly and its current economic transformation is a strain on Czech families. In this study, the connection between economic strain and individual well-being is investigated via mailed questionnaires from 234 households in the Czech Republic. For Czech women, depression rises more with economic strain than does hostility, while Czech men become more hostile than depressed in the face of economic strain. For women, social support is a buffer between economic strain and hostility, whereas self-esteem is a buffer for depression. For men, both self-esteem and social support exacerbate hostility in the context of economic strain.     

Relations Between Women's Depressive Symptoms and Perceptions of Infant Distress Signals Varying in Pitch

Fifteen nondepressed, 15 moderately depressed, and 15 severely depressed women rated tape‐recordings of a newborn infant's hunger cry digitally altered to increase in fundamental frequency in 100 Hz increments. Cries were rated on 4 perceptual (e.g., arousing‐not arousing) and 6 caregiving rating scale items (e.g., cuddle, feed) used in previous studies (Zeskind, 1983). Analyses of variance showed that, as cry pitch increased, cries were rated as more arousing, aversive, urgent, and sick sounding. Highest pitched cries received highest levels of caregiving interventions. Severely depressed women rated cries as less perceptually salient and less likely to elicit active caregiving responses. Interaction effects showed that severely depressed women were least responsive to highest pitched cries. These results suggest that women's depression may alter perceptions of infant distress signals, especially at times of greater infant distress.     

Prevalence of DSM-IV major depression among Spanish university students

OBJECTIVE: The authors' purpose in this study was to estimate prevalence and correlates of Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), major depressive episodes (MDEs) among Spanish university students. PARTICIPANTS AND METHODS: In October and November 2004, interviewers administered a screening tool to a sample of 554 students aged 18-34 years (65.9% women). RESULTS: The prevalence of MDEs was 8.7% (95% confidence interval = 6.5%-11.3%). The most common symptoms were depressed mood (81.3%) and altered sleep (79.2%). MDEs were more prevalent among women than men (p < .05). The mean number of previous episodes of depression among currently depressed students with previous episodes was 2.2 (SD = 1.4). Of depressed students, 0.6% had considered suicide and 0.2% had attempted suicide. CONCLUSIONS: Depression was highly prevalent among university students. The results suggest the need to develop some type of program or service for university students with the aim of preventing depression and improving their adaptation to university life.     

A Review of Lesbian Depression and Anxiety

SUMMARY

The Surgeon General's first report on mental health identified depression and anxiety as significant mental health issues that disproportionately affect women. Research indicates that lesbians experience depression at rates that parallel those of the general female population, suggesting that depression is an important mental health issue for lesbians. Given the high rate of comorbidity between depression and anxiety disorders, it is likely that many depressed lesbians have struggled with problems related to anxiety as well. This paper reviews literature pertaining to lesbians and depression including incidence rates, risk factors, suicidality and treatment approaches, and stress and anxiety that may also contribute to the experience of depression among lesbians.     

Gender and the Mental–Physical Health Connection Among U.S. Adults

Using data from the 1995, 1998, and 2001 panels of Aging, Status, and Sense of Control (ASOC) Survey, we examine gender differences in the relationship between self‐rated physical health and mental health over time (n = 2,543). Gender‐stratified path models highlight how the nature of the mental–physical health relationship changes when we use indicators of mental health that have traditionally been labeled as female sensitive (depression) or male sensitive (heavy drinking). Results show that women and men are similar in that mental health has a stronger effect on physical health than the reverse. However, this is only the case when we use gender‐sensitive measures of mental distress: Men who drink heavily and women who are depressed report poorer self‐rated physical health over time, while heavy drinking for women and depression for men have no significant effects on their self‐rated physical well‐being. These results provide evidence of a health process that is gendered in its expression but more universal in its outcome—the exact measure might vary, but men and women alike are physically harmed by mental health problems.     

An examination of sheltered battered women's perpetration of stalking and other unwanted pursuit behaviors

In the current study, sheltered battered women (n = 105) self-reported whether they had perpetrated stalking or other unwanted pursuit behaviors (e.g., harassment, threat) during relationship separations from their abuser. Results indicated that sheltered battered women who admitted perpetrating stalking behavior (about 25% of the sample) had more self-blame, depression, and a greater tendency to leave the shelter within the first week (45%) than did battered women who did not report perpetrating stalking behaviors. The majority of battered women who reported perpetrating stalking behavior also reported being victimized by stalking behaviors (bidirectional stalking). Although these women reported similarly high levels of fear toward their abuser as did unidirectionally stalked women, bidirectionally stalking women were less likely to perceive that their abuser was using his violence to obtain control over them and were more depressed and self-blaming. Directions for future research, recommendations for shelter staff, and the potential treatment implications of these findings are discussed.     

Home-to-Work Conflict,Work Qualities,and Emotional Distress

Among a representative sample of employed men and women in Toronto, Canada, home-to-work conflict is associated positively with anxiety and depression. Two hypotheses propose work qualities as moderators. The double disadvantage hypothesis predicts that home-to-work conflict is more distressing when work is nonautonomous, routine, or noxious. The intrusion on job status/rewards hypothesis predicts that conflict is more distressing when work is autonomous, nonroutine, or nonnoxious. Results show that the association between home-to-work conflict and distress is stronger (1) among people in more autonomous jobs; (2) among women in routinized jobs; and (3) among men in noxious environments.     

Childhood parental loss and adult depression

Previous research demonstrates convincingly that childhood parental deaths and parental divorces have implications for adult well-being as defined by levels of depression, educational attainment, early age at marriage, and risk of divorce. What this research has failed to examine are the interconnections among these outcomes. Specifically, are the socioeconomic and marital outcomes of parental loss implicated in the observed higher levels of depression? This analysis takes a first step in answering this question. Using data from a sample of 1,755 married men and women, I estimated regression models which examine the extent to which adult socioeconomic status and current marital quality mediate and/or modify the loss-depression relationship. Parental divorce was strongly related to socioeconomic and marital outcomes. Furthermore, current marital quality contributed importantly to understanding the higher levels of depressed mood observed among persons from divorced homes. Parental death was much more weakly related to socioeconomic and marital outcomes, and these outcomes played little role in explaining its relationship to depression. Finally, all of these relationships were stronger among women than men. These findings support the utility of life-course approaches to understanding adult mental health.     

Gender, social status, and emotional reliance

Past research has suggested the potential importance of considering emotional reliance, a dimension of interpersonal dependence, when addressing social and developmental risk factors for depression. Based on a probability sample of 1,393 adults aged 18-55 residing in Toronto, Canada, this paper addresses gender differences in emotional reliance and the relevance of emotional reliance in explaining the gender-depression association. We also explore link-ages between emotional reliance and status factors. Findings indicate that emotional reliance is significantly related to depression and that women report greater reliance than men, independent of social status factors like marital and parental status, education, income, and occupational prestige. Moreover, the positive association between emotional reliance and depression is greater for women. Several social status factors modify the relationship between gender and emotional reliance. Both education and occupational prestige reduce reliance, and are particularly beneficial in this regard for women. Marriage, on the other hand, increases emotional reliance, especially for men. We offer interpretations of this pattern of findings.     

The Flip Side of Holland Type Congruence: Incongruence and Job Satisfaction

This study examined the relationship between Holland type (Realistic, Investigative, Artistic, Social, Enterprising, and Conventional; Holland, 1959, 1997) congruence and incongruence (i.e., lack of fit between an occupation's 3‐letter Holland code and a person's lowest 3 Holland interest types) and tested whether incongruence predicts unique variance in satisfaction beyond congruence. Results from an employee sample suggest that incongruence and congruence are distinct constructs (in that they correlated r = ‐.32) and that beyond congruence, incongruence did not predict variance in overall or intrinsic job satisfaction. Counselors are urged to assess both congruence and incongruence, but to focus on helping clients to identify best‐fitting occupations when possible, rather than to merely avoid incongruent occupations.