Women are about twice as likely as men to suffer from depression.
This two-to-one difference persists across racial, ethnic, and economic
divides. In fact, this gender difference in rates of depression is found in
most countries around the world. There are a number of theories that attempt to
explain the higher incidence of depression in women. Many factors have been
implicated, including biological, psychological, and social factors.
Biological and hormonal causes of depression in women
Ø Premenstrual problems – Hormonal fluctuations during the
menstrual cycle can cause the familiar symptoms of premenstrual syndrome (PMS),
such as bloating, irritability, fatigue, and emotional reactivity. For many
women, PMS is mild. But for some women, symptoms are severe enough to disrupt
their lives and a diagnosis of premenstrual dysphoric disorder (PMDD) is made.
Ø Pregnancy and infertility – The many hormonal changes that occur
during pregnancy can contribute to depression, particularly in women already at
high risk. Other issues relating to pregnancy such as miscarriage, unwanted
pregnancy, and infertility can also play a role in depression.
Ø Postpartum depression – Many new mothers experience the “baby
blues.” This is a normal reaction that tends to subside within a few weeks.
However, some women experience severe, lasting depression. This condition is
known as postpartum depression. Postpartum depression is believed to be
influenced, at least in part, by hormonal fluctuations.
Ø Perimenopause and menopause – Women may be at increased risk for
depression during perimenopause, the stage leading to menopause when
reproductive hormones rapidly fluctuate. Women with past histories of
depression are at an increased risk of depression during menopause as well.
Ø Health problems – Chronic illness, injury, or disability
can lead to depression in women, as can crash dieting or quitting smoking.
Psychological causes of depression in women
Ø Focusing on and rehashing negative feelings – Women are more likely to ruminate when
they are depressed. This includes crying to relieve emotional tension, trying
to figure out why you’re depressed, and talking to your friends about your
depression. However, rumination has been found to maintain depression and even
make it worse. Men, on the other hand, tend to distract themselves when they
are depressed. Unlike rumination, distraction can reduce depression.
Ø Overwhelming stress at work, school, or home – Some studies show that women are more
likely than men to develop depression from stress. Furthermore, the female
physiological response to stress is different. Women produce more stress
hormones than men do, and the female sex hormone progesterone prevents the
stress hormone system from turning itself off as it does in men.
Ø Body image issues – The gender difference in depression begins in
adolescence. The emergence of sex differences during puberty likely plays a
role. Some researchers point to body dissatisfaction, which increases in girls
during the sexual development of puberty.
Social causes of depression in women
As with men, social factors can also play a part in causing
depression in women, along with lifestyle choices, relationships, and coping
skills. These may include:
Ø Marital or relationship problems; balancing the
pressures of career and home life
Ø Family responsibilities such as caring for
children, spouse, or aging parents
Ø Experiencing discrimination at work or not
reaching important goals, losing or changing a job, retirement, or embarking on
military service
Ø Persistent money problems
Ø Death of a loved one or other stressful life
event that leaves you feeling useless, helpless, alone, or profoundly sad.
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