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Open AccessArticle

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

1
Orygen, Parkville, Melbourne 3052, Australia
2
Centre for Youth Mental Health, The University of Melbourne, Melbourne 3052, Australia
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Department of Psychiatry, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
4
School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5 Canada
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Department of Nursing, The University of Melbourne, Melbourne, Victoria 3010, Australia
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Department of Psychology, University of Akron, Akron, OH 44325-4301, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(19), 7322; https://doi.org/10.3390/ijerph17197322
Received: 13 September 2020 / Revised: 30 September 2020 / Accepted: 3 October 2020 / Published: 7 October 2020
(This article belongs to the Section Mental Health)
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. View Full-Text
Keywords: depression; assessment; gender; men; latent growth curve depression; assessment; gender; men; latent growth curve
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MDPI and ACS Style

Rice, S.M.; Kealy, D.; Seidler, Z.E.; Oliffe, J.L.; Levant, R.F.; Ogrodniczuk, J.S. Male-Type and Prototypal Depression Trajectories for Men Experiencing Mental Health Problems. Int. J. Environ. Res. Public Health 2020, 17, 7322. https://doi.org/10.3390/ijerph17197322

AMA Style

Rice SM, Kealy D, Seidler ZE, Oliffe JL, Levant RF, Ogrodniczuk JS. Male-Type and Prototypal Depression Trajectories for Men Experiencing Mental Health Problems. International Journal of Environmental Research and Public Health. 2020; 17(19):7322. https://doi.org/10.3390/ijerph17197322

Chicago/Turabian Style

Rice, Simon M.; Kealy, David; Seidler, Zac E.; Oliffe, John L.; Levant, Ronald F.; Ogrodniczuk, John S. 2020. "Male-Type and Prototypal Depression Trajectories for Men Experiencing Mental Health Problems" Int. J. Environ. Res. Public Health 17, no. 19: 7322. https://doi.org/10.3390/ijerph17197322

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