A Sex-Specific Comparison of Major Depressive Disorder Symptomatology in the Canadian Forces and the General Population

Objective: To compare major depressive disorder (MDD) symptomatology within men and women in a large, representative sample of Canadian military personnel and civilians. Method: We used the Canadian Community Health Survey: Mental Health and Well-Being (Cycle 1.2 and Canadian Forces Supplement) (n =...

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Veröffentlicht in:Canadian journal of psychiatry 2014-07, Vol.59 (7), p.393-398
Hauptverfasser: Erickson, Julie, Kinley, D Jolene, Bolton, James M, Zamorski, Mark A, Enns, Murray W, Sareen, Jitender
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container_end_page 398
container_issue 7
container_start_page 393
container_title Canadian journal of psychiatry
container_volume 59
creator Erickson, Julie
Kinley, D Jolene
Bolton, James M
Zamorski, Mark A
Enns, Murray W
Sareen, Jitender
description Objective: To compare major depressive disorder (MDD) symptomatology within men and women in a large, representative sample of Canadian military personnel and civilians. Method: We used the Canadian Community Health Survey: Mental Health and Well-Being (Cycle 1.2 and Canadian Forces Supplement) (n = 36 984 and n = 8441, respectively) to compare past-year MDD symptomatology among military and civilian women, and military and civilian men. Logistic regression models were used to determine differences in the types of depressive symptoms endorsed in each group. Results: Men in the military with MDD were at lower odds than men in the general population to endorse numerous symptoms of depression, such as hopelessness (adjusted odds ratio [AOR] 0.44; 99% CI 0.23 to 0.83) and inability to cope (AOR 0.53; 99% CI 0.31 to 0.92). Military women with MDD were at lower odds of thinking about their death (AOR 0.52; 99% CI 0.32 to 0.86), relative to women with MDD in the general population. Conclusion: Different MDD symptomatology among males and females in the military, compared with those in the general population, may reflect selection effects (for example, personality characteristics and patterns of comorbidity) or occupational experiences unique to military personnel. Future research examining the mechanisms behind MDD symptomatology in military personnel and civilians is required.
doi_str_mv 10.1177/070674371405900707
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Method: We used the Canadian Community Health Survey: Mental Health and Well-Being (Cycle 1.2 and Canadian Forces Supplement) (n = 36 984 and n = 8441, respectively) to compare past-year MDD symptomatology among military and civilian women, and military and civilian men. Logistic regression models were used to determine differences in the types of depressive symptoms endorsed in each group. Results: Men in the military with MDD were at lower odds than men in the general population to endorse numerous symptoms of depression, such as hopelessness (adjusted odds ratio [AOR] 0.44; 99% CI 0.23 to 0.83) and inability to cope (AOR 0.53; 99% CI 0.31 to 0.92). Military women with MDD were at lower odds of thinking about their death (AOR 0.52; 99% CI 0.32 to 0.86), relative to women with MDD in the general population. Conclusion: Different MDD symptomatology among males and females in the military, compared with those in the general population, may reflect selection effects (for example, personality characteristics and patterns of comorbidity) or occupational experiences unique to military personnel. 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Method: We used the Canadian Community Health Survey: Mental Health and Well-Being (Cycle 1.2 and Canadian Forces Supplement) (n = 36 984 and n = 8441, respectively) to compare past-year MDD symptomatology among military and civilian women, and military and civilian men. Logistic regression models were used to determine differences in the types of depressive symptoms endorsed in each group. Results: Men in the military with MDD were at lower odds than men in the general population to endorse numerous symptoms of depression, such as hopelessness (adjusted odds ratio [AOR] 0.44; 99% CI 0.23 to 0.83) and inability to cope (AOR 0.53; 99% CI 0.31 to 0.92). Military women with MDD were at lower odds of thinking about their death (AOR 0.52; 99% CI 0.32 to 0.86), relative to women with MDD in the general population. Conclusion: Different MDD symptomatology among males and females in the military, compared with those in the general population, may reflect selection effects (for example, personality characteristics and patterns of comorbidity) or occupational experiences unique to military personnel. Future research examining the mechanisms behind MDD symptomatology in military personnel and civilians is required.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Attitude to Death</subject><subject>Brief Communication</subject><subject>Canada</subject><subject>Cross-Sectional Studies</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Hope</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Military Personnel - psychology</subject><subject>Military Personnel - statistics &amp; numerical data</subject><subject>Odds Ratio</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0706-7437</issn><issn>1497-0015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi1ERbeFF-CAfOSS1o6dOLkgVVtakIpAWjhbs_Zk61ViBzsp3bevt1sqEBK25JE93_wezU_IW87OOFfqnClWKykUl6xqWb6pF2TBZasKxnj1kiz2QLEnjslJSluWV1k2r8hxWWVclmJBfl3QFd4XqxGN65yhyzCMEF0KnoaOfoFtiPQSx4gpuTuklzkTLUa62g3jFAaYQh82O-o8nW6RLsGDdeDpVYgGEwVvH9-v0WOEnn4L49zD5IJ_TY466BO-eYqn5MfVx-_LT8XN1-vPy4ubwkhZTsWa2bx5iwxKKdu6YVyIGoSqq7XhQqKEfFpVVlY0rVS2y4MQykgu152FTpySDwfdcV4PaA36KTeix-gGiDsdwOm_M97d6k2405I1teB1Fnj_JBDDzxnTpAeXDPY9eAxz0rySUommbllGywNqYkgpYvf8DWd675j-17Fc9O7PBp9LfluUgfMDkGCDehvm6PPA_if5AFeEn3I</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Erickson, Julie</creator><creator>Kinley, D Jolene</creator><creator>Bolton, James M</creator><creator>Zamorski, Mark A</creator><creator>Enns, Murray W</creator><creator>Sareen, Jitender</creator><general>SAGE Publications</general><general>The Canadian Psychiatric Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140701</creationdate><title>A Sex-Specific Comparison of Major Depressive Disorder Symptomatology in the Canadian Forces and the General Population</title><author>Erickson, Julie ; 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subjects Adaptation, Psychological
Adolescent
Adult
Attitude to Death
Brief Communication
Canada
Cross-Sectional Studies
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - epidemiology
Depressive Disorder, Major - psychology
Female
Health Surveys
Hope
Humans
Male
Mass Screening
Military Personnel - psychology
Military Personnel - statistics & numerical data
Odds Ratio
Sex Factors
Surveys and Questionnaires
Young Adult
title A Sex-Specific Comparison of Major Depressive Disorder Symptomatology in the Canadian Forces and the General Population
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