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 |
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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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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.</description><identifier>ISSN: 0706-7437</identifier><identifier>EISSN: 1497-0015</identifier><identifier>DOI: 10.1177/070674371405900707</identifier><identifier>PMID: 25007423</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>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</subject><ispartof>Canadian journal of psychiatry, 2014-07, Vol.59 (7), p.393-398</ispartof><rights>2014 Canadian Psychiatric Association</rights><rights>2014 Canadian Psychiatric Association 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-b0d0d019e0a24496801336a3765bc134e4a134d725d38947df90037c414bfdaf3</citedby><cites>FETCH-LOGICAL-c442t-b0d0d019e0a24496801336a3765bc134e4a134d725d38947df90037c414bfdaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086316/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086316/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,21817,27922,27923,43619,43620,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25007423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Erickson, Julie</creatorcontrib><creatorcontrib>Kinley, D Jolene</creatorcontrib><creatorcontrib>Bolton, James M</creatorcontrib><creatorcontrib>Zamorski, Mark A</creatorcontrib><creatorcontrib>Enns, Murray W</creatorcontrib><creatorcontrib>Sareen, Jitender</creatorcontrib><title>A Sex-Specific Comparison of Major Depressive Disorder Symptomatology in the Canadian Forces and the General Population</title><title>Canadian journal of psychiatry</title><addtitle>Can J Psychiatry</addtitle><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.</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 & 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 ; Kinley, D Jolene ; Bolton, James M ; Zamorski, Mark A ; Enns, Murray W ; Sareen, Jitender</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-b0d0d019e0a24496801336a3765bc134e4a134d725d38947df90037c414bfdaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Attitude to Death</topic><topic>Brief Communication</topic><topic>Canada</topic><topic>Cross-Sectional Studies</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Hope</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Military Personnel - psychology</topic><topic>Military Personnel - statistics & numerical data</topic><topic>Odds Ratio</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erickson, Julie</creatorcontrib><creatorcontrib>Kinley, D Jolene</creatorcontrib><creatorcontrib>Bolton, James M</creatorcontrib><creatorcontrib>Zamorski, Mark A</creatorcontrib><creatorcontrib>Enns, Murray W</creatorcontrib><creatorcontrib>Sareen, Jitender</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Erickson, Julie</au><au>Kinley, D Jolene</au><au>Bolton, James M</au><au>Zamorski, Mark A</au><au>Enns, Murray W</au><au>Sareen, Jitender</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Sex-Specific Comparison of Major Depressive Disorder Symptomatology in the Canadian Forces and the General Population</atitle><jtitle>Canadian journal of psychiatry</jtitle><addtitle>Can J Psychiatry</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>59</volume><issue>7</issue><spage>393</spage><epage>398</epage><pages>393-398</pages><issn>0706-7437</issn><eissn>1497-0015</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>25007423</pmid><doi>10.1177/070674371405900707</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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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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