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Are Women more Vulnearble to Depression than Men

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Are Women more Vulnearble to Depression than Men Wafaa El-Bahaey Prof. of Psychiatry, Mansoura Univ. 14 12 - 2011 Why? High Prevalence The Story of Women ... – PowerPoint PPT presentation

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Title: Are Women more Vulnearble to Depression than Men


1
Are Women more Vulnearble to Depression than Men
  • Wafaa El-Bahaey
  • Prof. of Psychiatry, Mansoura Univ.
  • 14 12 - 2011

2
Why? High Prevalence
3
The Story of Women Depression
  • Premenstrual Dysphoric Disorder (5/ 40)
  • Premenstrual Dysphoric Disorder
  • Premenstrual Dysphoric Disorder
  • . ..
  • Depression during Pregnancy (10 )
  • Depression during Pregnancy
  • .. ..
  • Post- Partum Depression (10 )
  • Post- Partum Depression
  • .. ..
  • Menopausal Post-menopausal Depression

4
  • Family Unit

5
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6
What is Depression?
7
Symptoms of Depression
  • Psychological
  • Depressed mood
  • Decreased interest in activities
  • Feelings of guilt, hopelessness
  • Suicidal thoughts
  • Physical Physiolog
  • Sleep disturbance
  • Appetite/weight changes
  • Difficulty concentrating
  • Fatigue
  • Decreased energy

8
To diagnose Depressive illness
  • More than 2 weeks of at least 5 of
  • Depressed mood
  • Diminished interest in activities
  • Significant weight loss or gain
  • Insomnia or hypersomnia
  • Motor agitation or retardation
  • Fatigue and/or loss of energy

9
  • Gender Differences in
  • Depression

10
I-Prevalence Men vs. Women
  • Depression affects less than 2 of men.
  • 5-12 of men will become depressed in their
    lifetime.
  • Unmarried men have higher rates of depression.
  • Depression affects 4.5 of women.
  • 20 of women will become depressed in their
    lifetime.
  • Married women have higher rates.
  • unhappy marriage leads to depression in Women 3
    times than men.

11
II-Symptom Profile
  • Women have earlier onset of depression
  • Episodes may last longer and recur more often
  • More atypical symptoms (hyper-somnia,
    hyper-phagia)
  • Suicide attempts more frequent but less
    successful
  • More anxiety symptoms than men
  • More associated migraine headaches
  • More feelings of guilt
  • Less substance abuse than men

12
III-Vulnerability
  • A- Biological
  • B- Psychosocial

13
A- Biological
  • Genetic
  • Neurotransmitters
  • Hormonal

14
B-Psychological
  • Socialization Societys stereotypes increase
    the vulnerability of women.
  • Men Self-esteem is usually driven outdoors
  • Women Self-esteem is focused indoors
  • women are more sensitive to stressful life
    events (?? Poorer coping style)

15
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16
Thank you
17
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18
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19
Disorder Prevalence Onset Duration Treatment
Blues 30-75 Day 3 or 4 Several days None
Postpartum Depression 10 15 Within weeks Weeks Months Treatment by GP or psychiatrist usually required
Postpartum Psychosis 0.01 0.02 Within 2 weeks Weeks months Psychiatric emergency Hospitalization required
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