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Original articles

Reflections on masculinity, culture and the diagnosis of depression

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Pages 850-853 | Received 17 May 2007, Published online: 06 Jul 2009
 

Abstract

Objective: To inform the debate on the relationship between gender and depression by examining clinicians’ ratings on selected HoNos items in two cultural groups.

Method: Scores on items 1 (overactivity/aggression) and 2 (depression) as recorded by clinicians in the CAOS study of more than 12,000 unselected New Zealand psychiatric service users were analysed by gender and self identified ethnicity.

Results: The lowest ratings for depression and highest for overactivity/agression were assigned to Maori males. Female Maori, were rated next, followed by male non-Maori. Female non-Maori were rated highest on depression and lowest on overactivity/agression.

Conclusions: Amongst the hypotheses to explain these findings are those relating to service utilization, rater bias, criteria bias, and cultural pathoplastic effects. These questions need answers.

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