Download PDF
Psychiatr Prax 2022; 49(07): 367-374
DOI: 10.1055/a-1615-8274
Originalarbeit

Gendersensitives Depressionsscreening (GSDS) – Befunde zur weiteren Validierung eines neuen Selbstbeurteilungsinstruments

Gender-Sensitive Depression Screening (GSDS) – Further Validation of a New Self-Rating Instrument
Anne Maria Möller-Leimkühler
1   Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München
,
Anja Jackl
2   Zahnarztzentrum.ch St. Gallen, Schweiz
,
Lothar Weissbach
3   Gesundheitsforschung für Männer GmbH, Berlin
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Zusammenfassung

Ziel der Studie Überprüfung der primären Validierungsbefunde des Gendersensitiven Depressionsscreenings (GSDS-33) an 2 Stichproben ambulanter nichtpsychiatrischer Patienten.

Methodik Die psychometrische Validierung des GSDS-33 wurde an einer gemischtgeschlechtlichen Stichprobe nichtpsychiatrischer Patienten aus verschiedenen Ambulanzen des Klinikums der Ludwig-Maximilians-Universität München (n = 958) und einer männlichen nicht psychiatrischen Stichprobe des Männergesundheitszentrums Berlin (n = 237) durchgeführt.

Ergebnisse Die Befunde der ersten Validierungsstudie (Möller-Leimkühler, Mühleck 2020) werden weitgehend bestätigt. Die Daten verweisen erneut auf Aggressivität und emotionale Kontrolle als wichtige Komponenten eines erhöhten Depressionsrisikos. Im Vergleich zu einem Standardinstrument konnten ebenfalls mehr Risikofälle bei Männern identifiziert werden (8 % und 18 %).

Schlussfolgerung Das GSDS-25 stellt ein mehrdimensionales, valides und zuverlässiges Instrument für ein gendersensitives Depressionsscreening dar.

Abstract

Objective To check the validity of the preliminary results with the Gender-Sensitive Depression Screening (GSDS) in two German samples of non-psychiatric outpatients.

Methods The psychometric validation of the GSDS-33 was performed in a sample of non-psychiatric outpatients of different clinics belonging to the Ludwig-Maximilians-University of Munich (n = 958) and in a male non-psychiatric sample of the Men’s Health Center in Berlin (n = 237).

Results Findings of the first validation study of the GSDS (Möller-Leimkühler, Mühleck 2020) were largely confirmed. The data also confirmed the factors ‘aggressiveness’ and ‘emotional control’ as important components of an increasing depression risk. Compared to a standard screening the GSDS again identified more risk cases among men in the two samples (8 % and 18 %).

Conclusions The GSDS-25 is a multidimensional, valid and reliable scale for better identifying men with a risk of depression.

Schlüsselwörter

Depression - Gender - Männer - Aggressivität - emotionale Kontrolle

Keywords

depression - gender - men - aggressiveness, emotional control


Publication History

Article published online:
17 December 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Winkler D, Pjrek E, Kasper S. Anger attacks in depression – evidence for a male depressive syndrome. Psychother Psychosom 2005; 74: 303-307
    CrossrefPubMedGoogle Scholar
  • 2 Winkler D, Pjrek E, Heiden A. et al. Gender differences in the psychopathology of depressed inpatients. Eur Arch Psychiatry Clin Neurosci 2004; 254: 209-214
    PubMedGoogle Scholar
  • 3 Möller-Leimkühler AM, Bottlender R, Strauß A. et al. Is there evidence for a male depressive syndrome in patients with unipolar major depression?. J Affect Disord 2004; 80: 87-93
    CrossrefPubMedGoogle Scholar
  • 4 Möller-Leimkühler AM, Heller J, Paulus N-C. Subjective well-being and ‘male depression’ in male adolescents. J Affect Disord 2007; 98: 65-72
    CrossrefPubMedGoogle Scholar
  • 5 Möller-Leimkühler AM, Yücel M. Male depression in females?. J Affect Disord 2010; 121: 22-29
    CrossrefPubMedGoogle Scholar
  • 6 Rodgers S, Grosse Holtforth M, Müller M. et al. Symptom-based subtypes of depression and their psychosocial correlates: a person-centered approach focusing on the influence of sex. J Affect Disord 2014; 156: 92-103
    CrossrefPubMedGoogle Scholar
  • 7 Judd LL, Schettler PJ, Coryell W. et al. Overt irritability/anger in unipolar major depressive episodes: past and current characteristics and implications for long-term course. JAMA Psychiat 2013; 70: 1171-1180
    CrossrefPubMedGoogle Scholar
  • 8 Rößner R, Krieger J, Knischewitzki-Bohlken V. et al. Gibt es eine effektive Therapie zur Behandlung von „Male Depression“?. J Neurol Neurochir Psychiatr 2017; 18: 52-59
    PubMedGoogle Scholar
  • 9 Sharpley CF, Bitsika V, Christie DRH. Diagnosing 'male'depression in men diagnosed with prostate cancer: the next step in effective translational psycho-oncology interventions?. Psychooncology 2014; 23: 1042-1048
    CrossrefPubMedGoogle Scholar
  • 10 Walinder J, Rutz W. Male depression and suicide. Int Clin Psychopharm 2001; 16: 21-24
    CrossrefPubMedGoogle Scholar
  • 11 Krumm S, Checchia C, Koesters M. et al. Men’s views on depression: a systematic review and metasynthesis of qualitative research. Psychopathology 2017; 50: 107-124
    CrossrefPubMedGoogle Scholar
  • 12 Zülke AE, Kersting A, Dietrich S. et al. Screeninginstrumente zur Erfassung von männerspezifischen Symptomen der unipolaren Depression – Ein kritischer Überblick. Psychiat Prax 2018; 45: 178-187
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Salokangas RK, Vaahtera K, Pacriev S. et al. Gender differences in depressive symptoms. An artefact caused by measurement instruments?. J Affect Disord 2002; 95: 215-220
    CrossrefPubMedGoogle Scholar
  • 14 Nolen-Hoeksema S. Emotion regulation and psychopathology: the role of gender. Annu Rev Clin Psychol 2012; 8: 161-187
    CrossrefPubMedGoogle Scholar
  • 15 Möller-Leimkühler AM, Mühleck J. Konstruktion und erste Validierung eines gendersensitiven Depressionssreenings (GSDS). Psychiat Prax 2020; 47: 79-86
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Hautzinger M, Bailer M, Hofmeister D, Keller F. Allgemeine Depressionsskala. Göttingen: Hogrefe; 2012
    Google Scholar
  • 17 Thompson Jr EH, Pleck JH. The structure of male norms. Am Behav Sci 1986; 29: 531-543
    CrossrefPubMedGoogle Scholar
  • 18 Thiele A. Erfassung traditioneller Männlichkeit. Eine deutsche Version der Male Role Norms Scale. (unveröffentlichtes Manuskript)
    PubMedGoogle Scholar
  • 19 Costa PT, McCrae RR. Normal personality assessment in clinical practice: The NEO Personality Inventory. Psychol Assessment 1992; 4: 5-13
    CrossrefPubMedGoogle Scholar
  • 20 Pasquini M, Picardi A, Biondi M. et al. Relevance of anger and irritability in outpatients with Major Depressive Disorder. Psychopathology 2004; 37: 155-160
    CrossrefPubMedGoogle Scholar
  • 21 Baars MY, Müller MJ, Gallhofer B. et al. Depressive and aggressive responses to frustration: development of a questionnaire and its validation in a sample of male alcoholics. Depress Res Treat 2011; 2011: 352048
    PubMedGoogle Scholar
  • 22 Otte S, Lang FU, Vasic N. et al. Sind depressive Menschen aggressive Menschen? Unterschiede zwischen Allgemeinbevölkerung und depressiven Patienten. Psychother Psych Med 2017; 67: 19-25
    Article in Thieme ConnectPubMedGoogle Scholar
  • 23 Steinau S, Brackmann N, Habermeyer E. Depression und Gewalt: Ein Widerspruch?. Schweiz Rundsch Med 2020; 109: 453-458
    PubMedGoogle Scholar
  • 24 Van Praag HM. Anxiety/aggression – driven depression. A paradigm of functionalization and verticalization of psychiatric diagnosis. Prog Neuropsychopharmacol Biol Psychiatry 2001; 25: 893-924
    PubMedGoogle Scholar
  • 25 Cárdenas-Morales L, Ruppel E, Streb J, Möller-Leimkühler AM. et al. Gender-specific differences in depressive behavior among psychiatric forensic patients. Int J Psychiatry Clin Pract. (in press)
    PubMedGoogle Scholar
  • 26 Magovcevic M, Addis M. The Masculine Depression Scale: Development and psychometric evaluation. Psychol Men Masculin 2008; 9: 117-132
    CrossrefPubMedGoogle Scholar
  • 27 Rice SM, Aucote HM, Eleftheriadis D. et al. Prevalence and co-ocurence of internalizing and externalizing depression symptoms in a community sample of Australian male truck drivers. Am J Mens Health 2016; 12: 74-77
    CrossrefPubMedGoogle Scholar
  • 28 Möller-Leimkühler AM. Barriers to helpseeking by men: A review of socio-cultural and clinical literature with particular reference to depression. J Affect Disord 2002; 1–3: 1-9
    CrossrefPubMedGoogle Scholar
  • 29 Rice SM, Fallon BJ, Aucote H. et al. Development and preliminary validation of the Male Depression Risk Scale: Furthering the assessment of depression in men. J Affect Disord 2013; 151: 950-958
    CrossrefPubMedGoogle Scholar