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Issue date: Jan 3, 1999

Why women are often depressed, anxious


In this article:
Odds for depression for women
Odds for anxiety
Special Report: The Brain
Back to "Brain index"

Men and women show differences - but also a vast commonality - in emotional processing. To be sure, both sexes have a capacity to feel love, sadness, fear, happiness, guilt, anger, jealousy and myriad other emotional nuances. "But women, for whatever reason, seem to be more talented than men in experiencing and developing their emotions," says Michael E. Thase, M.D., a professor of psychiatry and a depression expert at the University of Pittsburgh School of Medicine.

For both sexes, a normal emotional repertoire is highly adaptive. Those who have no fear, for example, lose that energizing jolt of "fight or flight" adrenaline that accompanies a serious threat, and gets us out of trouble.

"On the other hand," says Steven Hyman, M.D., director of the National Institute of Mental Health, "one of our hypotheses is that it's possible in some people for these normal, adaptive emotional responses to get stuck in a very bad 'on' position." In general, more women than men have these problems.


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The odds of depression are bad - especially for women

Depression strikes 17.6 million Americans a year. In any given year, the risk of getting depressed is 5 percent if you're a man and 10 percent if you're a woman. Extend this over the course of a lifetime and the odds double.

"Women start out with a greater capacity to feel," explains Thase, "and if you then factor in the societal imbalance of power and the disproportionate share of problems that fall on women, you can start to see how events conspire to increase female depression risk."

Depressed men are apt to eat and sleep less and to feel agitated; depressed women, to eat and sleep more and to feel persistent fatigue. Men tend to worry about the impact on job performance, and attempt to cope by distracting themselves from their feelings. Women tend to worry about the impact on family and other relationships. Instead of denying their feelings, they are more likely to brood.


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The odds of anxiety are even worse

Even more common are the anxiety disorders that afflict a staggering 23 million each year.

  • Generalized anxiety disorder (GAD): persistent and excessive worry over such everyday concerns as health, family, work and money. Symptoms include tremors, nausea, headaches and muscle tension. GAD is somewhat more common in women than in men.

  • Panic disorder, which leads to sudden attacks of nearly incapacitating terror during which victims fear they are suffering a heart attack, losing their minds or about to die. Up to 6 million Americans suffer from panic disorder; it's twice as common in women.

  • Phobias, extreme, irrational fears of specific things (dogs or flying, for example) or situations (such as being embarrassed socially). Women are slightly more likely to suffer from specific phobias, but twice as likely to suffer from social phobia. Men with social phobia are more likely to seek treatment.

  • Obsessive-compulsive disorder (OCD), which plagues its victims with unwelcome thoughts and images and repetitive rituals the sufferer knows are irrational but feels unable to stop. OCD strikes 1 in 50 Americans, men and women equally.

  • Post-traumatic stress disorder (PTSD), a disabling condition in the wake of a terrifying event. It's estimated to affect 30 percent of all people who have been in a battle zone. Symptoms can take months to arise and include flashbacks, anxiety and depression, substance abuse, emotional numbness and social isolation.

    By Jim Thornton
    Thornton received a 1998 National Magazine Award for health reporting.


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