Understanding major depressive disorder among middle‐aged African American men

Bryant-Bedell, Keneshia; Waite, Roberta

doi:10.1111/j.1365-2648.2010.05345.x

Cited by 28 publications

(36 citation statements)

References 15 publications

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“…In another interview study with 10 African American men who self-reported that they had experienced depression, Bryant-Bedell and Waite (2010) uncovered that participants had experienced depression in the past but did not realize that they were depressed. Participants in their study described feelings of depression, including irritability, isolation, and depressed mood; however, they did not seek treatment (Bryant-Bedell & Waite, 2010). Rather, men in this study reported that they only sought treatment after a "breakdown."…”

Section: Research-article2016mentioning

confidence: 84%

“…These breakdowns ranged from the simple realization that they were not feeling like themselves to encouragement to seek help from members of their social support networks to suicide ideation and "hitting rock bottom." Bryant-Bedell and Waite (2010) concluded that better mental health screening efforts are needed and that providers must account for gender and cultural differences to better recognize depression in African American men.…”

Section: Research-article2016mentioning

confidence: 99%

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“Down in the Sewers”: Perceptions of Depression and Depression Care Among African American Men

et al. 2016

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Depression is one of the most common, costly, and debilitating psychiatric disorders in the United States. One of the most persistent mental health disparities is the underutilization of treatment services among African American men with depression. Little is known about appropriateness or acceptability of depression care among African American men. The purpose of this study was to examine perceptions of depression and determine barriers to depression treatment among African American men. A series of four focus groups were conducted with 26 African American men. The average age of the sample was 41 years and most participants reported that they had completed high school. Nearly half of the participants reported that they are currently unemployed and most had never been married. The most common descriptions of depression in this study were defining depression as feeling down, stressed, and isolated. A small group of participants expressed disbelief of depression. The majority of participants recognized the need to identify depression and were supportive of depression treatment. Nonetheless, most men in this sample had never sought treatment for depression and discussed a number of barriers to depression care including norms of masculinity, mistrust of the health care system, and affordability of treatment. Men also voiced their desire to discuss stress in nonjudgmental support groups. Research findings highlight the need to increase the awareness of symptoms some African American men display and the need to provide appropriate depression treatment options to African American men.

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Section: Research-article2016mentioning

confidence: 84%

Section: Research-article2016mentioning

confidence: 99%

“Down in the Sewers”: Perceptions of Depression and Depression Care Among African American Men

et al. 2016

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“…In order to behave in line with masculine ideals, particularly in studies including participants with a depression diagnosis, men perceived a need to close up when faced with emotional distress [22,26,27,30,46,48] . This phenomenon appears to already exist at the discursive level, when men were found to use fewer words and metaphors, compared to women, to describe their emotions during interviews [30] .…”

Section: Closing Upmentioning

confidence: 99%

“…In US-based studies, African-American men reported on the consequences of sociostructural factors such as unemployment, homelessness, racism, and sexism on their mental health [23,46] .…”

Section: Semistructured Interviewsmentioning

confidence: 99%

Men's Views on Depression: A Systematic Review and Metasynthesis of Qualitative Research

et al. 2017

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Background: According to the concept of “male depression,” depression among men might be underdiagnosed and undertreated because of gender differences in symptoms and coping. There is evidence that men experience atypical depressive symptoms including irritability, aggression, substance abuse, and increased risk behavior. To date, a substantial number of qualitative studies on men's views on depression has been conducted in the last few decades. Methods: Based on a systematic review and metasynthesis of qualitative studies on men's subjective perspectives on depression, we aim at a comprehensive understanding of men's subjective views on depression with a specific focus on masculinity constructions. Results: Based on 34 studies assessed as appropriate for the study, 2 overarching subthemes could be identified: normative expectations regarding masculinity ideals and men's subjective perspectives of depression as “weakness.” Men's strategies include denial of “weakness” and “closing up.” Further themes include suicide, masculinity ideals as a healthy resource, and alternative masculinities. Discussion/Conclusions: Traditional masculinity values might serve as barriers but also as facilitators to adaptive coping strategies in depressed men. More research is needed to study the dimensions and role of alternative masculinities in the context of depression.

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“…These findings reflect literature documenting African-American culture, family and religion as crucial resources to alleviate distress and assist coping. [41][42][43]51 Our work resonates with Becker and Newsom's identification of resiliency as a key value in African-Americans' struggle for social justice and freedom: "African heritage, cataclysmic disruptions caused by slavery, ensuing historical eras such as Reconstruction and Jim Crow, and continuing racial oppression have all reinforced an emphasis on overcoming obstacles against all odds. The resulting values have been characterized as a 'survival arsenal."…”

Section: Discussionmentioning

confidence: 86%

Perceived Sources of Stress and Resilience in Men in an African American Community

Chung¹,

Meldrum²,

Jones³

et al. 2014

cpr

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Understanding major depressive disorder among middle‐aged African American men

Abstract: It is important to approach depression diagnoses from a broad perspective rather than as a limited list of symptoms. Healthcare providers would benefit from taking into account cultural factors, gender and age, examining them carefully in relation to the development of depressive symptoms.

Cited by 28 publications

References 15 publications

“Down in the Sewers”: Perceptions of Depression and Depression Care Among African American Men

“Down in the Sewers”: Perceptions of Depression and Depression Care Among African American Men

Men's Views on Depression: A Systematic Review and Metasynthesis of Qualitative Research

Perceived Sources of Stress and Resilience in Men in an African American Community

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