Time：2023-04-01 12:55:34 source：psychiatricethics.com author：Mental disorder Read：933次

Why are women more prone to depression? An article to make it clear to you

In clinical work, we find that more and more women are troubled by depression, and many of them look very good and have successful careers. The data shows that the incidence rate of women is much higher than that of men, accounting for about 65% of the overall population. Women account for more than half of the total depression group. There are more than 300 million depression patients in the world, of which about 200 million patients are women. Why is depression? Will the disease be more inclined to female hosts? At the same time, compared with men, women are more likely than men to have other psychiatric disorders, such as anxiety, panic disorder, and eating disorders. Today we will talk about why women are more prone to depression? 1. Social Psychological Factors Due to the accelerated pace of modern society and fierce competition, women are under pressure not only from traditional family life, but also to study, work, and participate in social competition like men. However, there is a lot of discrimination against women in modern workplaces, resulting in The pressure load borne by women is too great, and it is difficult not to have negative emotions under the double pressure. Women are more likely to think bad things about negative factors or even blame themselves, and they are more likely to fall into excessive rumination thinking. Rumination is repeated and tangled reflection on past events, which makes women more prone to depression. Second, genetic factors Kendler et al. A study on the lifetime prevalence of depression in twins showed that in the occurrence of depression in women, heredity plays a role in 42%, which is much higher than 29% in men. Another genetic study showed that the average heritability of unipolar depression in men was 60.10%, compared with 86.77% in women. The data show that both males and females have obvious genetic effects on depression, and the genetic influence on females is much greater than that in males. 3. Physiological factors increase the probability of depression in women of child-bearing age (18-44 years old). Because women of child-bearing age bear countless responsibilities and obligations, they are prone to sexual violence and domestic violence, and they are at a disadvantage in social and economic status. disadvantage. Women in this age group experience pregnancy and fertility problems, such as pregnancy, postpartum, miscarriage, premenstrual, assisted reproductive technology, and perimenopause. Women’s hormone levels change significantly, which are all susceptibility factors for female depression. , About 10%-15% of women have depressive symptoms in the six months after giving birth, and it is higher during pregnancy, and some women who experience miscarriage are also prone to depression. In addition, some women are prone to premenstrual dysphoria and other premenstrual mental disorders due to the luteal phase of the menstrual cycle during the premenstrual period. Some studies have also speculated that female susceptibility to depression may be related to female estrogen and progesterone. For example, the increase of estrogen is directly related to negative emotions. In the case of negative stress, estrogen will affect the hypothalamus-pituitary gland. Balance of the adrenal axis. 4. Neurotransmitters Some scholars have put forward the "neurotransmitter and receptor hypothesis" for a long time. With the deepening of research, this hypothesis has been gradually confirmed. The theory suggests that changes in neurotransmitters such as norepinephrine, dopamine, and serotonin play an important role in depression. The two neurotransmitter systems, norepinephrine and serotonin, are associated with gender differences, for example, women have lower serotonin concentrations in platelets than men. While the serotonin neurotransmitter is associated with the onset of depression, it affects the speed at which people regulate their emotions, but women's brains synthesize serotonin at half the rate of men. Therefore, women are more likely to be trapped in certain emotions for longer periods of time. 5. Differences in brain structure studies have shown that there are gender differences in the neural structure of male and female brains, such as total brain volume, neuromorphology, and the shape and number of neuronal synapses. These sex differences were more pronounced in brain regions that regulate normal and abnormal emotions and behavior, such as the hypothalamus, amygdala, and cortex. The amygdala is an important brain tissue in the brain that produces and regulates emotions. The reason why women have more negative emotional responses than men is that when faced with negative events, men's amygdala can be more active, that is, men's amygdala can play a more emotional role, which may lead to depression in the gender differences. 6. Human factors Compared with men, women are more willing to seek help for psychological problems. Therefore, women's psychological problems are easier to be identified at an early stage. What does chronic depression do to women? 1. Emotional change This is the main manifestation. Depressed mood, there will be great changes, it is easy to feel uneasy and panic, usually due to hormonal imbalance, allergic reactions, etc. 2. Large changes in food intake When women feel depressed, their diet usually changes greatly. They may eat a lot of emotions to relieve their bad emotions, which is very unfavorable to their health and may cause indigestion, bulimia, or serious can lead to anorexia. 3. Patients with skin problems often report that the original complexion was bright, but later it became very poor, dull and freckled, and some people have acne, which is difficult to eliminate with medication. In fact, this is not just a skin problem. Pigment acne is caused by external factors when the endocrine is unstable. 4. Easy to get tired Often feel very tired, don’t want to do anything, have no rhythm in life, or can’t keep up with the normal rhythm, feel depressed for no reason, these are very common symptoms of depression. In addition, depression may cause other serious problems in addition to the endocrine disorder of women. For example, depressed pregnant women are prone to premature birth and low birth weight babies, depressed menopausal women are prone to heart disease, and long-term depression is prone to female cancer. In the end, in fact, the impact and suffering of depression does not differ depending on whether we are male or female. Everyone's pain is real and specific. When you are troubled by psychological problems, gender itself is not important. It is the key to face your own feelings from the "person" itself and seek professional help in time. I am a psychiatrist Jiang Xueqin. I have 40 years of clinical work experience in psychiatry. If you have depression, anxiety, bipolar affective disorder and other related problems, you can consult me. Welcome to follow my headline private message and leave a message, I will draw time to reply.

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