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Sex biases in mental health scales: do women tend to report less serious symptoms and confide more than men?

Published online by Cambridge University Press:  09 July 2009

Michel Tousignant ,
Roger Brosseau  and
Lucien Tremblay
Michel Tousignant*
Affiliation:
Département de Psychologie, Université du Québec à MontréalAssociation des Hôpitaux du Québec
Roger Brosseau
Affiliation:
Département de Psychologie, Université du Québec à MontréalAssociation des Hôpitaux du Québec
Lucien Tremblay
Affiliation:
Département de Psychologie, Université du Québec à MontréalAssociation des Hôpitaux du Québec
*
*Address for correspondence: Dr M. Tousignant, Département de Psychologie, Université du Québec à Montréal, C. P. 8888, Succursale ‘A’, Montréal, H3C 3P8, Canada.
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Synopsis

Women report more symptoms than men in mental health surveys. The evidence shows that psychometric biases cannot explain this significant difference. This study attempts to explore other factors that could bias the results – for example, that women are likely to report less serious symptoms than men or are less apprehensive in reporting symptoms because they have a higher tendency to report symptoms than men. A random sample of 213 women and 222 men, all married and between the age of 25 and 40, were interviewed at home in two districts of Montreal (Canada) and given the Health Opinion Survey (HOS). As has been usually found, women scored higher than men on the HOS. A variety of scales assessed the seriousness of the symptoms and the results did not indicate any sex difference in this regard. Moreover, there was no correlation between the mental health and the Jourard Self-Confidence Scale. Finally, women did not confide more about their symptoms than men, contrary to the prevalent opinion according to which they are more likely to do so. Sex differences on mental health scales do not, therefore, appear to be related to the type of bias assessed in this survey.

Type
Research Article
Information
Psychological Medicine , Volume 17 , Issue 1 , February 1987 , pp. 203 - 215
Copyright
Copyright © Cambridge University Press 1987

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References

Bertrand, M. A. (1979). Les femmes, la folie et au-delà. Santé Mentale au Québec 4(3), 11–24.CrossRefGoogle Scholar
Block, J. H. (1979). Another look at sex differentiation in the socialization of mothers and fathers. In, Psychology of Women: Future Directions of Research (ed. Sherman, J. and Denmark, F. L.), pp. 24–88. Psychological Dimensions: New York.Google Scholar
Briscoe, M. (1982). Sex Differences in Psychological Well-being. Psychological Medicine, Monograph Supplement 1. Cambridge University Press: Cambridge.Google Scholar
Campbell, A., Converse, P. & Rodgers, W. (1976). The Quality of American Life: Perception, Evaluation and Satisfaction, Russel Sage: New York.Google Scholar
Campbell, J. D. (1978). The child in the sick role: contributions of age, sex, parental status, and parental values. Journal of Health and Social Behaviour 19, 35–51.CrossRefGoogle ScholarPubMed
Cassidy, C. M. (1982). Protein energy malnutrition as a culture-bound syndrome. Culture, Medicine and Psychiatry 4, 325–346.CrossRefGoogle Scholar
Clancy, K. (1971). Systematic bias in field studies of mental illness. Doctoral thesis: New York University.Google Scholar
Clancy, K. & Gove, W. R. (1974). Sex differences in respondents' reports of psychiatric symptoms: an analysis of response bias. American Journal of Sociology 80, 205–216.CrossRefGoogle Scholar
Cleary, P. D., Mechanic, D. & Weiss, N. (1981). The effect of interviewers' characteristics on responses to a mental health interview. Journal of Health and Social Behaviour 22, 183–193.CrossRefGoogle Scholar
Comstock, G. W. & Helsing, K. J. (1976). Symptoms of depression in two communities. Psychological Medicine 6, 551–563.CrossRefGoogle ScholarPubMed
Crowne, D. P. & Marlowe, D. (1964). The Approval Motive: Studies in Evaluative Dependence. New York: Wiley.Google Scholar
Davis, M. A. (1981). Sex differences in reporting osteoarthritic symptoms: a sociomedical approach. Journal of Health and Social Behaviour 22, 298–310.CrossRefGoogle ScholarPubMed
Denis, G., Tousignant, M. & Laforest, L. (1973). Prévalence de cas d'intérêt psychiatrique dans une région du Québec. Revue Canadienne de Santé Publique 64, 387–397.Google Scholar
Dohrenwend, B. P. (1977). Reply to Gove and Tudor's comment on sex differences in psychiatric disorders. American Journal of Sociology 82, 1336–1345.CrossRefGoogle Scholar
Dohrenwend, B. P., Dohrenwend, B. S., Gould, M. S., Link, B., Neugebauer, R. & Wunsch-Hitzig, R. (1980). Mental Illness in the United States. New York: Praeger.Google Scholar
Engelsman, F., Murphy, H. B. M., Prince, R., Leduc, M. & Demers, H. (1972). Variations in response to a symptoms check-list by age, sex, income, residence and ethnicity. Social Psychiatry 7, 150–156.CrossRefGoogle Scholar
Fiset, F. (1978). Étude comparative des scores aux items des échelles de santé mentale en fonction de la variable sexe. Master thesis, p. 141. Université du Québec à Montréal.Google Scholar
Goldberg, D. P. (1978). Manual of the General Health Questionnaire. NFER: Windsor.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M., Kedward, H. B. & Shepherd, M. (1970). A standardised psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine 24, 18–23.Google ScholarPubMed
Gove, W. R. & Geerken, M. R. (1977). Response bias in surveys of mental health: an empirical investigation. American Journal of Sociology 82, 1289–1317.CrossRefGoogle ScholarPubMed
Gove, W. R., McCorkel, J. & Hughes, M. D. (1976). Response bias in community surveys of mental health: Systematic bias or random noise? Social Science and Medicine 10, 497–502.CrossRefGoogle ScholarPubMed
Gove, W. R. & Tudor, J. (1973). Adult sex roles and mental illness. American Journal of Sociology 77, 812–835.CrossRefGoogle Scholar
Hammen, C. L. & Padesky, C. A. (1977). Sex differences in the expression of depressive responses on the Beck Depression Inventory. Journal of Abnormal Psychology 86, 609–614.CrossRefGoogle ScholarPubMed
Hansell, S. & Mechanic, D. (1985). Introspectiveness and adolescent symptom reporting. Journal of Human Stress 11, 165–176.CrossRefGoogle ScholarPubMed
Hathaway, S. R. & McKinley, J. C. (1942). Minnesota Multiphasic Personality Inventory) University of Minnesota Press: Minneapolis, Minn..Google Scholar
Jenkins, R. (1985). Sex Differences in Minor Psychiatric Morbidity. Psychological Medicine, Monograph Supplement 7. Cambridge University Press: Cambridge.Google Scholar
Johnson, D. R. & Meile, R. L. (1981). Does dimensionality bias in Langner's 22 item index affect the validity of social status comparisons? An empirical investigation. Journal of Health and Social Behavior 22, 415–433.CrossRefGoogle Scholar
Jourard, S. M. (1964). The Transparent Self. Van Nostrand: New York.Google Scholar
Kessler, R. C., Reuter, J. A. & Greenley, J. R. (1979). Sex differences in the use of psychiatric outpatient facilities. Social Forces 58, 557–572.CrossRefGoogle ScholarPubMed
Langner, T. S. (1962). A twenty-two item screening score of psychiatric symptoms indicating impairment. Journal of Health and Human Behavior 3, 269–276.CrossRefGoogle ScholarPubMed
Leighton, D. C., Harding, D. B., Macklin, A. M., MacMillan, A. M. & Leighton, A. H. (1963). The Character of Danger. Basic Books: New York.Google Scholar
Lewis, C. E. & Lewis, M. A. (1974). The impact of television commercials on health-related beliefs and behaviors of children. Pediatrics 53 (3), 431–435.CrossRefGoogle Scholar
Lewis, C. E. & Lewis, M. A. (1977). The potential impact of sexual equality on health. New England Journal of Medicine 297, 863–869.CrossRefGoogle ScholarPubMed
Lewis, C. E., Lewis, M. A., Lorimer, A. & Palmer, B. B. (1977). Child-initiated care: the use of school nursing services by children in an ‘adult-free’ system. Pediatrics 60 (4), 499–507.CrossRefGoogle Scholar
McCranie, E. W., Horowitz, A. J. & Martin, R. M. (1978). Alleged sex-role stereotyping in the assessment of women's physical complaints: a study of general practitioners. Social Science and Medicine 12, 111–116.Google ScholarPubMed
MacMillan, A. M. (1975). The Health Opinion Survey: technique for estimating prevalence of psychoneurotic and related types of disorder in communities. Monograph Supplement 7, Psychological Report 3, 325–339.CrossRefGoogle Scholar
Mechanic, D. (1964). The influence of mothers on their children's health attitudes and behavior. Pediatrics 33, 444–453.Google ScholarPubMed
Mechanic, D. (1976). Sex, illness behavior and the use of the health services. Journal of Human Stress 2, 29–40.CrossRefGoogle Scholar
Messier, R. (1980). Problèmes psychologiques, choix de personnes-ressources et modèles d'action chez des adolescents de 14 et 16 ans. Master thesis, p. 117. Université du Québec à Montréal.Google Scholar
Murphy, H. B. M. (1978). The meanings of symptoms-checklist scores in mental health surveys: a testing of multiple hypotheses. Social Science and Medicine 12, 67–75.Google Scholar
Nathanson, C. A. (1975). Illness and the feminine role: a theoretical review. Social Science and Medicine 9, 57–62.CrossRefGoogle Scholar
Newmann, J. P. (1984). Sex differences in symptoms of depression: Clinical disorder or normal distress? Journal of Health and Social Behavior 25, 136–159.CrossRefGoogle ScholarPubMed
Parker, G. (1979). Sex differences in non-clinical depression. Australian and New Zealand Journal of Psychiatry 13, 67–74.CrossRefGoogle ScholarPubMed
Pennebaker, J. W. (1982). The Psychology of Physical Symptoms. Springer-Verlag: New York.CrossRefGoogle Scholar
Rorer, L. G. (1965). The great response-style myth. Psychological Bulletin 63, 129–156.CrossRefGoogle ScholarPubMed
Rosenfeld, L. B. & Civikly, J. M. (1979). Anatomical and psychological sex differences. In Self-Disclosure (ed. Chelune, G. J.), pp. 80–109. Jossey-Bass: San Francisco.Google Scholar
Saucier, J. F. & Steinberg, M. (1979) Adolescents et prevention. Rapport préliminaire de recherche. Section des sciences du comportment. Départment de psychiatric, Université de Montréal et Centre de recherche pédiatrique, Hôpital Ste-Justine, Montréal.Google Scholar
Sermat, V. & Smith, M. (1973). Content analysis of verbal communication in the development of a relationship: conditions influencing self-disclosure. Journal of Personality and Social Psychology 26 (3), 332–346.CrossRefGoogle ScholarPubMed
Star, S. A. (1950). The screening of psychoneurotics in the army: technical developments of tests. In Measurements and Predictions (ed. Stouffer, S. A., Guttman, L., Suchman, E. A., Lazarfeld, P. F., Star, S. A. and Clausen, J. A.), pp. 486–547. Princeton University Press: Princeton.Google Scholar
Statistiques Canada (1981). Enquête Santé Canada. Santé et Bien-Être Social: Ottawa.Google Scholar
Tousignant, M., Denis, G. & Lachapelle, R. (1974). Some considerations concerning the validity and use of the Health Opinion Survey. Journal of Health and Social Behavior 15(3), 241–252.CrossRefGoogle ScholarPubMed
Verbrugge, L. (1976). Females and illness: recent trends in sex differences in the United States. Journal of Health and Social Behavior 17, 387–403.CrossRefGoogle ScholarPubMed
Williams, J. E. & Best, D. L. (1982). Measuring Sex Stereotype: A Thirty-Nation Study, Sage Publications: Beverly Hills.Google Scholar
Wingard, D. L. (1984). The sex differential in morbidity, mortality and lifestyle. Annual Review of Public Health 5, 433–458.CrossRefGoogle ScholarPubMed