The very low rate of major depression in men might be a misconception. It’s often said that guys don’t like to admit, even to themselves, that they are sometimes depressed. Men may feel it is a sign of weakness or unmanly to show some indication of grief or self-doubt; they may dread what might happen if their companies or friends found out.
So, they retreat into silent sofferenza or produce a “male depression syndrome” where the malattia appears as anger, irritabilità, alcoholism, or drug abuse. Because nearly all men don’t seek treatment, their depression is rarely recorded or diagnosed. It’s unconfirmed whether male unwillingness to accept feelings can account for each the sex difference in depression; for instance, polls indicate that women have a higher rate of depression than men even amongst people that are not looking for expert assistance.
In two ways, both associated with the high male morte rate, depression is regarded as an even more serious issue for men than for women. Depression is a critical rischio factor for suicide, and men commit suicide four times more than girls and up to ten times more frequently in their older age.
One speculation could be men’s reluctance to project their feelings and seek out help when they’re in despair. Another concern for men suffering from depression is malattia cardiovascolare. Depression can affect sangue pressure, blood clotting, and the immune system. It’s a recognized risk factor for coronary heart disease, heart attacks, and stroke. Men are especially vulnerable since they create these conditions at a higher speed and at an earlier age than many women. After a heart attack or bypass chirurgia, some research indicates that depression and stress are less serious and likely in men as it is in girls.
Un recente studio di grandi dimensioni ha scoperto che questo beneficio è durato solo per i primi due decenni. Molte autorità sostengono ora che i medici controllano i pazienti adulti per la depressione ponendo queste due domande standard: Durante le ultime due settimane, si è sentito triste o senza speranza? Durante le ultime due settimane, ha provato poco interesse o piacere nelle sue attività abituali? Lo screening può essere molto importante per gli uomini, poiché sono meno inclini delle ragazze a parlare loro stessi di depressione.
La terapia stessa è identica per entrambi i sessi: parlare con un terapeuta di qualsiasi problema e prendere antidepressivi per i sintomi. La conversazione può assumere la forma di psicoterapia, gruppi di sostegno reciproco o consulenza coniugale. Gli antidepressivi sono entrambi efficaci e hanno effetti collaterali simili in entrambi i sessi, ma tra gli effetti collaterali, in circa il 50 per cento dei suoi utenti, ha conseguenze esclusive per i ragazzi.
The most widely used antidepressants, the selective serotonin reuptake inhibitors (SSRIs), tend to reduce sexual attenzione, desire, performance, and satisfaction as well as the ability to achieve an orgasm. In men, this generally means the drugs stop or postpone ejaculation or erection. Sexual side effects, such as other antidepressant side effects, may diminish with time. Alternatives are decreasing the dose and changing to another kind of antidepressant, frequently bupropion (Wellbutrin). Changing is commonly not recommended unless the patient’s depressive symptoms aren’t showing any signs of improvement.
The switch needs to be slow to avoid a discontinuation. Another resolution for erectile dysfunction would be to incorporate another medication. Most the drugs tested for this function have shown to be no better than a placebo. A couple of studies have suggested that such as bupropion can help in this circumstance. Sildenafil (Viagra) has been proven to work in three studies and is probably the best scelta nella maggior parte dei casi.