Key result
Masculine depression is not linked to altered body measures, lipids, or suicidal thoughts versus non-masculine depression.
Why the study?
Serum lipids are linked to affective disorders and suicidal behavior, and masculine depression has been proposed as a subtype carrying increased suicide risk.
Cross-Sectional (n=339)
Open-label
Yes
Masculine depression does not significantly differ from non-masculine depression regarding body measures, serum lipids, or suicidal thoughts, though both depression subtypes exhibit higher body fat and lower HDL cholesterol compared to healthy controls.
Answers are grounded in this paper and cite their sources.
No metabolic or suicidality differences between depression subtypes in inpatients; leaves open whether masculine depression warrants distinct screening elsewhere.
Background Major depressive disorder (MDD) is a main reason for suicide, and serum lipids are involved in both affective disorders and related suicidal behavior. Moreover, masculine depression has been suggested as a subtype of depression with an increased risk for suicide. Here, we studied the relationship between body measures, serum lipids, suicidal thoughts, and masculine depression. Methods Depressed patients (44% women) were divided by a sex-separated median-split into a group of 81 “patients with masculine depression” (mean age ± standard error: 36.4 ± 1.6 years) and a group of 82 “patients with non-masculine depression” (age 45.7 ± 1.6 years) according to the Male Depression Risk Scale. We compared body measures, serum lipid levels, and past suicidal ideation between these groups and explored differences between these groups and 176 healthy controls (51% women; age 37.2 ± 1.0 years). Results Patients with masculine depression did not significantly differ from patients with non-masculine depression in any of the body measures, lipid markers, or suicidal thoughts. Compared to healthy controls, both patient groups showed significantly higher body fat (B [masculine depression] = 0.041 and B [non–masculine depression] = 0.050), lower high-density lipoprotein (HDL) cholesterol (B = –0.045 and –0.044), and a higher risk for suicidal thoughts (B = 3.927 and 2.663) than healthy controls. Suicidal thoughts were significantly associated with lower low-density lipoprotein (LDL)/HDL ratios (B = –0.455) in patients with depression and with higher LDL cholesterol levels (B = 0.020) in healthy controls subjects. Limitation Correlational study design and focus on in-patients. Conclusion In the studied cohort, masculine depression was not significantly associated with the analyzed parameters of body measures, serum lipids, or suicidal thoughts in in-patients with depression.
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Zimmermann et al. (2022) conducted a cross-sectional in Major Depressive Disorder (n=339). Masculine depression vs. Non-masculine depression was evaluated on Differences in body measures, serum lipid levels, and suicidal thoughts. Masculine depression was not significantly associated with differences in body measures, serum lipids, or suicidal thoughts compared to non-masculine depression in hospitalized patients.
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