Abstract

Objectives

The Male Depression Risk Scale (MDRS-22) is a self-report scale that assesses externalising and male-typical depression symptoms with promising psychometric properties reported in young-to-middle aged men. However, studies are yet to consider the psychometric properties of the MDRS-22 in older men. This study examined the psychometric properties of the MDRS-22 in both younger and older males and its relationship to prototypic depression symptoms and self-reported depression history.

Method

A community sample of younger (n = 510; 18–64 years) and older (n = 439; 65–93 years) males completed the original 82 MDRS items from which the MDRS-22 was derived, the Patient Health Questionnaire (PHQ-9), and provided information regarding previous depression diagnoses. Exploratory and confirmatory factor analyses were used to examine factor structure. Generalised linear models examined the relationship between externalised and male-typical symptoms with prototypic depression symptoms in younger and older men.

Results

Model fit indices demonstrated that the MDRS-22 performs well in older males. Results also revealed that the MDRS-22 is associated with prototypic depression symptoms and a previous depression diagnosis in both age groups.

Conclusion

Results support the psychometric validity of the MDRS-22 as a measure of externalising and male-typical depression symptoms in older men. Use of scales such as the MDRS-22 may help to improve the detection of depression in men across the lifespan and may also identify factors that put men at risk of poor physical and mental health outcomes.

中文翻译：

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将男性抑郁风险量表扩展用于老年男性：年龄对因素结构的影响以及与心理困扰和抑郁病史的关联

摘要

目标

男性抑郁风险量表 (MDRS-22) 是一种自我报告量表，用于评估外化和男性典型的抑郁症状，并在中青年男性中报告了有希望的心理测量特性。然而，研究尚未考虑 MDRS-22 在老年男性中的心理测量特性。本研究检查了 MDRS-22 在年轻和年长男性中的心理测量特性及其与原型抑郁症状和自我报告的抑郁病史的关系。

方法

年轻（n  = 510；18-64 岁）和年长（n  = 439；65-93 岁）男性的社区样本完成了最初的 82 个 MDRS 项目，即 MDRS-22 的来源，即患者健康问卷（PHQ- 9），并提供有关先前抑郁症诊断的信息。探索性和验证性因素分析用于检查因素结构。广义线性模型检查了年轻和年长男性的外化和男性典型症状与原型抑郁症状之间的关系。

结果

模型拟合指数表明 MDRS-22 在老年男性中表现良好。结果还显示，MDRS-22 与两个年龄组的原型抑郁症状和先前的抑郁诊断有关。

结论

结果支持 MDRS-22 的心理测量有效性，作为老年男性外化和男性典型抑郁症状的衡量标准。使用 MDRS-22 等量表可能有助于改善男性在整个生命周期中对抑郁症的检测，还可能确定使男性面临身体和心理健康状况不佳风险的因素。