Prevalence and Co-Occurrence of Internalizing and Externalizing Depression Symptoms in a Community Sample of Australian Male Truck Drivers

Journal article


Simon Rice, Helen Aucote, Dina Eleftheriadis and Anne Moller-Leimkuhler. (2018). Prevalence and Co-Occurrence of Internalizing and Externalizing Depression Symptoms in a Community Sample of Australian Male Truck Drivers. American Journal of Men's Health. 12(1), pp. 74-77. https://doi.org/10.1177/1557988315626262
AuthorsSimon Rice, Helen Aucote, Dina Eleftheriadis and Anne Moller-Leimkuhler
Abstract

Trucking industry employees are known to be at risk of elevated levels of stress and a range of behaviors that may compromise their mental health. Clinical reports indicate that in response to negative emotional states, men tend to engage in a cluster of externalizing behaviors including irritability, anger and aggression, risk taking, and substance misuse. However, as such symptoms fall outside standard diagnostic depression criteria, the diagnosis and treatment of depression in men may be impeded. The present exploratory study reports retrospective symptom ratings of internalizing and externalizing depression symptoms from 91 Australian male truck drivers. Moderate correlation between externalizing and internalizing symptoms was reported across the sample, though internalizing symptoms were reported more frequently. However, consistent with prediction, those meeting probable depression caseness (n = 20) reported three times the number of externalizing symptoms relative to those in the nonclinical group (Cohen’s d = 1.31). Externalizing symptoms may be a particular phenotypic feature of depression in men, and assessment of such symptoms may assist in the detection of those unwilling to disclose typical internalizing symptoms (i.e., sadness, hopelessness). Results also highlight the need for targeted research into stress-related and mental health outcomes of men in high health risk occupations such as truck driving.

Keywordsmen; depression; masculinity; externalizing symptoms; help seeking
Year2018
JournalAmerican Journal of Men's Health
Journal citation12 (1), pp. 74-77
PublisherSage Publications Ltd.
ISSN1557-9883
Digital Object Identifier (DOI)https://doi.org/10.1177/1557988315626262
Scopus EID2-s2.0-85037745166
Publisher's version
File Access Level
Controlled
Publication process dates
Deposited12 May 2021
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