Gender, Social Roles, and Mental Health: An Epidemiological Perspective

The social roles men and women occupy may account for gender differences in rates of psychiatric disorder. Women are thought to have poorer experiences within any given role (role strain theory), have more conflicts among their different roles (role-configuration theory), or have fewer role opportunities available to them (role accumulation hypothesis) compared to men. These theories are examined in a community sample (n = 4,745, 52% females and 48% males; Caucasian [84.2%], Hispanics [10.0%], African Americans [3.8%], Native American [1.4%], Asian [0.6%], and Pacific Islander [0.1%]). No gender differences in the overall rate of DSM, psychiatric disorders were found; however, differences were found for specific disorders. Although multiple roles were generally found to be associated with lower rates of disorders for both men and women, some role combinations were associated with a higher rate of disorders. The possibility that roles may be associated with both stressors and protective factors is discussed.