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Running head: GENDER AND STRESS AS PREDICTORS OF DEPRESSION 1

Gender and Stress as Predictors of Depression

Ana Marie Agee Booth

California Baptist University

Gender and Stress as Predictors of Depression 2

Gender and Stress as Predictors of Depression

Over 17 million adults in the United States suffer from some sort of depression, making it

one of the most common mental illnesses in America. “Depression affects an estimated one in 15

adults (6.7%) in any given year. And one in six people (16.6%) will experience depression at

some time in their life.” (What is Depression?). There are an overwhelming number of factors

that can lead to depressive symptoms in both men and women, one of which is said to be an

elevation in stress hormone disturbances. Both genders rely on different coping methods to

process stressors effectively and successfully in a manageable method. Thus, the purpose of this

study is to investigate gender as a predictor of depression controlling for stress.

Depression is defined as a common and serious medical illness that negatively affects how you

feel, the way you think and how you act and causes feelings of sadness and/or a loss of interest in

activities you once enjoyed. It can lead to a variety of emotional and physical problems and can

decrease your ability to function at work and at home (What is Depression?). Doctors and

scientists have studied depression for many years. They have conducted research on many

individual symptoms as well as clustered symptoms, in addition to the plethora of factors that

may be the cause of developing depressive symptoms. Many of the research studies identify

participants according to their gender and then their ages. For example, a recent study indicated

that depressive symptoms based on life stressors of medical interns ages twenty-six to thirty,

increased by 71% over a 3-, 6-, 9-, and 12-month time period (Fried, 2015). This particular study

consisted of a total of three thousand and twenty-one individuals, with 48.4% being male and

52.6% being female. Furthermore, both males and females explain their depressive symptoms

almost equally in terms of life stress as a causal factor of major depressive disorder, suggesting

that gender may not be a significant factor when correlating stress and depression.

Gender and Stress as Predictors of Depression 3

Literature Review

Stress. Stress is defined as the degree to which you feel overwhelmed or unable to cope

as a result of pressures that are unmanageable (Stress MHF, 2021). At the very least, stress is our

body’s response to specific life events and/or situations (Sha, 2006). Social circumstances,

economic circumstances, environment, and genetics are all contributors to a person’s level of

stress. As the many contributions of stress can vary immensely from person to person, male and

female, it also varies in how responses are processed. Given the fact that positive and negative

life changes both have the ability to cause one to experience some form of stress, it would not be

surprising if stress factors such as divorce, job loss, death, or financial difficulties led to feelings

of depression. Stress factors are managed very differently among men and women. Both genders

typically report similar stress levels, yet report varying physical and emotional symptoms (Shih,

2004). Many of the symptoms of depression have a rather similar look as having life changing

stressors. Therefore, in order to properly understand the role of gender in predicting depression,

it is necessary to control for the likely influence of stressors.

Gender. The World Health Organization defines gender as the characteristics of women,

men, girls and boys that are socially constructed including norms, behaviors and roles associated

with being a woman, man, girl or boy, as well as relationships with each other. In a socially

constructive manner, gender will vary from environment to environment and can change over

time. Gender is theorized to impact depression because one’s stress hormones and one’s genetics

offer largely influential factors that contribute to a mental illness such as depressive disorder.

Recent research has found that women are more likely than men to experience depression

(Zwicker & DeLongis, 2010). “Some studies show that one-third of women will experience a

major depressive episode in their lifetime.” (Hyde, 2020). There is a high degree of heritability

Gender and Stress as Predictors of Depression 4

(approximately 40%) when first-degree relatives (parents/children/siblings) have depression

(Sowa & Lustman, 1984).

As existing research study on the relationship between gender and depression has been

conducted primarily focused on age groupings, the current study will extend the literature by

investigating whether gender predicts depression. The hypothesis is that gender will significantly

predict depression controlling for the influence of stressors.

Method

Participants

Participants were 101 adult college students enrolled in the Online and Professional

Studies division at California Baptist University (CBU). CBU is a private Christian university

located in Riverside, California with an enrollment of approximately 11,317 students on campus

and online. The age of the adult college student participants ranged from 18 to 54 years

(M=28.29, SD=7.41). Of the 101 participants, 88 were female (87%) and 12 were male (12%).

The Online and Professional Studies division at California Baptist University offers more than

40 fully online and fully accredited degree programs while also providing spiritual and social

development opportunities.

Measures

Sex/Gender. Respondents were asked to indicate their gender. Response options

included female (87%) and male (12%).

Stress. Adult college student’s levels of stress were measures using the DASS-21 Stress

Subscale, a four item self-report measure of stress levels in adult college students. Participants

Gender and Stress as Predictors of Depression 5

responded to items indicating a stressed state (e.g., “I feel that I use a lot of nervous energy”) on

a 7-point Likert-type scale ranging from 1 (does not apply to me at all) to 7 (most of the time).

Evidence of moderate to strong internal reliability has been found in previous studies, with

Chronbach’s alphas ranging from .59 to .81 (Osman et al. 2012). DASS-21 Stress subscale scores

are positively correlated with scores on a measure of mixed depression and anxiety/stress, thus

supporting the validity of the measure.

Factor analysis. An exploratory factor analysis (EFA) was conducted in order to

examine the factor structure of the four-item scale.

Only one factor had an eigenvalue greater than 1, thus suggesting a one-factor solution

according to Kaiser’s K-1 rule. The first factor explained 57.57% of the variation in scores. A

scree test was also conducted in order to determine whether the scale represented a

unidimensional construct. The scree plot shows the point of inflection clearly at the second

component, thus suggesting a one-factor solution. Next, the component matrix was examined to

see whether all of the items loaded heavily onto the first factor. All four items had loadings with

absolute values over .40 on the first factor.

Gender and Stress as Predictors of Depression 6

Reliability analysis. Next, a reliability analysis was conducted in order to determine the

internal reliability of the stress level scale. This analysis produced a Chronbach’s alpha score of .

75, which was acceptable for psychometric purposes.

Distribution of composite scores. Finally, a composite score was created from the four-

item scale, generating a standardized (M=0.00, SD=1.00) stress level score for each adult college

student in the sample ranging from -1.52 to 2.71. The resulting distribution was slightly

leptokurtic with a moderate positive skew. Most of the respondents scored on the low to middle

end of the stress level scale with only a few indicating high levels of stress.

Gender and Stress as Predictors of Depression 7

Depression. Adult college student’s levels of depression were measured using the DASS-

21 Depression Subscale, a four item self-report measure of depression levels in adult college

students. Participants responded to items indicating a depressed state (e.g., “I feel that I have

nothing to look forward to”) on a 7-point Likert-type scale ranging from 1 (does not apply to me

at all) to 7 (most of the time). Evidence of moderate to strong internal reliability has been found

in previous studies, with Chronbach’s alphas ranging from .63-.70 (Osman et al. 2012). DASS-

21 depression subscale scores are positively correlated with scores on a measure of mixed

depression and anxiety/stress, thus supporting the validity of the measure.

Factor analysis. An exploratory factor analysis (EFA) was conducted in order to

examine the factor structure of the four-item scale.

Gender and Stress as Predictors of Depression 8

Only one factor had an eigenvalue greater than 1, thus suggesting a one-factor solution

according to Kaiser’s K-1 rule. The first factor explained 71.74% of the variation in scores. A

scree test was also conducted in order to determine whether the scale represented a

unidimensional construct. The scree plot shows the point of inflection clearly at the second

component, thus suggesting a one-factor solution. Next, the component matrix was examined to

see whether all of the items loaded heavily onto the first factor. All four items had loadings with

absolute values over .40 on the first factor.

Gender and Stress as Predictors of Depression 9

Reliability analysis. Next, a reliability analysis was conducted in order to determine the

internal reliability of the depression level scale. This analysis produced a Chronbach’s alpha

score of .86, which was good for psychometric purposes.

Distribution of composite scores. Finally, a composite score was created from the four-

item scale, generating a standardized (M=0.00, SD=1.00) depression level score for each adult

college student in the sample ranging from -.81 to 3.48. The resulting distribution was

leptokurtic with a positive skew. Most of the respondents scored on the low end of the depression

level scale with only a few indicating high levels of depression.

.

Gender and Stress as Predictors of Depression 10

Procedure

The adult college students were administered the questionaires anonymously. All of the

students, majoring in psychology, were currently enrolled in the Online and Professional Studies

division of California Baptist University. The surveys were completed online, outside of

classroom hours and each student was given extra credit for completion of the online

questionaire.

Results

Descriptive Statistics

First, figures were constructed in order to visually examine the relationship between each

independent variable and the dependent variable. A boxplot was used to examine the

relationship between sex and depression because sex is a categorical predictor. A scatterplot was

used to examine the relationship between stress and depression because stress is a continuous

predictor.

A visual inspection of the boxplot revealed that the median depression level for females

appears to be similar to that of the males. There is more variability among the male scores than

Gender and Stress as Predictors of Depression 11

the female scores. Some males scored relatively high, while the females scored somewhat low

with several potential outliers and otherwise unusual responses. A visual inspection of the

scatterplot revealed that there appeared to be a slight positive relationship between stress levels

and depression. In most cases, as stress levels increased, depression also increased. However,

some college students scored low on stress levels and also low on depression levels.

Next, a correlation test was conducted to examine the relationships between each

independent variable and the dependent variable. There was a significant moderate positive

correlation between stress and depression, r(96) = .49, p<.01. There was also a very small

positive correlation between gender and depression r(96) = .06, p=.59. The two independent

variables were not significantly correlated; thus, collinearity was not an issue in this model.

Gender and Stress as Predictors of Depression 12

Checking Assumptions

Homogeneity of variance. In order to test the assumptions, the analysis was run with

both independent variables included in the model. Predicted values and unstandardized residuals

were saved as new variables in the dataset. To test for homogeneity of variance, a scatterplot

was created with the predicted values on the x-axis and the residuals on the y-axis.

A visual inspection of the scatterplot revealed that the residuals are not evenly distributed

and there appears to be clusters and some slight fanning. This means that the model does not

have equally predictive power for individuals at both the high end and the low end of the

depression level scale. Thus, the assumption of homogeneity of variance is not supported.

Gender and Stress as Predictors of Depression 13

Normally distributed residuals. In order to determine whether residuals were normally

distributed, a histogram of the distribution was created with a normal curve superimposed on top.

A visual inspection of the histogram revealed that the residuals are not normally distributed.

Thus, the assumption of normally distributed residuals is not supported.

Multiple Regression Analysis

Finally, each of the output tables in the multiple regression analysis was interpreted in

order to determine whether my hypothesis was supported.

Gender and Stress as Predictors of Depression 14

The R2 coefficient was .26. This means that 26% of the variation in adult college

student’s depression levels are predicted by the model, while 74% of the variation was not

predicted by the model. The amount of predictive ability was determined to be substantively

significant.

The F-statistic was statistically significant, F(2, 93) = 16.28, p < .001, indicating that the

model results in significantly better predictions than those based solely on the mean.

This table reveals that stress level is a statistically significant predictor of adult college

student’s depression levels. Gender is not a statistically significant predictor of adult college

student’s depression levels, controlling for stress. Thus, my hypotheses is not supported.

Gender and Stress as Predictors of Depression 15

The regression equation for this model is:

ŷ = -.03 - .51x1 + .41x2

Where .03 is the expected depression level score for a student who has an average level of stress.

Controlling for stress, there is a .10 standard deviation decrease in gender which does not

correspond to a .03 standard deviation in depression levels.

Discussion

Based on the results, gender was not a significant predictor of depression, controlling for

stressors and my hypothesis was rejected thus being disconfirmed. This study consisted of 101

participants, 89 being female and 12 being male. This makes for an unbalanced participant pool,

especially when using gender as an independent variable. A more equally balanced selection of

participants would have led to significantly better and more accurate results. Although study

findings are certainly accurate, there are some limitations. First, this study used a wide range of

adults ages 18-54. I consider this a very strong limitation as young adults, whether male or

female, process stressors more immaturely than adults who have more life experience.

The results of this study correspond with the results in the 2015 study conducted by

Fried, in which males and female explained their depressive symptoms almost equally and

suggesting that gender may not be a significant factor when correlating stress and depression.

This study, in particular, can easily be generalized to the college and university

population by simply inferring the results from a sample population and applying it to the

population at large: Increasing the sample size to a population significantly larger than 101

college students and making the study more equal as far as gender.

Gender and Stress as Predictors of Depression 16

Many theorize that females have more life stressors and therefore suffer from depression

more than men, but these theories are just that and have not been shown to possess any statistical

significance.

Based on the results of this study, future researchers should follow a different

methodology to obtain more accurate and precise findings. Future researchers would benefit

from selecting an equal amount of male and female participants as well as separating the

participants into age groups. This will better serve additional future studies and set a more

specific path for future research to follow.

My data-based conclusion disputed my speculation that gender would play a large role in

stress and depression. In fact, this study somewhat drastically negated my initial hypothesis. I

strongly felt that women would definitely have more stressors and therefore higher levels of

depression. This was not in line with my referenced study or the present study. My overall

impression of this research study was actually quite surprising and I would be interested in

continuing it with a more specific range of participants to determine if there is any possibility of

truth to my initial investigation and research.

Gender and Stress as Predictors of Depression 17

Works Cited

Fried, E. I., Nesse, R. M., Guille, C., & Sen, S. (2015). The differential influence of life stress on individual symptoms of depression. Acta Psychiatrica Scandinavica, 131(6), 465- 471. https://doi.org/10.1111/acps.12395

Hyde, J. S., & Mezulis, A. H. (2020). Gender differences in depression: Biological, affective, cognitive, and sociocultural factors. Harvard Review of Psychiatry, 28(1), 4- 13. https://doi.org/10.1097/HRP.0000000000000230

Sha, T. (2006). Optimism, Pessimism and Depression; The Relations and Differences by Stress Level and Gender. Acta Psychologica Sinica, 38(6), 886-901.

Shih, J. H.-F. (2004). Sociotropy/autonomy and depression: Gender differences and the mediating role of stressful life events ProQuest Information & Learning]. APA PsycInfo. http://libproxy.calbaptist.edu/login? url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-99010- 099&site=ehost-live&scope=site

Sowa, C. J., & Lustman, P. J. (1984). Gender differences in rating stressful events, depression, and depressive cognition. Journal of Clinical Psychology, 40(6), 1334- 1337. https://doi.org/10.1002/1097-4679(198411)40:6<1334::AID- JCLP2270400609>3.0.CO;2-8

Stress. Mental Health Foundation. https://www.mentalhealth.org.uk/a-to- z/s/stress#:~:text=Stress%20can%20be%20defined%20as,of%20pressures%20that %20are%20unmanageable.

What is Depression? American Psychiatric Association. https://www.psychiatry.org/patients- families/depression/what-is-depression

Zwicker, A., & DeLongis, A. (2010). Gender, stress, and coping. In J. C. Chrisler & D. R. McCreary (Eds.), Handbook of gender research in psychology, Vol 2: Gender research in social and applied psychology. (pp. 495-515). Springer Science + Business Media. https://doi.org/10.1007/978-1-4419-1467-5_21