Depression: The Male Silent Killer
Dr. Marianne Legato is a Professor of Clinical Medicine at Columbia University, where she also directs and founded the Partnership for Gender-Specific Medicine.
Dr. Legato is the founder and editor of "The Journal of Gender-Specific Medicine and of Gender-Medicine" and a leading advocate for the inclusion of women in clinical trials. She is annually cited in New York Magazine's top doctors issues. She is also the author of Eve's Rib:The New Science of Gender-Specific Medicine and How It Can Save Your Life, The Female Heart, and Why Men Never Remember and Women Never Forget, and, most recently, "Why Men Die First: How to Lengthen Your Lifespan." She edited the medical textbook, "Principles of Gender Specific Medicine," the first compilation for professional audiences of the sex-specific aspects of normal human function and disease.
She lives in New York City.
Question: Are men less prone to depression as women?
Marianne Legato: The generally accepted statistic is that women are twice as likely to suffer from depression as men. I don’t think this is correct. I think that the signs and symptoms of depression in men are very different than those in women. In spite of great sadness and pessimism, men tend not to communicate their distress. They go it alone as they do in so many areas of their lives and they turn to self medication sometimes with excessive TV, excessive sexual activity, or excessive drinking as symptoms of their distress.
Marianne Legato: There’s no question that depression can be fatal in both sexes including, obviously, in men. People lose their appetite. They can’t sleep. They don’t take action against threats in the environment. And I think that there’s no question that depression, which by the way also depresses the action of the immune system and makes people prone to infection, is a very serious warning that a fatal outcome is a possibility. So depression should never be underestimated.
Marianne Legato: A very interesting thing about depression was commented on, in fact, by my father who was a physician years ago. When he said that the time to be most on guard against suicide is in the partially treated, depressed patient, he pointed out that when they’re profoundly depressed, they can’t take action even to end their own lives. But as they improve, they begin to see ways to carry out their very sad objective. And I think that that’s reflected in many of the warnings on some of our antidepressants, when we start to give them, result in the suicide of patients unexpectedly. And I think it may be to this general principle that the depressed patient in treatment has to be very carefully watched because there’s this time of special vulnerability.
Recorded on: November 4, 2009
Contrary to popular opinion, men are just as likely to suffer from depression than women—they just repress it, sometimes with fatal results.
Good science is sometimes trumped by the craving for a "big splash."
- Scientists strive to earn credit from their peers, for grants from federal agencies, and so a lot of the decisions that they make are strategic in nature. They're encouraged to publish exciting new findings that demonstrate some new phenomenon that we have never seen before.
- This professional pressure can affect their decision-making — to get acclaim they may actually make science worse. That is, a scientist might commit fraud if he thinks he can get away with it or a scientist might rush a result out of the door even though it hasn't been completely verified in order to beat the competition.
- On top of the acclaim of their peers, scientists — with the increasing popularity of science journalism — are starting to be rewarded for doing things that the public is interested in. The good side of this is that the research is more likely to have a public impact, rather than be esoteric. The bad side? To make a "big splash" a scientist may push a study or article that doesn't exemplify good science.
Moans, groans, and gripes release stress hormones in the brain.
Could you give up complaining for a whole month? That's the crux of this interesting piece by Jessica Hullinger over at Fast Company. Hullinger explores the reasons why humans are so predisposed to griping and why, despite these predispositions, we should all try to complain less. As for no complaining for a month, that was the goal for people enrolled in the Complaint Restraint project.
Participants sought to go the entirety of February without so much as a moan, groan, or bellyache.
Two space agencies plan missions to deflect an asteroid.
- NASA and the European Space Agency (ESA) are working together on missions to a binary asteroid system.
- The DART and Hera missions will attempt to deflect and study the asteroid Didymoon.
- A planetary defense system is important in preventing large-scale catastrophes.
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