Sexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributions

Depression represents a complex mental health problem worldwide, affecting millions of people and causing significant societal and personal distress. A plethora of evidence has emerged indicating an important role of gender dimorphism in depression, with prevalence rates, symptomatology, and treatme...

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Main Authors: Nedeljković Jelena, Stanić Dušanka, Petrović Jelena, Ivanović Ana, Ilić Miloš, Nikolašević-Stojković Gorana, Pejušković Bojana, Pešić Vesna
Format: Article
Language:srp
Published: Pharmaceutical Association of Serbia, Belgrade, Serbia 2024-01-01
Series:Arhiv za farmaciju
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Online Access:https://scindeks-clanci.ceon.rs/data/pdf/0004-1963/2024/0004-19632406758N.pdf
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author Nedeljković Jelena
Stanić Dušanka
Petrović Jelena
Ivanović Ana
Ilić Miloš
Nikolašević-Stojković Gorana
Pejušković Bojana
Pešić Vesna
author_facet Nedeljković Jelena
Stanić Dušanka
Petrović Jelena
Ivanović Ana
Ilić Miloš
Nikolašević-Stojković Gorana
Pejušković Bojana
Pešić Vesna
author_sort Nedeljković Jelena
collection DOAJ
description Depression represents a complex mental health problem worldwide, affecting millions of people and causing significant societal and personal distress. A plethora of evidence has emerged indicating an important role of gender dimorphism in depression, with prevalence rates, symptomatology, and treatment responses differing between men and women. Women are generally more likely to suffer from depression, which is often attributed to hormonal influences, psychosocial stressors, and gender-specific coping mechanisms. In contrast, men may exhibit different depressive patterns, characterized by externalizing behaviors and higher suicide rates. Neurobiological studies highlight gender-specific differences in brain structure and function, as well as in neurotransmitter systems, which may impact treatment efficacy and response variability. While conventional pharmacotherapy remains pivotal, personalized approaches that integrate psychotherapeutic modalities such as cognitive-behavioral therapy and mindfulness-based interventions have increased in recent years. However, gender differences in treatment outcomes emphasize the need for differentiated, gender-sensitive clinical strategies. This review summarizes the current literature to highlight the complexity of depression and the importance of tailoring interventions to optimize clinical outcomes in diverse populations.
format Article
id doaj-art-7593f5430078459fabd0715855c9c701
institution Kabale University
issn 0004-1963
2217-8767
language srp
publishDate 2024-01-01
publisher Pharmaceutical Association of Serbia, Belgrade, Serbia
record_format Article
series Arhiv za farmaciju
spelling doaj-art-7593f5430078459fabd0715855c9c7012025-01-08T15:12:31ZsrpPharmaceutical Association of Serbia, Belgrade, SerbiaArhiv za farmaciju0004-19632217-87672024-01-0174675877310.5937/arhfarm74-541510004-19632406758NSexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributionsNedeljković Jelena0Stanić Dušanka1https://orcid.org/0000-0002-4494-5554Petrović Jelena2https://orcid.org/0000-0002-1821-1362Ivanović Ana3Ilić Miloš4Nikolašević-Stojković Gorana5Pejušković Bojana6https://orcid.org/0000-0001-7879-5745Pešić Vesna7https://orcid.org/0000-0002-1951-7291University of Belgrade, Faculty of Pharmacy, Department of Physiology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Physiology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Physiology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Physiology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Physiology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Physiology, Belgrade, SerbiaInstitute of Mental Health, Clinical Department for Crisis Intervention and Affective Disorders, Head, Belgrade, SerbiaUniversity of Belgrade, Faculty of Pharmacy, Department of Physiology, Belgrade, SerbiaDepression represents a complex mental health problem worldwide, affecting millions of people and causing significant societal and personal distress. A plethora of evidence has emerged indicating an important role of gender dimorphism in depression, with prevalence rates, symptomatology, and treatment responses differing between men and women. Women are generally more likely to suffer from depression, which is often attributed to hormonal influences, psychosocial stressors, and gender-specific coping mechanisms. In contrast, men may exhibit different depressive patterns, characterized by externalizing behaviors and higher suicide rates. Neurobiological studies highlight gender-specific differences in brain structure and function, as well as in neurotransmitter systems, which may impact treatment efficacy and response variability. While conventional pharmacotherapy remains pivotal, personalized approaches that integrate psychotherapeutic modalities such as cognitive-behavioral therapy and mindfulness-based interventions have increased in recent years. However, gender differences in treatment outcomes emphasize the need for differentiated, gender-sensitive clinical strategies. This review summarizes the current literature to highlight the complexity of depression and the importance of tailoring interventions to optimize clinical outcomes in diverse populations.https://scindeks-clanci.ceon.rs/data/pdf/0004-1963/2024/0004-19632406758N.pdfdepressiongender dimorphismsex differencesantidepressants
spellingShingle Nedeljković Jelena
Stanić Dušanka
Petrović Jelena
Ivanović Ana
Ilić Miloš
Nikolašević-Stojković Gorana
Pejušković Bojana
Pešić Vesna
Sexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributions
Arhiv za farmaciju
depression
gender dimorphism
sex differences
antidepressants
title Sexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributions
title_full Sexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributions
title_fullStr Sexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributions
title_full_unstemmed Sexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributions
title_short Sexual dimorphism in the response to antidepressant therapy: Biological basis and clinical implications declaration of competing interests author contributions
title_sort sexual dimorphism in the response to antidepressant therapy biological basis and clinical implications declaration of competing interests author contributions
topic depression
gender dimorphism
sex differences
antidepressants
url https://scindeks-clanci.ceon.rs/data/pdf/0004-1963/2024/0004-19632406758N.pdf
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