Faculty Publications

Title

Sex and gender in psychopathology: DSM-5 and beyond

Document Type

Article

Keywords

DSM-5, Gender differences, Mental illness, Psychopathology, Sex differences

Journal/Book/Conference Title

Psychological Bulletin

Volume

145

Issue

4

First Page

390

Last Page

409

Abstract

Sex and gender differences in psychopathology have been understudied, yet identifying and understanding variability by sex and gender is important for the development of comprehensive etiological models as well as effective assessment and treatment of psychopathology in all persons. In the current article, we discuss the importance of sex and gender in psychopathology research, review terminology used when examining these constructs, and present multiple explanations for differential prevalence rates. Next, we review articles from psychopathology journals and conclude that researchers more often include both males and females than they did two decades ago, but still do not consistently analyze by sex or gender. We also provide an update of male-to-female ratios as presented in the DSM-5 and conduct a systematic review of the literature for selected disorders. We conclude that the DSM-5 presentation of sex or gender ratios is not systematic. Finally, we provide suggestions for the next DSM task force, researchers, journal editors, and funding agencies. These recommendations focus on more consistently and systematically considering sex and gender in all aspects of psychopathology research.

Department

Department of Economics

Original Publication Date

4-1-2019

DOI of published version

10.1037/bul0000183

Repository

UNI ScholarWorks, Rod Library, University of Northern Iowa

Language

en

Share

COinS