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Health issues in men: Part II. Common psychosocial disorders.

T D Epperly¹, K E Moore

¹Eisenhower Army Medical Center, Fort Gordon, Georgia, USA.

American Family Physician

|July 25, 2000

Summary

Family physicians should screen men for psychosocial issues like alcohol abuse, domestic violence, and depression. Early detection and intervention are key for men's mental health and well-being.

Area of Science:

Men's Health
Psychosocial Disorders
Primary Care

Background:

Family physicians play a crucial role in identifying common psychosocial disorders in men during routine health visits.
Key concerns include alcohol and substance abuse, domestic violence, midlife crisis, and depression, which significantly impact men's well-being.

Purpose of the Study:

To highlight the importance of screening for psychosocial disorders in men within primary care settings.
To inform healthcare providers about prevalent mental health issues affecting men across different age groups.

Main Methods:

Review of common psychosocial disorders encountered in men.
Identification of key signs, symptoms, and demographic data associated with these conditions.
Overview of current treatment options and FDA-approved medications.

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Main Results:

Alcohol abuse is prevalent in men aged 25-39 and remains a concern in older men; disulfiram and naltrexone are approved treatments.
Domestic violence affects up to 16% of marriages and is indicative of psychosocial distress.
Depression rates in elderly men are significant, with selective serotonin reuptake inhibitors as a first-line therapy.

Conclusions:

Family physicians should proactively screen men for alcohol and substance abuse, domestic violence, and depression.
Awareness and early intervention for these psychosocial issues are vital for improving men's health outcomes.
Current pharmacotherapies offer effective treatment options for alcohol dependence and depression in men.