Black and Blue: Depression and African American Men
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Updated: Mar 14, 2026

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Published on: February 22, 2018
Keith O Plowden1, Linda Thompson Adams2, Dana Wiley1
1Metropolitan Psychiatric Mobile Service, Piedmont, SC.
Insights
Depression affects many, but African American men face unique challenges and are less likely to seek care. Understanding these specific factors is crucial for effective mental health interventions.
Area of Science:
- Mental Health
- Psychiatry
- Public Health
Background:
- Depression is a prevalent mental disorder with significant public health implications.
- Research on depression has advanced, yet specific knowledge regarding African American men remains limited.
- African American men exhibit distinct depression symptoms, leading to frequent misdiagnosis and underdiagnosis.
Purpose of the Study:
- To explore the complexities of depression in African American men.
- To examine unique contributing factors such as environmental influences, stigma, societal roles, and John Henryism.
- To discuss interventions promoting early screening and engagement in mental health care for this population.
Main Methods:
- Literature review and synthesis of existing research on depression in African American men.
- Analysis of cultural and societal factors impacting mental health presentation and help-seeking behaviors.
- Exploration of specific concepts like John Henryism and their relation to depression.
Main Results:
- African American men experience depression differently, often masked by somatic symptoms or stoicism.
- Societal pressures, internalized stigma, and unique cultural factors like John Henryism contribute to delayed help-seeking.
- Underdiagnosis and misdiagnosis are significant barriers to accessing appropriate mental health services.
Conclusions:
- Addressing depression in African American men requires culturally sensitive approaches that acknowledge unique presentation and barriers.
- Interventions should focus on reducing stigma, promoting mental health literacy, and encouraging early screening and treatment participation.
- Further research is needed to develop and validate culturally specific interventions for this underserved population.
Abstract:
Depression is a common mental disorder affecting individuals. Although many strides have been made in the area of depression, little is known about depression in special populations, especially African American men. African American men often differ in their presentation of depression and are often misdiagnosed. African American men are at greater risk for depression, but they are less likely to participate in mental health care. This article explores depression in African American by looking at environmental factors, sigma, role, and other unique to this populations, such as John Henryism. Interventions to encourage early screening and participation in care are also discussed.
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