A systematic review of adherence to masculinity in men with psychosis
evidence and practice    

A systematic review of adherence to masculinity in men with psychosis

Robert Searle Clinical psychologist, Bleanau Gwent learning disability team, Aneurin Bevan University Health Board, Gwent, Wales
Dougal Hare Research director, Cardiff University, Cardiff, Wales
Bronwen Davies Clinical psychologist, Learning disabilities psychology, Aneurin Bevan University Health Board, Gwent, Wales
Sara Hughes Clinical psychologist, Abertawe Bro Morgannwg University Health Board, Port Talbot, Wales
Sarah Majumdar Clinical psychologist, Avon and Wiltshire Mental Health Partnership NHS Trust, Bath, England

Background Men experiencing psychotic phenomena may struggle with adherence to masculinity norms, but the evidence base has received little attention.

Aim To review systematically the available evidence of adherence to masculinity in men with psychosis.

Method A systematic search of quantitative studies was undertaken using four databases. A total of 294 articles was identified. After the selection process, nine studies met the full text criteria for the review.

Results Seven studies reported males either choosing less masculine roles or scoring lower on traditional masculine descriptive measures compared to controls. One study showed that participants held a masculine disposition, and one study found no significant difference of role preference between the experimental or control groups.

Conclusion The review indicated that men with psychosis may be more likely to have a feminine gender identity, but the overall evidence lacked quality, particularly in study design and statistical rigour. New studies using more rigorous empirical methods are needed to revisit questions concerning gender identity.

Mental Health Practice. doi: 10.7748/mhp.2019.e1303

Peer review

This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software

Correspondence

Robert.Searle@wales.nhs.uk

Conflict of interest

None declared

Searle R, Hare D, Davies B et al (2019) A systematic review of adherence to masculinity in men with psychosis. Mental Health Practice. doi: 10.7748/mhp.2019.e1303

Published online: 19 February 2019