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. 2020 Nov 24;11:599039. doi: 10.3389/fpsyt.2020.599039

Table 3.

Core themes, categories, and subcategories, n = number of quotations.

Core themes Categories Subcategories n
Men's attitudes toward coping with depression: critical stance toward masculine norms Trivialized symptoms of depression Temporary condition, normal state of health, downplaying symptoms 10
Individualized problem solving Own problems, refused help-seeking 7
Hid depression due to masculine norms Avoiding feelings, appearing strong, never crying, breadwinner 7
Avoided help-seeking to save career options Secrecy, maintaining employability, safeguard career option 6
Change in attitudes toward mental health problems wake-up call, changed harmful attitudes, self-competence, noticing warning signs earlier 11
Salutogenic perspective on depression and help-seeking depression as an important life experience, Chance to reflect attitudes, positive coping strategies, being sensitive 10
Men's perception of societal views on depression: the stigma of being depressed and “unmanly” Assessed as being incapable of coping with distress Not taken seriously by others, incompetent 12
Stigma toward help-seeking and having depression Clinic-related stigma, can't hide it, rejecting inpatient services 12
Stigma toward the inability to work Failure to fulfill norms, shunned by workmates, discrimination, lazy 10
Stigma of being unmanly Weak, vulnerable, looser 8
Growing acceptance Societal acceptance, become more open 8
Family environment: between role expectations and social support Loss of empathy in the family environment related to mental health problems Cannot mention depressive symptoms, annoying 14
Depression not taken seriously Pseudo-problem, trivialize 9
Lack of understanding related to failure to recover “inability” to recover, must be healthy 6
Suffering from paternal role expectations never recognized, fatherhood and role expectations 8
(Mental) health service use: between obstacles and enablers Open-minded and appreciative environment as a coping resource Lack of interest, downplaying depression, relativize depression 11
Partners' emotional support Supportive, encouraging, friendly contact 21
Service users' social support during and after inpatient services Face-to-face exchange, similar illness-related background 14
Group counseling for men to facilitate disclosure of weaknesses Feeling accepted, no questions why, listening, sympathy, and empathy 15
Familiarity of peer-led men-only groups Same gender, same problems, address anxieties, open up to someone 11