Toplumsal Cinsiyet ve Ruh Sağlığı: Kadınların Karşılaştığı Zorluklar ve Feminist Bir Değerlendirme

Öz

Ruh sağlığı sorunları dünya genelinde milyonlarca insanı etkilemekte ve akademik başarı, iş performansı, yaşam kalitesi gibi birçok alanda olumsuz sonuçlara yol açmaktadır. Kadınların ruh sağlığı sorunlarına erkeklerden daha yatkın olduğu bilinmekte; bu durum, biyolojik duyarlılık, genetik ve hormonal farklılıklar, fizyolojik stres tepkileri ve çevresel risk faktörlerine maruziyetle açıklanmaktadır. Ancak, toplumsal cinsiyet rollerinin ruh sağlığı üzerindeki etkisini inceleyen araştırmalar sınırlıdır. Toplumsal cinsiyet rolleri, bireylerin düşünme biçimlerini, özgüvenlerini ve duygu düzenleme stratejilerini şekillendirebilmekte, dolayısıyla ruh sağlığını etkileyebilecek önemli faktörler arasında yer almaktadır. Bu bağlamda, çalışmanın amacı, toplumsal cinsiyet normlarının ruh sağlığı üzerindeki etkilerini feminist bir bakış açısı ile incelemek ve cinsiyete dayalı öncüllerin bu süreçteki rolünü güncel literatür ışığında değerlendirmektir. Çalışma sonuçları, geleneksel cinsiyet rollerinin kadınların ruh sağlığı üzerinde olumsuz etkiler yarattığını, eşitliği destekleyen yaklaşımların ise pozitif sonuçlar sağladığını göstermektedir. Kadınların eğitime ve ekonomik bağımsızlığa erişiminin artırılması, cinsiyet temelli eşitsizliklerin azaltılmasında önemli bir adımdır. Ayrıca, cinsiyet eşitliğine yönelik politikaların uygulanması ve medyada kapsayıcı temsillerin artırılması, ruh sağlığı üzerindeki olumsuz etkileri hafifletebilir. Eğitim, farkındalık kampanyaları ve destekleyici sosyal politikalar, toplumsal cinsiyet rollerinin etkisini azaltarak bireylerin ruh sağlığını iyileştirme potansiyeline sahiptir. Bu çalışma, etkili ruh sağlığı politikalarına ve hedef odaklı müdahalelere rehberlik etmeyi amaçlamaktadır.

Anahtar Kelimeler

• Kadın
• Toplumsal Cinsiyet Rolleri
• Ruh Sağlığı
• Feminist Perspektif

Gender and Mental Health: Challenges Faced by Women and a Feminist Perspective

Öz

Mental health issues affect millions of people worldwide, leading to negative outcomes in various areas such as academic achievement, job performance, and quality of life. Women are known to be more prone to mental health problems than men, a phenomenon explained by biological sensitivity, genetic and hormonal differences, physiological stress responses, and exposure to environmental risk factors. However, research examining the impact of gender roles on mental health remains limited. Gender roles shape individuals' thought patterns, self-esteem, and emotion regulation strategies, making them significant factors that can influence mental health. In this context, the study aims to explore the effects of gender norms on mental health from a feminist perspective and evaluate the role of gender-based antecedents in this process through a review of the current literature. The study findings reveal that traditional gender roles negatively affect women’s mental health, while approaches promoting equality yield positive outcomes. Enhancing women’s access to education and economic independence is a crucial step toward reducing gender-based inequalities. Additionally, implementing gender equality policies and increasing inclusive representations in the media can mitigate the adverse effects on mental health. Education, awareness campaigns, and supportive social policies have the potential to reduce the impact of gender roles and improve individuals’ mental health. This study aims to guide effective mental health policies and targeted interventions.

Anahtar Kelimeler

• Women
• gender roles
• mental health
• feminist perspective

Kaynakça

1. Akarçay D, Uyaroğlu AK, Başer D (2015) Sağlık bilimleri fakültesi öğrencilerinin toplumsal cinsiyet kavramının sağlık üzerine etkilerine ilişkin görüşleri. Türkiye’de ve Dünyada Kadın Araştırmaları, 2015:112-116.
2. Akdoğan N, Alparslan K, Bilger D (2024) Kadın kimliğiyle özdeşleşme ve kolektif eylem arasındaki ilişkide sosyal yaratıcılık stratejilerinin aracı rolü. Psikoloji Çalışmaları, 44:203-234.
3. Almiş BH, Gümüştaş F, Kütük EK (2020) Kadına yönelik aile içi şiddetin kadın ve çocukların ruh sağlığına etkileri. Psikiyatride Güncel Yaklaşımlar, 12:232-242.
4. Altemus M (2006) Sex differences in depression and anxiety disorders: potential biological determinants. Horm Behav, 50:534-538.
5. Altıok Gürel P (2018) İş-yaşam dengesini sağlayan faktörlerin kadın akademisyenler için belirlenmesi: lojistik regresyon analizi. İstanbul Üniversitesi Kadın Araştırmaları Dergisi, 16:31-44.
6. Ampofo A, Boateng J (2007) Multiple meanings of manhood among boys in Ghana. In From Boys to Men: Social Constructions of Masculinity in Contemporary Society (Eds T Shefer, K Ratele, A Strebel, N Shabalala, R Buikema):50-74. Cape Town, South Africa, UCT Press.
7. Anand M (2016) Gendered aspects of mental health: issues and strategies. In Positive Vistas on Health and Well-being (Eds S Aleem, N Iqbal). New Delhi, Excel India Publishers.
8. Avison WR, McAlpine D (1992) Gender differences in symptoms and depression among adolescents. J Health Soc Behav, 33:77–96.

9. Awaworyi Churchill S, Farrell L, Smyth R (2019) Neighbourhood ethnic diversity and mental health in Australia. Health Econ, 28:1075-1087.
10. Aydemir DK, Ağırtmış FK (2022) Sinemada kadın temsili ve feminist söylem: eşitlik savaşçısı filmi. Uluslararası İletişim Bilimleri Sempozyumu Bildiri Tam Metin Kitabı - ICOMS 2022, 292-308.
11. Baran G (1995) Ankara’da bulunan çocuk yuvalarında kalan 7-11 yaş grubu çocuklarda cinsiyet rolleri ve cinsiyet özellikleri kalıpyargılarının gelişimi (Doktora tezi). Ankara, Ankara Üniversitesi.
12. Barreto M, Ellemers N (2015) Detecting and experiencing prejudice: new answers to old questions. Adv Exp Soc Psychol, 52:139-219.
13. Başar F (2017) Toplumsal cinsiyet eşitsizliği: kadın sağlığına etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 3:131-137.
14. Baştarcan Ç, Oskay Ü (2022) Toplumsal cinsiyet eşitsizliğinin kadın sağlığına etkisi: sistematik inceleme. Sağlık ve Toplum, 32:48-57.
15. Bayraktarlı EN (2021) Toplumsal cinsiyet tutumları ve duygu düzenleme güçlüğü ile psikolojik belirtiler arası ilişkinin benlik kurguları çerçevesinde incelenmesi (Yüksek lisans tezi). İstanbul, Fatih Sultan Mehmet Vakıf Üniversitesi.
16. Biernat M, Manis M (1994) Shifting standards and stereotype-based judgments. J Pers Soc Psychol, 66:5-20.
17. Bird CE, Rieker PP (2008) Gender and Health: The Effects of Constrained Choices and Social Policies. New York, Cambridge University Press.
18. Brännlund A, Strandh M, Nilsson K (2017) Mental-health and educational achievement: the link between poor mental-health and upper secondary school completion and grades. J Ment Health, 26:318-325.
19. Brescoll VL, Uhlmann EL (2008) Can an angry woman get ahead? Status conferral, gender, and expression of emotion in the workplace. Psychol Sc, 19:268-275.
20. Bromberger JT, Epperson CN. (2018) Depression during and after the perimenopause: impact of hormones, genetics, and environmental determinants of disease. Obstet Gynecol Clin North Am, 45:663-678.
21. Bromberger JT, Schott LL, Kravitz HM, Sowers M, Avis N E, Gold EB et al. (2010) Longitudinal change in reproductive hormones and depressive symptoms across the menopausal transition: results from the Study of Women’s Health Across the Nation (SWAN). Arch Gen Psychiatry, 67:598–607.
22. Buffington C, Cerf B, Jones C, Weinberg BA (2016) STEM training and early career outcomes of female and male graduate students: evidence from UMETRICS data linked to the 2010 census. Am Econ Rev, 106:333-338.
23. Butler J (1990) Gender Trouble: Feminism and The Subversion of Identity. London, UK; Routledge.
24. Bükecik E, Özkan B (2018) Kadına yönelik şiddet: toplumsal cinsiyet eşitsizliğinin kadın sağlığına etkisi. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 3:33-37.
25. Callander EJ, Schofield DJ (2018) Psychological distress increases the risk of falling into poverty amongst older Australians: the overlooked costs-of-illness. BMC Psychol, 6:16.
26. Cohen LS, Soares CN, Otto MW, Sweeney BH, Liberman RF, Harlow BL (2002). Prevalence and predictors of premenstrual dysphoric disorder (PMDD) in older premenopausal women: Harvard study of moods and cycles. J Affect Disord, 70:125–132.
27. Conlin SE (2017) Feminist therapy: A brief integrative review of theory, empirical support, and call for new directions. Women’s Studies International Forum, 62:78-82.
28. Connell RW (2002) Gender. Cambridge, UK, Polity Press.
29. Çubukçu H, Sivaslıgil P (2007) 7. sınıf İngilizce ders kitaplarında cinsiyet kavramı. Dil Dergisi, 137:7-17.
30. De Beauvoir S (2023) The second sex. In Social Theory Re-Wired 3rd ed. (Eds W Longhofer, D Winchester): 346-354. New York, Routledge.
31. Demir NH (2020) Strasbourg kararlarındaki karabataklar: (toplumsal) cinsiyet stereotipleri. Türkiye Barolar Birliği Dergisi, 146:269-311.
32. Derks B, Van Laar C, Ellemers N (2007) The beneficial effects of social identity protection on the performance motivation of members of devalued groups. Soc Issues Policy Rev, 1:217-256.
33. Eagly AH, Mladinic A (1994) Are people prejudiced against women? Some answers from research on attitudes, gender stereotypes, and judgments of competence. Eur Rev Soc Psychol, 5:1-35.
34. Eagly AH, Wood W (2016) Social role theory of sex differences In The Wiley Blackwell Encyclopedia of Gender and Sexuality Studies (Eds A Wong, M Wickramasinghe, R. Hoogland, NA Naples). Hoboken, NJ, Wiley.
35. Eagly AH, Wood W, Diekman AB (2000) Social role theory of sex differences and similarities: a current appraisal. In The Developmental Social Psychology of Gender (Eds T Eckes, HM Trautner):123-174. Mahwah, Lawrence Erlbaum.
36. Eek F, Axmon A (2015) Gender inequality at home is associated with poorer health for women. Scand J Public Health, 43:176-182.
37. Endendijk JJ, Groeneveld MG, Van der Pol LD, Van Berkel SR, Hallers-Haalboom ET, Mesman J et al. (2014) Boys don’t play with dolls: Mothers’ and fathers’ gender talk during picture book reading. Parenting, 14:141-161.
38. Erdoğan T (2016) Kentlileşme süreci ve ailede toplumsal cinsiyet rolleri ile kalıpyargıların dönüşümü: Denizli-Sevindik Mahallesi örneği. Pamukkale Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 24:143-166.
39. Ersöz A (2011) Türkiye’de boşanma olgusu ve kadına yönelik aile içi şiddet ilişkisi üzerine bir değerlendirme. Sosyoloji Konferansları, 43:249-264.
40. Eryılmaz S (2020) Toplumsal cinsiyet rolü ve kadın sağlığı. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 1:5-13.
41. Erzeybek B (2015) Anne-babaların çocuklarını yetiştirirken benimsedikleri toplumsal cinsiyet rolleri tutumları (Yüksek lisans tezi). Ankara, Ankara Üniversitesi.
42. Faniko K, Ellemers N, Derks B (2016) Queen bees and alpha males: are successful women more competitive than successful men?. Eur J Soc Psychol, 46:903-913.
43. Glick P, Sakallı–Ugurlu N, Ferreira MC, Aguiar de Souza M (2002) Ambivalent sexism and attitudes toward wife abuse in Turkey and Brazil. Psychol Women Q, 26:292-297.
44. Global Partnership for Education (GPE) (2022) 12 years to break down the barriers to education. https://www.globalpartnership.org/sites/default/files/breaking-down-barriers-girls-education.pdf (Accessed 10.7.2024).
45. Greenstein TN (2000) Economic dependence, gender, and the division of labor in the home: a replication and extension. J Marriage Fam, 62:322–335.
46. Güven A, Erden FY, Karaşah ZŞ (2015) Kars Ardahan ve Iğdır’da toplumsal cinsiyet ayrımcılığı ve sağlık. https://www.kafkas.edu.tr/dosyalar/ksaum/file/yayin5.pdf (Accessed 4.2.2025).
47. Hall RJ (2015) Feminist strategies to end violence against women. In The Oxford Handbook of Transnational Feminist Movements (Eds R Baksh, W Harcourt):394-415. Oxford, Oxford Academic Press.
48. Harryson L, Novo M, Hammarström A (2012) Is gender inequality in the domestic sphere associated with psychological distress among women and men? Results from the Northern Swedish Cohort. J Epidemiol Community Health, 66:271-276.
49. Heise L, Greene ME, Opper N, Stavropoulou M, Harper C, Nascimento M et al. (2019) Gender inequality and restrictive gender norms: framing the challenges to health. Lancet, 393:2440-2454.
50. Hentschel T, Heilman ME, & Peus CV (2019) The multiple dimensions of gender stereotypes: a current look at men’s and women’s characterizations of others and themselves. Front Psychol, 10:11.
51. Herrero J, Torres A, Rodríguez F, Juarros-Basterretxea J (2017) Intimate partner violence against women in the European Union: the influence of male partners’ traditional gender roles and general violence. Psychol Violence, 7:385–394.
52. Hochschild AR (2019) The Managed Heart: Commercialization of Human Feeling. Oakland, CA; University of California Press.
53. Hooks B (2000). Feminist Theory: From Margin to Center. London, UK, Pluto Press.
54. Huang Y, Davies PG, Sibley CG, Osborne D (2016) Benevolent sexism, attitudes toward motherhood, and reproductive rights: a multi-study longitudinal examination of abortion attitudes. Pers Soc Psychol Bull, 42:970-984.
55. Jarman J, Blackburn RM, Racko G (2012) The dimensions of occupational gender segregation in industrial countries. Sociology, 46:1003-1019.
56. Jick TD, Mitz LF (1985) Sex differences in work stress. Acad Manage Rev, 10:408-420.
57. Jones K, Mendenhall S, Myers CA (2016) The effects of sex and gender role identity on perceived stress and coping among traditional and nontraditional students. J Am Coll Health, 64:205–213.
58. Joshi A, Son J, Roh H (2015) When can women close the gap? A meta-analytic test of sex differences in performance and rewards. Acad Manage J, 58:1516-1545.
59. Kaşdarma E (2023) Değerler ile toplumsal cinsiyet rollerine ilişkin geleneksel tutum arasındaki ilişkide toplumsal cinsiyet kalıpyargılarının aracı etkisi. Kadın/Woman 2000, 24:27-54.
60. Kessler RC, Sampson NA, Berglund P, Gruber MJ, Al-Hamzawi A, Andrade L et al. (2015) Anxious and non-anxious major depressive disorder in the World Health Organization world mental health surveys. Epidemiol Psychiatr Sci, 24:210–226.
61. Knaak S (2004) On the reconceptualizing of gender: implications for research design. Sociol Inq, 74:302-317.
62. Lazarus RS, Folkman S (1984) Stress, Appraisal, and Coping. New York, Springer.
63. Lennon MC, Rosenfield S (1994) Relative fairness and the division of family work: the importance of options. Am J Sociol, 100:506–531.
64. Leslie SJ, Cimpian A, Meyer M, Freeland E (2015) Expectations of brilliance underlie gender distributions across academic disciplines. Science, 347:262-265.
65. Lin J, Zou L, Lin W, Becker B, Yeung A, Cuijpers P et al. (2021) Does gender role explain a high risk of depression? A meta-analytic review of 40 years of evidence. J Affect Disord, 294:261–278.
66. Martin CL, Ruble DN (2010) Patterns of gender development. Annu Rev Psychol, 61:353-381.
67. Mayor E (2015) Gender roles and traits in stress and health. Front Psychol, 6:135758.
68. McDonald B, Kulkarni M, Andkhoie M, Kendall J, Gall S, Chelladurai S et al. (2017) Determinants of self-reported mental health and utilization of mental health services in Canada. Int J Ment Health, 46:299-311.
69. Moss-Racusin CA, Dovidio JF, Brescoll VL, Graham MJ, Handelsman J (2012) Science faculty’s subtle gender biases favor male students. Proc Natl Acad Sci USA, 109:16474-16479.
70. Okan A (2024) Toplumsal cinsiyet eşitliğini etkileyen faktörler. Psikiyatride Güncel Yaklaşımlar, 16:753-766.
71. Ömeroğlu AT (2024) Patriyarkayı Tanımak: bir iktidar mekanizması olarak patriyarka nasıl işler? Fenerbahçe Üniversitesi Sosyal Bilimler Dergisi, 4:30-42.
72. Özkan K (2014) Kadınların kolektif eylem yöneliminin yordayıcıları: kültürel benlik kurguları, kadın kimliği ile özdeşleşme, kadınların sosyal baskınlık yönelimi ve sistemi meşrulaştırma eğilimi (Yüksek lisans tezi). Bursa, Uludağ Üniversitesi.
73. Prentice DA, Carranza E (2002) What women and men should be, shouldn't be, are allowed to be, and don't have to be: The contents of prescriptive gender stereotypes. Psychol Women Q, 26:269-281.
74. Radke HR, Hornsey MJ, Barlow FK (2016) Barriers to women engaging in collective action to overcome sexism. Am Psychol, 71:863-874.
75. Rao GP, Vidya KL, Sriramya V (2015) The Indian “girl” psychology: a perspective. Indian J Psychiatry, 57:212–215.
76. Read JG, Gorman BK (2011) Gender and health revisited. In Handbook of the Sociology of Health, Illness, and Healing (Eds B Pescosolido, J Martin, J McLeod, A Rogers):411-430. New York, Springer.
77. Read S, Grundy E (2011) Mental health among older married couples: the role of gender and family life. Soc Psychiatry Psychiatr Epidemiol, 46:331-341.
78. Reilly D (2019) Gender can be a continuous variable, not just a categorical one: comment on Hyde, Bigler, Joel, Tate, and van Anders. Am Psychol, 74:840-841.
79. Risman BJ, Davis G (2013) From sex roles to gender structure. Curr Sociol, 61:733-755.
80. Roothman B, Kirsten DK, Wissing MP (2003) Gender differences in aspects of psychological well-being. S Afr J Psychol, 33:212-218.
81. Rosenfield S, Lennon MC, White HR (2005) The self and mental health: self salience and the emergence of internalizing and externalizing problems. J Health Soc Behav, 46:323–340.
82. Rosenfield S, Mouzon D (2013) Gender and mental health. In Handbook of the Sociology of Mental Health (Eds CS Aneshensel, JC Phelan, A Bierman):325–340. New York, Springer.
83. Rosenfield S, Vertefuille J, McAlpine D (2000) Gender stratification and mental health: an exploration of dimensions of the self. Soc Psychol Q, 63:208–223.
84. Ross CE, Mirowsky J (1992) Households, employment, and the sense of control. Soc Psychol Q, 55:217-235.
85. Roxburgh S (2004) There just aren’t enough hours in the day: the mental health consequences of time pressure. J Health Soc Behav, 45:115-131.
86. Ryle R (2015) Questioning Gender: A Sociological Exploration. Thousand Oaks, CA, Sage.
87. Sarrasin O, Mayor E, Faniko K (2014) Gender traits and cognitive appraisal in young adults: the mediating role of locus of control. Sex Roles, 70:122–133.
88. Saxena S (2018) Excess mortality among people with mental disorders: a public health priority. Lancet Public Health, 3:264-265.
89. Saygan BB, Uludağlı NP (2021) Yaşam boyu toplumsal cinsiyet rollerinin gelişimi. Psikiyatride Güncel Yaklaşımlar, 13:354-382.
90. Simon R (2002) Revisiting the relationships among gender, marital status, and mental health. Am J Sociol, 107:1065-1096.
91. Simon RW (2007) Contributions of the sociology of mental health for understanding the social antecedents, social regulation, and social distribution of emotion. In Mental Health, Social Mirror (Eds WR Avison, JD Mcleod, BA Pescosolido):239-274. New York, Springer.
92. Stepanikova I, Acharya S, Abdalla S, Baker E, Klanova J, Darmstadt GL (2020) Gender discrimination and depressive symptoms among child-bearing women: ELSPAC-CZ cohort study. EClinicalMedicine, 20:100297.
93. Strathern M (2016) Before and After Gender: Sexual Mythologies of Everyday Life. Hau Books, Chicago, Chicago University Press.
94. Sweeting H, Bhaskar A, Benzeval M, Popham F, Hunt K (2014) Changing gender roles and attitudes and their implications for well-being around the new millennium. Soc Psychiatry Psychiatr Epidemiol, 49:791-809.
95. Tannenbaum C, Greaves, L, Graham ID (2016) Why sex and gender matter in implementation research. BMC Med Res Methodol, 16:145.
96. Thoits PA (1995) Stress, coping and social support processes: where are we? what next? J Health Soc Behav, Spec No:53-79..
97. Tiedemann J (2000) Gender-related beliefs of teachers in elementary school mathematics. Educ Stud Math, 41:191-207.
98. TUİK (2022) Toplumsal cinsiyet istatistikleri. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Kadin-2022-49668 (Accessed 4.2.2025).
99. United Nations Children's Fund (UNICEF) (2022) Girls Education. https://www.unicef.org/education/girls-education (Accessed 10.07.2025).
100. United Nations Development Programme (UNDP) (2019) Human Development Reports: Gender Inequality Index. New York, United Nations.
101. US Bureau of Labor Statistics (2016) Charts by Topic: Household Activities. Washington DC, The American Time Use Survey Reports.
102. Ussher JM, Ussher J (2011) The Madness of Women: Myth and Experience. London, UK, Routledge.
103. Vandello JA, Cohen D, Grandon R, Franiuk R (2009) Stand by your man: indirect prescriptions for honorable violence and feminine loyalty in Canada, Chile, and the United States. J Cross-Cult Psychol, 40:81–104.
104. Walker ER, McGee RE, Druss BG (2015) Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry, 72:334-341.
105. West C, Zimmerman DH (1987) Doing gender. Gender & Society, 1:125-151.
106. WHO (2002). Gender and Mental Health. Geneva, World Health Organization.
107. WHO (2017). Depression and Other Common Mental Disorders: Global Health Estimates. Geneva, World Health Organization.
108. Wilkinson S, Kitzinger C (2013) Women and Health: Feminist Perspectives. New York, Routledge.
109. World Bank (2020) Mental health. 30 Aralık 2024 tarihinde https://www.worldbank.org/en/topic/mental-health (Accessed 30.12.2024).
110. Yükseköğretim Kurulu (2024). Kadınların yükseköğretime erişimi https://www.yok.gov.tr/Sayfalar/Haberler/2024/kadinlarin-yuksekogretime-erisimi.aspx (Accessed 4.2.2025).