Every year, depression affects more that 19 million Americans, but men account for only about one in 10 diagnosed cases. Because

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问题     Every year, depression affects more that 19 million Americans, but men account for only about one in 10 diagnosed cases. Because of this, depression was once considered a "woman’s disease", linked to hormones and premenstrual syndrome. The lingering stereotype of depression being a female condition may prevent some men from recognizing its symptoms and seeking appropriate treatment.
    In reality, depression affects both sexes, disrupting relationships and interfering with work and daily activities. The symptoms of depression are similar for both men and women, but they tend to be expressed differently. The most common symptoms of depression include low self esteem, suicidal thoughts, loss of interest in usually pleasurable activities, fatigue, changes in appetite, sleep disturbances, apathy and sexual problems, including reduced sex drive.
    There are several reasons why the symptoms of depression in men are not commonly recognized:
    Men tend to deny having problems because they are supposed to "be strong".
    American culture suggests that expressing emotion is largely a feminine trait. As a result, men who are depressed are more likely to talk about the physical symptoms of their depression, such as feeling tired, rather than those related to emotions.
    Depression can affect sexual desire and performance. Men often are unwilling to admit to problems with their sexuality—mistakenly feeling that the problems are related to their manhood, when in fact they are caused by a medical problem such as depression.
    The observable symptoms of male depression are not as well understood as those in women. Men are less likely to show "typical" signs of depression, such as crying, sadness, loss of interest in previously enjoyable activities, or verbally expressing thoughts of suicide. Instead, men are more likely to keep their feelings hidden, but may become more irritable and aggressive.
    For these reasons, many men—as well as doctors and other healthcare professionals fail to recognize the problem as depression. Some mental healthcare professionals suggest that if the symptoms of depression were expanded to include anger, blame, lashing out and abuse of alcohol, more men might be diagnosed with depression and treated appropriately.
    Depression in men can have devastating consequences. The Centers for Disease Control and Prevention report that men in the U. S. are about four times more likely than women to commit suicide. A staggering 75-80% of all people who commit suicide in the U. S. are men. Though more women attempt suicide, more men are successful at actually ending their lives. This may be due to the fact that men tend to use more lethal methods of committing suicide, for example using a gun rather than taking an overdose.
Men are reluctant to admit to their problems in sexuality because of______.

选项 A、their high self-esteem
B、their persistent depression
C、their poor sexual performance
D、their ever decreasing sexual desire

答案A

解析 根据第六段第二句“Men often are unwilling to admit to problems with their sexuality—mistakenly feeling that the problems are related to their manhood…”,A应为答案。
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