In general, females are more likely to report symptoms and to utilize medical services. 24 Sex differences in the recognition or reporting of symptoms of a disorder have been widely studied for mental disorders, particularly depression. Women have been shown to be more aware of psychological symptoms, and to report those that are present. 29 Sociocultural factors may also lead to reduction of reporting of symptoms in males. For example, some depressed men may attempt to hide their emotions and appear to be angry or aggressive instead of sad, which may lead to lack of recognition of depressed mood. 30