Mental health and quality of life in postmenopausal women as a function of retrospective menopause symptom severity.
Mental health and quality of life in postmenopausal women as a function of retrospective menopause symptom severity.
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DOI：
10.1097/gme.0000000000001961
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发表时间：
2022-06-01
影响因子：
2.7
通讯作者：
Kilpela, Lisa S.
中科院分区：
文献类型：
--
作者：
Hooper, Savannah C.;Marshall, Victoria B.;Becker, Carolyn B.;LaCroix, Andrea Z.;Keel, Pamela K.;Kilpela, Lisa S.
围绝经期通常被认为是发展精神疾病和饮食失调的脆弱窗口，特别是对于经历严重症状的女性。然而，更年期症状可能会对老年妇女的心理健康和生活质量（QOL）产生持久的影响。目前的研究探讨了老年（60+）绝经后妇女的心理健康和生活质量作为一个功能的回顾性绝经症状的严重程度。参与者通过公开在线发布招募，包括227名绝经后妇女，年龄60-94岁（M = 68.84，SD = 6.53）。参与者完成了一份在线问卷，以评估过去的更年期症状以及当前的抑郁，焦虑，睡眠困难，暴食，QOL和人口统计学。在控制人口统计学协变量的同时，使用线性回归评估绝经期症状的回顾性严重程度与心理健康/QOL之间的关系。回顾性绝经期症状严重程度与抑郁、睡眠困难、暴饮暴食严重程度和大多数生活质量指标显著相关。关于协变量，有精神病史与除焦虑外的所有结果变量显著相关。绝经后的时间和BMI与暴饮暴食的严重程度显著相关。关于特定的症状亚组，心理和躯体-植物性症状与心理健康和生活质量最相关。更年期过渡是女性生活中的一个重大变化，更年期症状的挑战可能对女性健康产生持久影响。未来的研究必须进一步了解这种过渡对老年妇女生活的持久影响，以确保实施适当的干预措施，以实现成功的老龄化。
Perimenopause is commonly viewed as a window of vulnerability for developing psychiatric and eating disorders, especially for women who experience severe symptoms. However, menopausal symptoms may have a lasting effect on older women’s mental health and quality of life (QOL) into post-menopause. The current study examined older (60+) postmenopausal women’s mental health and QOL as a function of retrospective menopausal symptom severity. Participants were recruited via public online postings and included 227 postmenopausal women, ages 60–94 years old (M = 68.84, SD = 6.53). Participants completed an online questionnaire to assess past menopausal symptoms as well as current depression, anxiety, sleep difficulties, binge eating, QOL, and demographics. The relation between the retrospective severity of menopausal symptoms and mental health/QOL was evaluated using linear regressions, while controlling for demographic covariates. Retrospective menopause symptom severity was significantly associated with depression, sleep difficulties, binge eating severity, and most QOL measures. Regarding covariates, having a psychiatric history was significantly associated with all outcome variables, except for anxiety. Time since menopause and BMI were significantly associated with binge eating severity. Regarding specific symptom subgroups, psychological and somato-vegetative symptoms were most associated with mental health and QOL. The menopausal transition is a significant change in a woman’s life and the challenges of menopausal symptoms can have lasting impacts on women’s health. It is imperative that future research seeks to further understand the lasting impacts of this transition on the lives of older women to ensure proper interventions are implemented for successful aging.