Sexual and psychological symptoms in the climacteric years
Sexual and psychological symptoms in the climacteric years
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DOI：
10.1016/j.maturitas.2006.09.006
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发表时间：
2007-03-20
期刊：
影响因子：
4.9
通讯作者：
Zucchini, Stefano
中科院分区：
文献类型：
--
作者：
Amore, Mario;Di Donato, Pietro;Zucchini, Stefano
目的：要提供流行病学数据的心理和性功能在绝经过渡期在一个大的意大利非临床样本，并探讨其与生活events.Methods的相关性：研究设计是一个横截面的邮政调查的绝经期妇女样本从总登记处在费拉拉的省。样本由473名妇女组成，她们收到了一份根据妇女健康问卷（WHQ）设计的问卷。与WHQ一起，被试填写个人档案，定义社会地位，文化水平，家庭特征，最近的月经周期，妇科病史和手术，药物假设，最近一年的生活事件，终身抑郁症。因子分析结果显示，有8个类：躯体症状、抑郁症状、抑郁情绪伴焦虑症状、认知困难、焦虑、性功能、血管紧张症状和睡眠问题。情绪和性功能在绝经过渡期受损，绝经后组的抑郁和性症状高于绝经前组。因此，两者之间的相关性更大，在绝经前和围绝经期periods.Conclusion：抑郁和性症状的绝经后组中呈现出更严重的。这两组症状与生活事件密切相关。这两个集群的平行过程可能与生活事件的共同病理作用有关，无论是性症状还是抑郁症状，都发生在女性必须面临更年期过渡的时候。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Objectives: To provide epidemiological data about psychological and sexual functioning during menopausal transition in a large Italian non-clinical sample, and to investigate their correlation with life events.Methods: The study design was a cross-sectional postal survey of a menopausal sample of women recruited from the General Registry Office in Ferrara's province. The sample was composed of four thousand and seventy-three women; they were sent a questionnaire designed on the basis of the Women's Health Questionnaire (WHQ). Together with the WHQ, the subjects filled out a personal file to define social status, cultural level, family's characteristics, recent menstrual cycles, gynaecological history and operations, drug assumption, life events in the last year, and lifetime depression.Results: One thousand three hundred and forty-five women provided usable questionnaires. Factor analysis resulted in eight clusters: somatic symptoms, depressive symptoms, depressed mood with anxiety symptoms, cognitive difficulties, anxiety, sexual functioning, vasomotor symptoms and sleep problems. Mood and sexual function were impaired through the menopausal transition, with depressive and sexual symptoms being higher in the post-menopausal group compared to the pre-menopausal one. Therefore, the correlation between the two was greater in the pre- and peri-menopausal period.Conclusion: Depressive and sexual symptoms presented greater severity in the post-menopausal group. Both clusters of symptoms were strongly associated with life events. The parallel course of the two clusters could be related with a common pathoplastic action of life events, both on sexual symptoms and on depressive symptoms, occurring right at the time that a woman has to face the transition into menopause. (c) 2006 Elsevier Ireland Ltd. All rights reserved.