A STUDY ON BACKGROUND FACTORS OF CLIMACTERIC SYMPTOMS AND PSYCHOLOGICAL NEEDS OF WOMEN WITH CLIMACTERIC SYMPTOMS

更年期症状背景因素及女性更年期症状心理需求研究

• 批准号: 10670337
• 负责人: MORIOKA Yukiko
• 金额: $ 1.34万
• 依托单位: YAMAGATA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10670337/
• 关键词: climacteric symptoms; life events; coping; support system; menopause; anxiety; acceleration plethysmogram; ライフ・イベント; 自律神経機能; 性腺機能; カウンセリング

In orDer to explore background factors of climacteric symptoms and psychological needs of women with climacteric symptoms, a comprehensive study was conducted among menopausal women with and without climacteric symptoms. This study consisted of three parts. In the first part of this study, the subjects were 22 menopausal patients with climacteric symptoms and 100 healthy menopausal women. A questionnaire consisted of Simplified Menopausal Index(SMI), General Health Questionnaire(GHQ), the State-Trait Anxiety Inventory(STAI), Parental Bonding Instrument(PBI) and questions about stressful life events was administered to the subjects. In the second part of this study, the subjects were 26 menopausal patients with climacteric symptoms. Change of scores of SMI, bloodestradiol levels and types of acceleration plethysmogram pattern were investigated among the subjects. In the third part of this study, the subjects were 83 menopausal women. Correlations of SMI to GHQ and types of acceleration plethysmogram pattern were evaluated in the subjects.The results of three parts of this study were as follows. Menopausal women with climacteric symptoms had experienced more negative life events than healthy menopausal women. Sores of SMI evaluated after hormone replacement therapy(HRT)was higher than that evaluated before HRT.Type C decreased and type B increased after HRT.Menopausal women who scored 51 points and above had more somatic complaints, more anxiety and more disturbance in social activities than menopausal women who scored 50 point and under. SMI positively correlated with GHQ.From these results, it is suggested that climacteric symptoms had some relation to psychological factors as well as estradiol levels and acceleration plethysmogram. Psychosocial support should be considered in treating menopausal women with climacteric symptoms, especially in the cases in which hormone replacement therapy presented unsatisfactory effects.

为探讨更年期症状的背景因素及有更年期症状妇女的心理需求，对绝经后有无更年期症状妇女进行了综合调查。本研究共分三个部分。本研究的第一部分，研究对象为22名更年期症状患者和100名健康更年期妇女。问卷包括简易心理健康指数（SMI）、一般健康问卷（GHQ）、状态-特质焦虑量表（STAI）、父母情感量表（PBI）和压力性生活事件问卷。第二部分的研究对象为26名有更年期症状的更年期患者。观察两组患者SMI评分、血肌酐水平及加速度容积图类型的变化。在本研究的第三部分中，受试者为83名绝经妇女。本研究的三个部分的结果如下：有更年期症状的更年期妇女比健康更年期妇女经历更多的负性生活事件。激素替代治疗（HRT）后SMI评分高于治疗前，C型评分减少，B型评分增加，51分及以上的绝经期妇女比50分及以下的绝经期妇女有更多的躯体不适、焦虑和社会活动障碍。SMI与GHQ呈正相关，提示更年期症状与心理因素、雌二醇水平及加速度体积描记图有一定关系。在治疗更年期妇女更年期症状时，应考虑心理社会支持，特别是在激素替代治疗效果不佳的情况下。

项目成果

Miyuki Igarashi,Yukiko Morioka et al.: "Stress Valnerability and Climateric Symptoms"Gynecologic and Obstetric Investigation. 49. 170-178 (2000)

Miyuki Igarashi、Yukiko Morioka 等：“应激脆弱性和气候症状”妇产科调查。

MIYUKI IGARASHI, HIDEKAZU SAITO, YUKIKO MORIOKA, ARATA OIJI, TOSHIHIKO NADAOKA, MASAKI KASHIWAKURA: "Stress Vulnerability and Climacteric Symptoms : Life Events, Coping Behavior, and Severity of Symptoms"Gynecologic and obstetric Investigation. 49. 170-17

MIYUKI IGARASHI、HIDEKAZU SAITO、YUKIKO MORIOKA、ARATA OIJI、TOSHIHIKO NADAOKA、MASAKI KASHIWAKURA：“压力脆弱性和更年期症状：生活事件、应对行为和症状严重程度”妇科和产科调查。