MENOPAUSE TRANSITION--BIOBEHAVIORAL MODELS OF SYMPTOMS

描述：（改编自研究者摘要） 拟议的研究是描述过渡到 更年期，整合更年期过渡期内分泌变化 与它们发生的社会背景的特征相结合。 感知压力， 卵巢功能，生理应激唤醒指标（皮质醇和 儿茶酚胺，肾上腺雄激素）将研究与症状的关系 和症状管理策略。 社会化、个人因素、健康 行为和健康状况将被研究，因为他们修改的关系， 感知压力，卵巢功能，应激激素， 症状和症状管理策略。 拟议的研究将 涉及150名妇女谁参加了正在进行的纵向研究， 中年（西雅图中年妇女健康研究），1990年至1995年。 妇女 将参加年度家庭访谈，包括健康措施 状态和健康史更新，保持每日出血日历，提供 每月清晨尿液样本用于卵巢类固醇分析 （雌二醇、雌酮、睾酮），肾上腺雄激素（DHA和DHAS）， 皮质醇和儿茶酚胺。 妇女还将完成一项健康更新 每年，包括选定的措施，感知压力，个人 因素、社会化、健康状况变化、健康行为（食物 频率问卷、运动问卷、吸烟和饮酒 问题）和使用卫生服务进行症状管理。 这些发现 这项研究将有助于综合了解如何 绝经过渡期的生物学变化以及 它们的发生与引起痛苦和影响妇女使用的症状有关 在中年时期的健康服务。

DESCRIPTION: (Adapted from investigator's abstract) The purpose of the proposed study is to describe the natural history of the transition to menopause, integrating the endocrine changes of the menopausal transition with features of the social context in which they occur. Perceived stress, ovarian function, physiologic stress arousal indicators (cortisol and catecholamines, adrenal androgens) will be studied in relation to symptoms and symptom management strategies. Socialization, personal factors, health behaviors and health status will be studied as they modify the relationships between perceived stress, ovarian function, stress arousal hormones, symptoms and symptom management strategies. The proposed research will involve 150 women who have participated in an ongoing longitudinal study of midlife (Seattle Midlife Women's Health Study) from 1990 to 1995. Women will participate in an annual in-home interview including measures of health status and a health history update, keep a daily bleeding calendar, provide monthly early am urine specimens for analysis for ovarian steroids (estradiol, estrone, testosterone), adrenal androgens (DHA and DHAS), cortisol and catecholamines. Women will also complete a health update annually that includes selected measures of perceived stress, personal factors, socialization, health status changes, health behaviors (Food Frequency Questionnaire, exercise questionnaire, smoking and alcohol use questions) and use of health services for symptom management. The findings of this study will contribute to an integrative understanding of how biological changes of the menopausal transition and the context in which they occur relate to symptoms that cause distress and influence women's use of health services during midlife.