MENOPAUSE TRANSITION--BIOBEHAVIORAL MODELS OF SYMPTOMS

描述：(改编自调查人员摘要) 建议的研究是描述向自然历史的过渡 绝经，整合绝经过渡期的内分泌变化 具有它们发生的社会背景的特征。感受到的压力， 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)与症状的关系将被研究 和症状管理策略。社交、个人因素、健康 当行为和健康状态改变关系时，我们将对其进行研究 感觉到的压力，卵巢功能，应激性激素， 症状和症状管理策略。拟议的研究将 让150名妇女参与了一项正在进行的纵向研究 中年(西雅图中年女性健康研究)，从1990年到1995年。女人 将参加一年一度的家庭访谈，包括健康指标 状态和健康历史更新，保存每日出血日历，提供 每月清晨尿标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。女性还将完成健康更新 每年包括对感知的压力、个人压力的选定测量 因素、社会化、健康状况变化、健康行为(食物 频率问卷、锻炼问卷、吸烟和饮酒 问题)和使用卫生服务进行症状管理。调查结果 这项研究将有助于对如何 绝经过渡期的生物学变化及其背景 它们的发生与引起痛苦并影响女性使用的症状有关 中年期间的健康服务。

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.