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

为探讨有更年期症状的妇女更年期症状的背景因素和心理需求，对有更年期症状和无更年期症状的更年期妇女进行了综合研究。本研究由三部分组成。在这项研究的第一部分，受试者是22名有更年期症状的更年期患者和100名健康的更年期妇女。采用简易绝经指数问卷(SMI)、一般健康问卷(GHQ)、状态-特质焦虑量表(STAI)、父母亲和量表(PBI)和紧张性生活事件问卷对受试者进行问卷调查。在本研究的第二部分，受试者为26名有更年期症状的更年期患者。观察受试者SMI评分、血雌二醇水平及加速体积图类型的变化。在本研究的第三部分，受试者为83名更年期妇女。对受试者的SMI与GHQ和加速体积图类型的相关性进行了评估。本研究的三部分结果如下：有更年期症状的更年期女性比健康的更年期女性经历了更多的负性生活事件。激素替代治疗(HRT)后SMI评分高于HRT前，HRT后C型减少，B型增加，51分及以上绝经妇女较50分及以下绝经妇女有更多躯体不适、焦虑和社交障碍。SMI与GHQ呈正相关，提示更年期症状不仅与心理因素有关，还与雌二醇水平、加速血流图有关。在治疗有更年期症状的更年期妇女时，应考虑心理社会支持，特别是在激素替代治疗效果不满意的情况下。

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.