Liao K L, Wood N, Conway G S
Psychology Department, Hunter Street Health Centre, London, UK.
J Psychosom Obstet Gynaecol. 2000 Sep;21(3):167-74. doi: 10.3109/01674820009075624.
This study aimed to investigate the psychological well-being of women who had experienced menopause before the age of 40 years. Participants were women known to the reproductive endocrinology service of a London teaching hospital. They were contacted and invited to participate in the questionnaire study by post. Sixty-four women (41.6%) who completed and returned their questionnaires formed a usable sample. Participants reported high levels of depression and perceived stress, and low levels of self-esteem and life satisfaction, compared to the general population. Self-reports on several dimensions of sexuality were significantly more negative. The following factors could affect the degree of reported distress: age, age at diagnosis, time since diagnosis, already having children, being in a long-term relationship, or having psychological treatment in the past or present. The results suggest that premature menopause could pose significant psychological difficulty for a sizeable proportion of those who have the condition. It is argued that the provision of psychological care should be an integral part of clinical management.
本研究旨在调查40岁之前经历绝经的女性的心理健康状况。研究对象为伦敦一家教学医院生殖内分泌科所熟知的女性。通过邮寄方式与她们取得联系并邀请其参与问卷调查。64名（41.6%）完成并返还问卷的女性构成了一个可用样本。与普通人群相比，研究对象报告了较高水平的抑郁和感知压力，以及较低水平的自尊和生活满意度。在几个性取向维度上的自我报告明显更为消极。以下因素可能影响报告的痛苦程度：年龄、确诊年龄、确诊后的时间、已有子女、处于长期关系中，或过去或现在接受过心理治疗。结果表明，过早绝经可能给相当一部分患有该病症的女性带来重大心理困难。有人认为，提供心理护理应成为临床管理的一个组成部分。
