Bloch A
Universitätsklinik für Psychiatrie, Bereich Klinische Psychodiagnostik, Währinger Gürtel 18-20, A-1090 Vienna, Austria.
Maturitas. 2002 Jan 30;41(1):61-8. doi: 10.1016/s0378-5122(01)00252-3.
The aim of the study was to test the hypothesis that body-image and self-esteem are major contributors to the severity of menopausal symptoms, and furthermore to measure the influence of hormonal therapy and postmenopausal oestrogen level on specific complaints such as vasomotor symptoms.
For the random check 51 patients, aged 43-63 (x=53.8; s=4.4) of an independent medical institution for menopause referred to as 'Viennese ambulance' were questioned.
It turned out, that their attitude towards menopause was of major influence on the degree of specific symptoms (e.g. depression, misery, headache etc.)-women who had a negative attitude towards the menopause suffered much more from such symptoms than women who had a positive one. Moreover, women who were satisfied with their physical appearance experienced fewer troublesome symptoms. There was a significant association between high self-esteem and fewer menopausal symptoms. The higher the self-esteem, the lower the symptoms.
Women with a postmenopausal oestrogen level did not experience more menopausal symptoms than women with an average oestrogen level. Moreover, the symptoms were neither fewer nor more whether the women had undergone a hysterectomy or not whether they got hormonal treatment or not. That refutes the hypothesis, that the decrease of the oestrogen level during menopause is the main reason for the accompanying complaints.
本研究旨在验证以下假设，即身体意象和自尊是导致更年期症状严重程度的主要因素，此外还旨在衡量激素疗法和绝经后雌激素水平对潮热等特定症状的影响。
对一家名为“维也纳救护中心”的独立更年期医疗机构中51名年龄在43 - 63岁（x = 53.8；s = 4.4）的患者进行随机调查并询问。
结果表明，她们对更年期的态度对特定症状（如抑郁、痛苦、头痛等）的程度有重大影响——对更年期持消极态度的女性比持积极态度的女性受这些症状的困扰要多得多。此外，对自己外貌满意的女性出现的麻烦症状较少。自尊水平高与更年期症状较少之间存在显著关联。自尊水平越高，症状越少。
绝经后雌激素水平高的女性与雌激素水平正常的女性相比，更年期症状并未更多。此外，无论女性是否接受过子宫切除术，是否接受过激素治疗，症状既没有减少也没有增多。这反驳了更年期雌激素水平下降是伴随症状主要原因的假设。
