Woods Nancy Fugate, Mariella Anne, Mitchell Ellen Sullivan
School of Nursing, University of Washington, Seattle, WA 98195, USA.
Acta Obstet Gynecol Scand. 2002 Jul;81(7):623-32. doi: 10.1034/j.1600-0412.2002.810708.x.
To date many researchers have focused on depression as a discrete episode, attempting to relate its occurrence to a transition in menopausal stage or other factors that might account for its occurrence. Characterizing change over time requires consideration of pattern or trajectory, not merely discrete events. The purposes of this paper are to: 1) to explore methods for intraindividual and interindividual (group) analysis of patterns of depressed mood among midlife women 2) to identify challenges for analytic strategies for understanding depressed mood as it is experienced by midlife women, with special concern for its relationship to the menopausal transition. Data from the Seattle Midlife Women's Health Study were used to illustrate approaches to intraindividual and interindividual analysis of patterns of depressed mood. For most women, menopausal transition was not a time when there was a new episode of depression. Instead, a minority of women showed evidence of becoming depressed once the transition had begun. The most prevalent pattern was that of non-depressed mood across the years of the menopausal transition. Association of several factors with a pattern of depressed mood included life stressors, perceived poor health, and vasomotor symptoms.
迄今为止，许多研究人员将抑郁症视为一种离散发作，试图将其发生与绝经阶段的转变或其他可能解释其发生的因素联系起来。描述随时间的变化需要考虑模式或轨迹，而不仅仅是离散事件。本文的目的是：1）探索中年女性抑郁情绪模式的个体内和个体间（组）分析方法；2）确定理解中年女性所经历的抑郁情绪的分析策略面临的挑战，特别关注其与绝经过渡的关系。西雅图中年女性健康研究的数据用于说明抑郁情绪模式的个体内和个体间分析方法。对于大多数女性来说，绝经过渡并非出现新的抑郁发作时期。相反，少数女性在过渡开始后出现抑郁迹象。最普遍的模式是在绝经过渡的几年中情绪未抑郁。与抑郁情绪模式相关的几个因素包括生活压力源、感知到的健康状况不佳和血管舒缩症状。
