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更年期抑郁相关因素:台湾南部的一项研究

Factors related to depression during menopause: a study in southern Taiwan.

作者信息

Lu Shin-Yi, Tseng Hung-Fu, Lin Li-Ling, Luh Wei-Ming, Shu Bih-Ching

机构信息

Office of Student Affairs, National Taipei College of Business, Taiwan.

出版信息

J Nurs Res. 2009 Jun;17(2):128-35. doi: 10.1097/JNR.0b013e3181a53f82.

Abstract

The purpose of this study was to survey the prevalence of women's depression during menopause and investigate the relationships between menopause depression and variables including self-concept, menopause attitudes, life-event stresses, climacteric physiological symptoms, and demographics. Research was conducted using a cross-sectional study and self-administered questionnaires. We randomly selected female participants between the ages of 45 and 55 years from Tainan City in southern Taiwan using the cluster method. Two hundred sixty-six valid questionnaires were analyzed. Results were as follows: (a) The prevalence of depression among participants was 31.2%; (b) depression was positively associated with life-event stresses and climacteric physiological symptoms (r =.23 and .34, respectively) and was negatively associated with attitude toward menopause and self-concept (r = -.31 and -.65, respectively); and (c) by logistic regression analyses, climacteric physiological symptoms and self-concept were associated with menopause depression. This preliminary survey suggests that low self-concept and increased climacteric physiological symptoms are closely related to depression among menopausal women. Larger scale follow-up studies are warranted to investigate factors that predispose women to depression during menopause.

摘要

本研究的目的是调查女性更年期抑郁症的患病率,并探讨更年期抑郁症与自我概念、更年期态度、生活事件压力、更年期生理症状及人口统计学变量之间的关系。研究采用横断面研究和自填式问卷进行。我们采用整群抽样法从台湾南部台南市随机选取45至55岁的女性参与者。对266份有效问卷进行了分析。结果如下:(a)参与者中抑郁症的患病率为31.2%;(b)抑郁症与生活事件压力和更年期生理症状呈正相关(r分别为0.23和0.34),与更年期态度和自我概念呈负相关(r分别为-0.31和-0.65);(c)通过逻辑回归分析,更年期生理症状和自我概念与更年期抑郁症有关。这项初步调查表明,自我概念较低和更年期生理症状增加与更年期女性的抑郁症密切相关。有必要进行更大规模的随访研究,以调查导致女性在更年期患抑郁症的因素。

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