Yen Ju-Yu, Yang Mei-Sang, Wang Mei-Hua, Lai Chien-Yu, Fang Mao-So
Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 807, Taiwan.
Psychiatry Clin Neurosci. 2009 Oct;63(5):678-84. doi: 10.1111/j.1440-1819.2009.02001.x. Epub 2009 Jun 30.
The aim of the study was to evaluate the association between physiological menopausal symptoms and depression during the pre-, peri-, and postmenopausal period among female Taiwanese aborigines.
A total of 672 Taiwanese aboriginal women, aged 40-60 years, were recruited in the interviewing study and classified as pre-, peri-, and postmenopausal according to menstrual bleeding patterns in the previous 12 months. Then, the postmenopausal symptoms, depression, self-perceived health, family support, and associated demographic variables were assessed by questionnaire based on the results of interviewing by research assistants.
The results revealed that perimenopausal statuses are associated with depression and women with a perimenopausal status had a higher prevalence of depression than those with a premenopausal status. A higher score on physiological postmenopausal symptoms was found to be significantly associated with depression. Furthermore, somatic symptoms were associated with depression for pre-, peri-, and postmenopausal statuses. Moreover, sexual dysfunction and vasomotor symptoms were associated with depression only in the premenopausal status and postmenopausal status, respectively.
Depression should be routinely evaluated for female Taiwanese aborigines consulting with physicians for menopause symptoms, especially for somatic symptoms. Furthermore, attention should be provided to premenopausal women with sexual dysfunction and postmenopausal women with vasomotor symptoms for depression.
本研究旨在评估台湾原住民女性在绝经前、围绝经期和绝经后期生理绝经症状与抑郁症之间的关联。
共有672名年龄在40至60岁之间的台湾原住民女性参与了访谈研究,并根据过去12个月的月经出血模式分为绝经前、围绝经期和绝经后。然后,研究助理根据访谈结果通过问卷调查评估绝经后症状、抑郁症、自我感知健康、家庭支持以及相关人口统计学变量。
结果显示,围绝经期状态与抑郁症相关,处于围绝经期状态的女性抑郁症患病率高于绝经前状态的女性。绝经后生理症状得分较高被发现与抑郁症显著相关。此外,躯体症状在绝经前、围绝经期和绝经后状态下均与抑郁症相关。而且,性功能障碍和血管舒缩症状分别仅在绝经前状态和绝经后状态下与抑郁症相关。
对于因更年期症状咨询医生的台湾原住民女性,尤其是躯体症状患者,应常规评估抑郁症。此外,对于有性功能障碍的绝经前女性和有血管舒缩症状的绝经后女性,应关注其抑郁症情况。