Department of Psychology, Institute of Psychiatry, King's College London, 5th Floor Bermondsey Wing, Guy's Campus, London SE1 9RT, UK.
Maturitas. 2010 Jan;65(1):28-36. doi: 10.1016/j.maturitas.2009.10.016. Epub 2009 Dec 1.
There is an assumption in menopause research that attitudes to menopause are influenced by a range of cultural, social and psychological variables, which may in turn affect menopausal experience and symptom reporting. However, many studies draw conclusions about this relationship without explicitly examining the empirical evidence. Therefore, the aim of this systematic review is to examine the relationship between attitudes towards menopause and symptom experience using original research studies.
Computerised literature searches were performed with Medline, Web of Knowledge and PubMed databases using 'menopause' and 'attitudes' as the main search terms. Studies were considered if they included a measure of attitude and a measure of menopausal symptoms, if they were original research studies, and if they examined and reported on the relationship between women's attitudes to menopause and their symptom experience.
Thirteen studies were included in the review, 1 longitudinal, prospective study and 12 cross-sectional studies. The results of 10 studies supported the view that women with more negative attitudes towards the menopause report more symptoms during this transition and 3 studies found no significant association between these variables.
Women with more negative attitudes towards the menopause in general report more symptoms during the menopausal transition. However, use of standardised culturally sensitive attitude, and specific symptom, measures are recommended in future prospective studies.
在绝经研究中存在这样一种假设，即对绝经的态度受一系列文化、社会和心理变量的影响，而这些变量又可能反过来影响绝经体验和症状报告。然而，许多研究在没有明确检查实证证据的情况下就得出了关于这种关系的结论。因此，本系统评价的目的是使用原始研究来检验对绝经的态度与症状体验之间的关系。
使用 Medline、Web of Knowledge 和 PubMed 数据库，以“绝经”和“态度”为主要检索词，进行计算机文献检索。如果研究包括对态度的衡量和对绝经症状的衡量，如果它们是原始研究，并检查和报告了女性对绝经的态度与她们的症状体验之间的关系，则将这些研究纳入审查。
共有 13 项研究纳入了综述，其中 1 项为纵向前瞻性研究，12 项为横断面研究。10 项研究的结果支持这样一种观点，即对绝经持更消极态度的女性在这一过渡期间报告的症状更多，而 3 项研究发现这些变量之间没有显著关联。
一般来说，对绝经持更消极态度的女性在绝经过渡期间报告的症状更多。然而，建议在未来的前瞻性研究中使用标准化的、具有文化敏感性的态度和特定的症状衡量标准。
