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围绝经期和绝经后妇女抑郁症状的流行状况及其影响因素。

The prevalence of depression symptoms and influencing factors among perimenopausal and postmenopausal women.

机构信息

Inonu University School of Health, Malatya, Turkey.

出版信息

Menopause. 2010 May-Jun;17(3):545-51. doi: 10.1097/gme.0b013e3181cf8997.

Abstract

OBJECTIVE

This study was conducted for the purpose of determining the prevalence of depression in perimenopausal and postmenopausal women and the factors that influence the development of depression.

METHODS

A community-based sample of 685 women aged 45 to 59 years who were living in Malatya was recruited in this cross-sectional study. An information form that included questions on descriptive characteristics and lifestyle variables of cases, the Menopause-Specific Quality of Life Questionnaire, and the Beck Depression Inventory were administered to each woman in the sample. The data were collected through personal interviews with women at their home between February and May 2008.

RESULTS

The mean age of the respondents was 50.66 (4.15) years. The prevalence of depression symptoms among the perimenopausal and postmenopausal women was 41.8%. Of all women, 23.2% were premenopausal and 56.9% were postmenopausal. The logistic regression analysis revealed that depression symptom development was 1.8 times higher in the perimenopausal-postmenopausal period than in the premenopausal period, 3.6 times higher among those with an event history affecting life in a negative way than among those without, and 2.0 times higher among those with a body mass index of 25 kg/m or higher than among those with a body mass index of less than 25 kg/m.

CONCLUSIONS

There is a high level of prevalence of depression symptoms in perimenopausal and postmenopausal women.

摘要

目的

本研究旨在确定围绝经期和绝经后妇女中抑郁的患病率,以及影响抑郁发生的因素。

方法

本研究采用横断面研究方法,在马拉蒂亚招募了 685 名年龄在 45 至 59 岁之间的社区居民。向每个样本中的女性发放一份包含病例描述特征和生活方式变量的信息表、绝经特异性生活质量问卷和贝克抑郁量表。数据是通过 2008 年 2 月至 5 月期间对女性进行的家访收集的。

结果

受访者的平均年龄为 50.66(4.15)岁。围绝经期和绝经后妇女的抑郁症状患病率为 41.8%。所有女性中,23.2%处于绝经前期,56.9%处于绝经后期。逻辑回归分析显示,围绝经期和绝经后期的抑郁症状发生率比绝经前期高 1.8 倍,有过影响生活的负面事件的比没有的高 3.6 倍,体质指数为 25kg/m2 或以上的比低于 25kg/m2 的高 2.0 倍。

结论

围绝经期和绝经后妇女中有较高比例的抑郁症状。

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