Obstetrics and Gynecology Department, School of Medicine, Universidade de Passo Fundo, Passo Fundo, Brazil.
Menopause. 2012 Mar;19(3):355-60. doi: 10.1097/gme.0b013e31822ba026.
OBJECTIVE: The aim of this study was to identify the prevalence of physical, psychological, and menopause-related symptoms and their association with minor psychiatric disorders in premenopausal, perimenopausal, and postmenopausal women. METHODS: This was a nested cross-sectional study. Demographic characteristics, education, and climacteric symptoms were investigated. The 20-item Self-Reporting Questionnaire was used to screen for minor psychiatric disorders, with a score of 8 or higher indicating positive screening. RESULTS: We studied 324 Brazilian women aged 36 to 62 years (86 premenopausal women, 156 perimenopausal women, and 82 postmenopausal women). Mean (SD) age was 44.8 (3.6), 46.3 (4.6), and 53.3 (3.8) years, respectively (P < 0.001); 52.4% had 8 years or less of schooling (whereas 22.8% had 4 years or less). Forty-five (28.8%) perimenopausal women and 32 (39%) postmenopausal women were users of hormone therapy; 15 (17.4%) and 21 (13.5%) premenopausal and perimenopausal participants, respectively, were users of oral contraceptives. Hormone therapy and oral contraceptive users were excluded from the analysis of symptom prevalence. Hot flashes, night sweats, and vaginal dryness were more prevalent among perimenopausal women (P < 0.001). Fatigue was the most frequent complaint in all groups (61%, 81%, and 88% in premenopausal, perimenopausal, and postmenopausal women, respectively). The variables most frequently associated with positive findings during the screening for minor psychiatric disorders were very low education level and memory loss and irritability. Classic vasomotor complaints were weakly associated with nonpsychotic disease. In turn, perimenopausal women, but not postmenopausal women, were at greater risk of minor psychiatric disorders. CONCLUSIONS: Low education level, memory loss, irritability, and the menopausal transition represent risk factors for positive findings in a screening for minor psychiatric disorders.
目的:本研究旨在确定绝经前、围绝经期和绝经后妇女的身体、心理和与绝经相关症状的流行情况及其与轻度精神障碍的关联。
方法:这是一项嵌套的横断面研究。调查了人口统计学特征、教育程度和绝经期症状。采用 20 项自评问卷筛查轻度精神障碍,得分 8 分或以上为阳性筛查。
结果:我们研究了 324 名年龄在 36 至 62 岁的巴西女性(86 名绝经前妇女、156 名围绝经期妇女和 82 名绝经后妇女)。平均(SD)年龄分别为 44.8(3.6)、46.3(4.6)和 53.3(3.8)岁(P<0.001);52.4%的受教育程度为 8 年或以下(而 22.8%的受教育程度为 4 年或以下)。45 名围绝经期妇女和 32 名绝经后妇女为激素治疗使用者;分别有 15 名(17.4%)和 21 名(13.5%)的绝经前和围绝经期参与者为口服避孕药使用者。激素治疗和口服避孕药使用者被排除在症状流行率分析之外。围绝经期妇女更常见热潮红、盗汗和阴道干燥(P<0.001)。疲劳是所有组中最常见的抱怨(分别为 61%、81%和 88%的绝经前、围绝经期和绝经后妇女)。与轻度精神障碍筛查阳性结果最相关的变量是受教育程度低和记忆力减退、易激惹。典型的血管舒缩症状与非精神病性疾病的相关性较弱。反过来,围绝经期妇女而非绝经后妇女患轻度精神障碍的风险更高。
结论:低教育程度、记忆力减退、易激惹和绝经过渡是轻度精神障碍筛查阳性结果的危险因素。
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