Academic Primary Care, Division of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Menopause. 2013 Apr;20(4):383-92. doi: 10.1097/gme.0b013e31827655cf.
The aim of this study was to explore factors associated with "resilience" and "vulnerability" to hot flushes and night sweats.
A total of 4,407 women aged 45 to 54 years who were recruited from family practices in northeast Scotland responded to a postal questionnaire. Among respondents reporting high-frequency hot flushes (n = 628) or night sweats (n = 628), we compared those with low levels of bother ("resilient") with the rest. Similarly, among women reporting low-frequency hot flushes (n = 459) or night sweats (n = 459), those with high bother ("vulnerable") were compared with the rest. Forward stepwise logistic regression examined social, psychological, and physical factors associated with resilience or vulnerability to each symptom.
Women resilient to hot flushes were those who had previously not been bothered by their menstrual periods; were not experiencing somatic symptoms or night sweats; and perceived their symptoms as having low consequences on their lives. Those vulnerable to hot flushes had children; had a high body mass index; reported night sweats; and perceived their symptoms as having high life consequences. Women resilient to night sweats were nonsmokers; were not experiencing sleep difficulties; were not using psychological symptom management strategies; and perceived their menopausal symptoms as having low life consequences. Those vulnerable to night sweats had low educational attainment; had previously been bothered by their menstrual periods; had below-average physical health; reported musculoskeletal symptoms and hot flushes; and perceived their menopausal symptoms as having high life consequences.
Factors associated with resilience or vulnerability differ by symptom studied, although relationships with illness perceptions exist in all models. Our results suggest that a single approach to managing these symptoms is likely to be unsuccessful.
本研究旨在探讨与热潮红和盗汗的“韧性”和“脆弱性”相关的因素。
共有 4407 名年龄在 45 至 54 岁之间的女性从苏格兰东北部的家庭诊所招募，她们对邮寄问卷做出了回应。在报告高频热潮红（n=628）或盗汗（n=628）的受访者中，我们将那些低程度困扰的人与其他人进行了比较（“有韧性”）。同样，在报告低频热潮红（n=459）或盗汗（n=459）的女性中，那些高困扰的人（“脆弱”）与其他人进行了比较。向前逐步逻辑回归分析了与每个症状的韧性或脆弱性相关的社会、心理和身体因素。
对热潮红有韧性的女性是那些以前没有被月经困扰的人；没有躯体症状或盗汗；并且认为她们的症状对生活的影响较小。那些容易出现热潮红的人有孩子；体重指数高；报告盗汗；并认为她们的症状对生活有重大影响。对盗汗有韧性的女性是非吸烟者；没有睡眠困难；没有使用心理症状管理策略；并且认为她们的更年期症状对生活的影响较小。那些容易出现盗汗的人受教育程度较低；以前被月经困扰过；身体健康状况低于平均水平；报告肌肉骨骼症状和热潮红；并且认为她们的更年期症状对生活有重大影响。
与韧性或脆弱性相关的因素因所研究的症状而异，尽管与疾病认知存在关系。我们的研究结果表明，单一的管理这些症状的方法可能是不成功的。
