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约旦绝经期妇女心理健康和压力的预测因素。

Predictors of psychological well-being and stress among Jordanian menopausal women.

机构信息

Hashemite University, Zarqa, Jordan.

出版信息

Qual Life Res. 2014 Feb;23(1):167-73. doi: 10.1007/s11136-013-0464-z. Epub 2013 Jun 28.

DOI:10.1007/s11136-013-0464-z
PMID:23812907
Abstract

PURPOSE

The aim of this study was to investigate purpose in life, self-acceptance, perceived stress levels, and menopausal symptoms among Jordanian women.

METHODS

A descriptive, correlational design with a convenience sample of 193 women aged 40-55 years was employed.

RESULTS

The average age at menopause for the current sample was 47.4 years, and menopausal status did not significantly affect purpose in life, self-acceptance, or perceived stress levels. Negative correlations were found between purpose in life and perceived stress, and between self-acceptance and perceived stress (r = -0.49; p = 0.01 and r = -0.58; p = 0.01, respectively). Menopausal symptoms were found to be a strong negative predictor of purpose in life, self-acceptance, and perceived stress levels. In addition, higher health rating was significantly associated with higher psychological well-being and lower perceived stress levels. Perimenopause was found to be a vulnerable stage for severe menopausal symptoms particularly psychological complaints. However, vasomotor symptoms and loss of sexual interest became more intense among postmenopausal women. Although women in the current study had low psychological well-being and high perceived stress, these were not affected by their menopausal status.

CONCLUSION

The study showed the importance of including both physical and psychological symptoms during encounters with health professionals, besides considering women's expectations about menopause to help ease their menopausal transition and improve their well-being.

摘要

目的

本研究旨在调查生活目的、自我接纳、感知压力水平以及约旦女性的绝经期症状。

方法

采用描述性、相关性设计,采用方便抽样法对 193 名 40-55 岁的女性进行研究。

结果

当前样本的平均绝经年龄为 47.4 岁,绝经状态对生活目的、自我接纳或感知压力水平没有显著影响。生活目的与感知压力之间存在负相关,自我接纳与感知压力之间也存在负相关(r=-0.49;p=0.01 和 r=-0.58;p=0.01)。绝经期症状是生活目的、自我接纳和感知压力水平的强烈负预测因子。此外,较高的健康评分与较高的心理幸福感和较低的感知压力水平显著相关。围绝经期被认为是绝经期症状严重,特别是心理不适的脆弱阶段。然而,绝经后女性的血管舒缩症状和性兴趣丧失变得更加严重。尽管当前研究中的女性心理幸福感较低,感知压力较高,但这并不受其绝经状态的影响。

结论

该研究表明,在与卫生专业人员接触时,除了考虑女性对绝经期的期望以帮助缓解其绝经期过渡和改善其幸福感外,还应包括身体和心理症状。

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