Azizi M, Fooladi E, Masoumi M, Orimi T Geran, Elyasi F, Davis S R
a Counseling in Midwifery master student, Student Research Committee, School of Nursing and Midwifery , Mazandaran University of Medical Sciences Sari , Sari , Iran.
b Reproductive and Sexual Health Research Centre, School of Nursing and Midwifery , Mazandaran University of Medical Sciences , Sari , Iran.
Climacteric. 2018 Feb;21(1):13-21. doi: 10.1080/13697137.2017.1406908. Epub 2017 Nov 30.
Women may experience different menopausal symptoms across different cultures around the world. The purpose of this study was to determine the prevalence and contributing factors of depression in midlife women in the Middle East.
Electronic databases including PubMed, Medline, PsycINFO, CINAHL, Web of Science, SCOPUS, and Google scholar were searched. The quality of articles was assessed by using the risk of bias tool.
Sixteen articles were used for this review. The prevalence for depressive symptoms in perimenopausal women is higher than in premenopausal women. The overall data also suggest that depressive symptoms may be more prevalent in postmenopausal women than in premenopausal women. Studies reported sociodemographic, physical, psychological, cultural and sexual risk factors for depressive symptoms in middle-aged women. Risk of bias for a majority of the studies conducted in the Middle Eastern region on depression in midlife was moderate.
Consistent with other areas in the world, midlife women in the Middle East region are at higher risk for depression due to the presence of different factors. High-quality longitudinal studies of representative samples, using validated questionnaires, are needed to provide more accurate prevalence data and the association between menopause and menopausal symptoms in women in the Middle East.
世界各地不同文化背景下的女性可能会经历不同的更年期症状。本研究的目的是确定中东地区中年女性抑郁症的患病率及其影响因素。
检索了包括PubMed、Medline、PsycINFO、CINAHL、科学网、Scopus和谷歌学术在内的电子数据库。使用偏倚风险工具评估文章质量。
本综述纳入了16篇文章。围绝经期女性抑郁症状的患病率高于绝经前女性。总体数据还表明，绝经后女性的抑郁症状可能比绝经前女性更为普遍。研究报告了中年女性抑郁症状的社会人口学、身体、心理、文化和性方面的风险因素。中东地区开展的大多数关于中年抑郁症的研究存在中度偏倚风险。
与世界其他地区一致，由于存在不同因素，中东地区的中年女性患抑郁症的风险更高。需要开展高质量的纵向研究，选取具有代表性的样本，并使用经过验证的问卷，以提供更准确的患病率数据以及中东地区女性更年期与更年期症状之间的关联。
