Augoulea Areti, Moros Michalis, Kokras Nikolaos, Karageorgiou Vasilios, Paschou Stavroula A, Lymberi Rallou, Panoulis Konstantinos, Kaparos George, Lykeridou Aikaterini, Lambrinoudaki Irene
Second Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
First Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Prz Menopauzalny. 2019 Dec;18(4):191-197. doi: 10.5114/pm.2019.93117. Epub 2020 Jan 15.
To investigate the association of personality traits with the severity of vasomotor symptoms (VMS) in a predominantly Greek population.
A questionnaire-based study of women from the Menopause Clinic of a University Hospital in Athens, Greece. Sociodemographic parameters were documented through a structured interview. All women completed the Menopause Rating Scale (MRS) for the assessment of severity of menopausal symptoms, the Hot Flush Beliefs Scale (HFBS) for the assessment of how women were coping with their symptoms and the Big Five Inventory questionnaires for the assessment of personality traits. Associations between baseline parameters and menopausal symptoms were assessed with univariate and multivariate regression analyses.
One hundred women were included. Employed women had lower MRS sub-scores (psychological < 0.001, somatic < 0.047, urogenital < 0.008). Married women scored higher in the psychological and somatic domains. Women of university educational level coped significantly better with hot flushes (β coefficient [SE]: 0.72 [0.25], < 0.01) and night sweats (0.57 [0.19], < 0.01) than women of primary education, although the significance of these findings was not replicated when taking into account confounders. Regarding personality traits, women with low openness (-0.33 [0.11], < 0.01) and empathy (-0.83 [0.37], = 0.03) and high agreeableness (1.13 [0.21], < 0.001) had more severe menopausal symptoms. In contrast, women with high agreeableness could better cope with their menopausal symptoms (-0.75 [0.36], = 0.04). These associations were independent of sociodemographic factors.
Personality traits, especially agreeableness, openness and empathy are associated with menopausal symptoms and functionality in postmenopausal women. These associations might serve as indicators of women at risk of experiencing more severe VMS.
在以希腊人为主的人群中，调查人格特质与血管舒缩症状（VMS）严重程度之间的关联。
对希腊雅典一家大学医院更年期诊所的女性进行基于问卷的研究。通过结构化访谈记录社会人口统计学参数。所有女性均完成更年期评定量表（MRS）以评估更年期症状的严重程度、潮热信念量表（HFBS）以评估女性应对症状的方式，以及大五人格问卷以评估人格特质。通过单因素和多因素回归分析评估基线参数与更年期症状之间的关联。
共纳入100名女性。就业女性的MRS子分数较低（心理方面<0.001，躯体方面<0.047，泌尿生殖方面<0.008）。已婚女性在心理和躯体领域得分较高。大学教育水平的女性在应对潮热（β系数[标准误]：0.72[0.25]，<0.01）和盗汗（0.57[0.19]，<0.01）方面明显优于小学教育水平的女性，尽管在考虑混杂因素后这些发现的显著性未得到重复验证。关于人格特质，开放性低（-0.33[0.11]，<0.01）、同理心低（-0.83[0.37]，=0.03）和宜人性高（1.13[0.21]，<0.001）的女性更年期症状更严重。相比之下，宜人性高的女性能够更好地应对更年期症状（-0.75[0.36]，=0.04）。这些关联独立于社会人口统计学因素。
人格特质，尤其是宜人性、开放性和同理心，与绝经后女性的更年期症状及功能状态相关。这些关联可能作为女性发生更严重VMS风险的指标。
