Master's Degree student at University of Campinas, Brazil.
Department of Gynecology and Obstetrics, School of Medical Sciences, University of Campinas, (UNICAMP), Av. Alexander Fleming, 101, Cidade Universitária, Campinas 13083-881, SP, Brazil.
J Affect Disord. 2020 Aug 1;273:562-566. doi: 10.1016/j.jad.2020.05.105. Epub 2020 May 20.
To evaluate anxiety, depression and stress of POI women using hormone therapy.
A quantitative cross-sectional study included 61 women diagnosed with POI receiving HT, and 61 women with preserved ovarian function, matched 1:1 for age (control group). Instruments used to evaluate depression, anxiety and stress were Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Lipp's Stress Symptom Inventory (LSSI). The chi-square or Fisher's exact tests, Mann-Whitney test, Spearman's correlation coefficient or logistic regression analysis with stepwise criteria were used for analysis.
The mean age of POI women and control group was 35.03±7.68 and 34.49±7.55 years old (p = 0.63). POI group and control group had a mean of 0.44±0.92 and 1.28±1.38 children (p = 0,001); the total BDI, BAI and LSSI scores were 15.72±11.68 and 13.66±8.44 (p = 0.64); 17.54±13.16 and 17.25±11.05 (p = 0.90), 19.39±12.08 and 18.93±11.21 (p = 0.945). The majority of women did not have depression or presented mild depression, but approximately one-third had moderate-severe undiagnosed depressive or anxiety symptoms. In POI group, depression was positively correlated with the number of children and anxiety. Anxiety and stress were also positively correlated. It was observed that for each point in the BDI, the risk of stress above 20 increased 19.6%, while for each point in the BAI, the risk of greater stress increased 32.4%.
This is a cross-sectional study, which made it impossible to draw cause and effect conclusions CONCLUSION: Women with POI receiving HT have indexes of depression, anxiety and stress similar to the population of women with preserved ovarian function.
评估接受激素治疗的 POI 女性的焦虑、抑郁和压力。
这是一项定量的横断面研究,共纳入 61 名接受 HT 的 POI 女性和 61 名卵巢功能正常的女性(对照组),年龄匹配(1:1)。采用贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和利斯压力症状量表(LSSI)评估抑郁、焦虑和压力。采用卡方检验或 Fisher 确切概率法、Mann-Whitney 检验、Spearman 相关系数或逐步Logistic 回归分析进行分析。
POI 组和对照组的平均年龄分别为 35.03±7.68 岁和 34.49±7.55 岁(p=0.63)。POI 组和对照组的平均子女数分别为 0.44±0.92 人和 1.28±1.38 人(p=0.001);BDI、BAI 和 LSSI 总分分别为 15.72±11.68 和 13.66±8.44(p=0.64);17.54±13.16 和 17.25±11.05(p=0.90);19.39±12.08 和 18.93±11.21(p=0.945)。大多数女性没有抑郁或表现为轻度抑郁,但约三分之一的女性有未确诊的中度至重度抑郁或焦虑症状。在 POI 组中,抑郁与子女数量呈正相关,与焦虑也呈正相关。焦虑和压力也呈正相关。观察到,BDI 每增加 1 分,压力大于 20 的风险增加 19.6%,而 BAI 每增加 1 分,压力增大的风险增加 32.4%。
这是一项横断面研究,因此无法得出因果关系的结论。
接受 HT 的 POI 女性的抑郁、焦虑和压力指数与卵巢功能正常的女性人群相似。