Kim Soyeon, Kim Sun Mi, Kim Da Seul, Han Seunga, Hong Ji Sun, Seo Jeong Seok
Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
Department of Political Science, Vanderbilt University, Nashville, TN, USA.
Psychiatry Investig. 2023 Jan;20(1):18-26. doi: 10.30773/pi.2022.0249. Epub 2023 Jan 25.
Menopause symptoms can vary in type, duration, and severity. The purpose of this study was to investigate the key factors predicting severe symptoms among Korean perimenopausal women with various demographic data, obstetric and psychiatric histories, and menopausal symptoms screening scale scores.
Data were collected from 1,060 women, and 4 latent classes were identified using latent profile analysis, with 6 major categories of menopausal complaints. Among the 4 classes, we selectively used data from the "all unimpaired" and "all impaired" groups. Menopause rating scale (MRS), sociodemographic, obstetric, and psychiatric factors were assessed, and hierarchical logistic regression analyses were conducted with the "all impaired" group as a dependent variable.
Marital status and scores on the psychological and somatic subscales of the MRS were statistically related to being in the "all impaired" group. Otherwise, family history of menopausal symptoms, menarche age, and history of other psychiatric disorders were not statistically significant predictors of being in the "all impaired" group.
The psychological and somatic subscales of the MRS predict the severity of perimenopausal syndrome better than obstetric and psychiatric history do among Korean perimenopausal women. Psychological and somatic symptoms as well as genitourinary symptoms in menopausal patients should be closely evaluated.
更年期症状在类型、持续时间和严重程度上可能存在差异。本研究的目的是调查在具有各种人口统计学数据、产科和精神病史以及更年期症状筛查量表分数的韩国围绝经期女性中，预测严重症状的关键因素。
收集了1060名女性的数据，并使用潜在剖面分析确定了4个潜在类别，其中包括6大类更年期主诉。在这4个类别中，我们选择性地使用了“全部未受损”和“全部受损”组的数据。评估了更年期评定量表（MRS）、社会人口统计学、产科和精神因素，并以“全部受损”组作为因变量进行了分层逻辑回归分析。
婚姻状况以及MRS心理和躯体子量表的得分与“全部受损”组具有统计学相关性。否则，更年期症状家族史、初潮年龄和其他精神障碍病史并非“全部受损”组的统计学显著预测因素。
在韩国围绝经期女性中，MRS的心理和躯体子量表比产科和精神病史更能预测围绝经期综合征的严重程度。更年期患者的心理和躯体症状以及泌尿生殖系统症状应得到密切评估。
