Han Mi Jeong, Lee Ji Hyun
Ilsin Christian Hospital, Busan, Korea.
Korean J Women Health Nurs. 2013 Dec;19(4):275-284. doi: 10.4069/kjwhn.2013.19.4.275. Epub 2013 Dec 31.
The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman.
Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson Correlation Coefficients, and Multiple Stepwise Regression.
Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status.
Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.
本研究旨在确定影响中年女性自我认同和更年期症状的因素及其对抑郁水平的影响。
研究对象为135名居住在B市、年龄在45至60岁之间、了解研究目的并同意参与的中年女性。2012年12月至2013年1月期间,使用测量抑郁、自我认同和更年期症状的量表收集数据。采用t检验、方差分析、谢弗检验、皮尔逊相关系数和多元逐步回归进行数据分析。
这些中年女性的抑郁水平较低,自我认同略高,更年期症状相对较少。不同的健康状况认知和经济状况认知在抑郁方面存在显著差异。抑郁与自我认同呈中度负相关(r = -0.49,p <.001),与更年期症状呈中度正相关(r = 0.57,p <.001)。更年期心理症状是影响抑郁的最主要因素,解释了抑郁变异的37%。更年期症状(心理和生理)、自我认同和经济状况认知共同解释了抑郁变异的51%。
因此,需要努力提高自我认同,特别是制定减轻更年期心理症状的计划,以减少抑郁。