Department of Research Institute, Seoul Medical Center, 156, Sinnae-ro, Jungnang-gu, Seoul 02053, Republic of Korea.
Department of Public Health, Graduate School, Korea University, 73 Goryeodae-ro, Seongbuk-gu, Seoul 02841, Republic of Korea.
Medicina (Kaunas). 2024 Jul 23;60(8):1189. doi: 10.3390/medicina60081189.
: This study investigated the links among quality of life, life satisfaction, depression, and aging anxiety in menopausal middle-aged women. The objective was to establish an understanding of how these factors are associated, which would be the foundation for developing programs aimed at enhancing the health and well-being of menopausal women. : An online survey was administered to 993 middle-aged women, aged 45 to 65, residing in Seoul, Korea. The survey evaluated menopausal quality of life, life satisfaction, depression, and aging anxiety. Additionally, a Process Macro Model 4 was used to assess the links between life satisfaction, depression, menopausal quality of life, and aging anxiety. : Aging anxiety in middle-aged women was associated with a lower score on the menopausal quality of life scale (r = 0.37, < 0.001), lower life satisfaction (r = -0.46, < 0.001), and higher depression (r = 0.42, < 0.001). In addition, there was an indirect effect-mediated by depression (95% CI = 0.025, 0.058) and life satisfaction (95% CI = 0.038, 0.064)-between menopausal quality of life and aging anxiety. : The present study demonstrated a direct effect of low menopausal quality of life on aging anxiety and a mediating effect of low depression and higher life satisfaction on aging anxiety. These results suggest the need for programs to increase menopausal quality of life, decrease depression and improve life satisfaction to reduce aging anxiety.
本研究调查了生活质量、生活满意度、抑郁和绝经中期女性衰老焦虑之间的联系。目的是了解这些因素是如何相关的，这将为制定旨在增强绝经妇女健康和福祉的计划奠定基础。
对居住在韩国首尔的 993 名 45 至 65 岁的中年女性进行了在线调查。该调查评估了绝经期生活质量、生活满意度、抑郁和衰老焦虑。此外，还使用过程宏模型 4 评估了生活满意度、抑郁、绝经生活质量和衰老焦虑之间的联系。
中年女性的衰老焦虑与绝经生活质量量表评分较低（r = 0.37，<0.001）、生活满意度较低（r = -0.46，<0.001）和抑郁程度较高（r = 0.42，<0.001）有关。此外，绝经生活质量和衰老焦虑之间存在抑郁（95%置信区间=0.025，0.058）和生活满意度（95%置信区间=0.038，0.064）的间接效应。
本研究表明，绝经生活质量低下对衰老焦虑有直接影响，抑郁程度降低和生活满意度提高对衰老焦虑有中介作用。这些结果表明，需要制定提高绝经生活质量、降低抑郁和提高生活满意度的方案，以减少衰老焦虑。
