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针对患有严重精神疾病的女性更年期症状管理的心理教育:一项范围综述。

Psychoeducation in the management of menopause symptoms for women living with a serious mental illness: a scoping review.

作者信息

Perich Tania, Kakakios Kelly

机构信息

School of Psychology, Western Sydney University, Sydney, Australia.

Translational Health Research Institute, Western Sydney University, Sydney, Australia.

出版信息

Menopause. 2025 Jul 1;32(7):658-664. doi: 10.1097/GME.0000000000002540.

Abstract

IMPORTANCE AND OBJECTIVE

People living with a serious mental illness (SMI) may require additional management during the menopause transition and may have specific education needs regarding menopause. The aim of this scoping review was to assess the literature on psychoeducation programs that have been developed to address the menopause knowledge needs of people living with a mental illness.

METHODS

A scoping review of the literature was conducted in November 2024, focussing on psychoeducation programs for menopause developed for women living with a SMI using PsycINFO, Medline, Embase, and Google Scholar using the "Population, Concept, and Context" framework. The population considered was individuals with SMI, mental illness, bipolar disorder, schizophrenia, schizoaffective disorder, personality disorder, post-traumatic stress disorder, depression, anxiety disorders, obsessive-compulsive disorder, alcohol use, substance use, and eating disorders. Five studies were found that utilized psychoeducation in the context of cognitive behavior therapy delivered as a treatment of either depression or menopause symptoms. Participants in these studies included women living with depression or bipolar disorder. No studies were identified that delivered any psychoeducation intervention for the majority of conditions assessed. Population groups with no research included schizophrenia or schizoaffective disorder, personality disorder, post-traumatic stress disorder, anxiety disorders, obsessive-compulsive disorder, alcohol use, substance use, and eating disorders.

DISCUSSION AND CONCLUSION

More research is needed to further explore how people living with a mental illness may be best prepared for the menopause transition considering both menopause symptoms and psychiatric symptoms. The development and assessment of psychoeducation programs and materials addressing individual needs should be further considered for those living with a mental illness.

摘要

重要性及目标

患有严重精神疾病(SMI)的人群在更年期过渡期间可能需要额外的管理,并且在更年期方面可能有特定的教育需求。本范围综述的目的是评估关于已开发的心理教育项目的文献,这些项目旨在满足患有精神疾病人群对更年期知识的需求。

方法

2024年11月进行了文献范围综述,使用“人群、概念和背景”框架,通过PsycINFO、Medline、Embase和谷歌学术搜索,重点关注为患有SMI的女性开发的更年期心理教育项目。所考虑的人群包括患有SMI、精神疾病、双相情感障碍、精神分裂症、分裂情感性障碍、人格障碍、创伤后应激障碍、抑郁症、焦虑症、强迫症、酒精使用障碍、物质使用障碍和饮食失调的个体。发现有五项研究在认知行为疗法的背景下利用心理教育来治疗抑郁症或更年期症状。这些研究的参与者包括患有抑郁症或双相情感障碍的女性。未发现针对所评估的大多数病症进行任何心理教育干预的研究。未进行研究的人群包括精神分裂症或分裂情感性障碍、人格障碍、创伤后应激障碍、焦虑症、强迫症、酒精使用障碍、物质使用障碍和饮食失调。

讨论与结论

需要更多研究来进一步探索如何让患有精神疾病的人群在考虑更年期症状和精神症状的情况下,为更年期过渡做好最佳准备。对于患有精神疾病的人群,应进一步考虑开发和评估满足个体需求的心理教育项目及材料。

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