Wenderlein J M
Geburtshilfe Frauenheilkd. 1982 Nov;42(11):833-7. doi: 10.1055/s-2008-1037168.
In 166 women who desired estrogen treatment for menopausal symptoms, psychosocial data were obtained prior to treatment, six weeks, three months and six months after treatment. The data were obtained by questionnaire and psychometric testing. 1. Of the 25% of women with significant depressive tendencies (according to EDS) 7 of 10 were also very anxious (according to EDS). 2. Emotional stability (according to MPI-N) present in every third woman without depressive mood changes but only in 3% of women with depressive changes. 3. Every third woman with depressive changes reported sexual fantasies or dreams. Only 3% of the women without depression had these fantasies. Discharge was complained of twice as often by depressive women (according to EPS) than in those without depression. 4. Pain on micturition was a complaint of half the women with depressive mood but only 1/8 of those without depression. 5. Heart palpitations were complained of by women without depression only half as often as by the other women. 6. The satisfaction with the role as women had a significant relationship to depression scores as expected. 7. The antidepressive and anxiolytic effect of estrogen treatment in the menopause was shown objectively by psychometric studies. The findings are discussed in view of a gynaecological office practice.
在166名因更年期症状希望接受雌激素治疗的女性中,在治疗前、治疗后六周、三个月和六个月收集了社会心理数据。数据通过问卷调查和心理测量测试获得。1. 在25%有明显抑郁倾向的女性(根据抑郁自评量表)中,十分之七的人也非常焦虑(根据抑郁自评量表)。2. 情绪稳定性(根据明尼苏达多相个性调查表-N)在每三名无抑郁情绪变化的女性中就有一名存在,但在有抑郁变化的女性中只有3%。3. 每三名有抑郁变化的女性中有一名报告有性幻想或梦。无抑郁的女性中只有3%有这些幻想。抑郁女性(根据艾森克人格问卷)主诉分泌物增多的频率是无抑郁女性的两倍。4. 排尿疼痛在有抑郁情绪的女性中有一半主诉,而在无抑郁的女性中只有八分之一主诉。5. 无抑郁的女性主诉心悸的频率只有其他女性的一半。6. 对女性角色的满意度与抑郁评分有显著关系,正如预期的那样。7. 心理测量研究客观地显示了雌激素治疗更年期的抗抑郁和抗焦虑作用。从妇科门诊实践的角度对这些发现进行了讨论。