Greene J G, Cooke D J
Br J Psychiatry. 1980 May;136:486-91. doi: 10.1192/bjp.136.5.486.
Psychological and somatic symptoms presented by women in middle life are frequently attributed to the menopause. Many writers have questioned this assumption and have placed more emphasis on environmental and personality factors. Using a life event model and a multivariate analysis technique, life stress was shown to have a significantly more powerful influence on the elevation of symptoms in a normal population of women at that age than did the menopause. Furthermore, the elevation in symptoms occurred some considerable time before that event. The finding that there was no significant increase in total life stress at that time of life suggests the presence of a vulnerability or moderating factor.
中年女性出现的心理和躯体症状常常被归因于更年期。许多作者对这一假设提出了质疑，并更加强调环境和个性因素。运用生活事件模型和多变量分析技术发现，在该年龄段的正常女性群体中，生活压力对症状加剧的影响比更年期显著更强。此外，症状加剧在更年期这一事件发生的相当一段时间之前就出现了。在那个年龄段总体生活压力并无显著增加这一发现表明存在易感性或调节因素。
