Groeneveld F P, Bareman F P, Barentsen R, Dokter H J, Drogendijk A C, Hoes A W
Department of General Practice, Erasmus University Rotterdam, The Netherlands.
J Psychosom Obstet Gynaecol. 1993 Jun;14(2):127-43. doi: 10.3109/01674829309084436.
The climacteric is accompanied by many changes in life, which may give cause to a variety of complaints. Thus, it may be difficult to discern to what extent the climacteric is related to well-being. The association between menopausal status and well-being was determined in a population of 2729 women aged 45-60 years. A self-administered questionnaire was filled out and returned by 1947 women (response 71.3%). Well-being was measured by the Inventory of Subjective Health (ISH) and the three subscales of the Sickness Impact Profile (SIP): social functioning; emotions, feelings and sensations; and intellectual functioning. The relationship between menopausal status and well-being was estimated using linear regression analysis, while adjusting for age and other potential confounding variables, including body mass index, smoking behavior, education, work outside the home, parity, way of cohabitation, difference in age with the partner and partner's employment. The results show that early perimenopausal women report a lower level of well-being as compared to premenopausal women on all three SIP scales. Early postmenopausal women report a lower level of well-being on the SIP emotions, feelings and sensations. Intermediate postmenopausal women have a lower level of well-being on the ISH only. Finally, late postmenopausal women have a lower level of well-being on the SIP social functioning and SIP emotions, feelings and sensations. We tentatively conclude that the influence of the climacteric on well-being independent of confounders is primarily found in behavioral functioning in the daily life of a woman.
更年期伴随着生活中的许多变化，这可能会引发各种不适。因此，很难确定更年期在多大程度上与幸福感相关。在2729名年龄在45至60岁的女性群体中，研究了绝经状态与幸福感之间的关联。1947名女性填写并返还了一份自填式问卷（回复率71.3%）。幸福感通过主观健康量表（ISH）和疾病影响概况量表（SIP）的三个子量表进行衡量：社会功能；情绪、感受和感觉；以及智力功能。在调整年龄和其他潜在混杂变量（包括体重指数、吸烟行为、教育程度、外出工作、生育状况、同居方式、与伴侣的年龄差异以及伴侣的就业情况）后，使用线性回归分析估计绝经状态与幸福感之间的关系。结果表明，与绝经前女性相比，围绝经期早期女性在SIP的所有三个量表上报告的幸福感水平较低。绝经后早期女性在SIP的情绪、感受和感觉方面报告的幸福感水平较低。绝经后中期女性仅在ISH上的幸福感水平较低。最后，绝经后晚期女性在SIP的社会功能和SIP的情绪、感受和感觉方面的幸福感水平较低。我们初步得出结论，更年期对幸福感的影响独立于混杂因素，主要体现在女性日常生活中的行为功能方面。
