Hunter M S, Liao K L
Unit of Psychology, UMDS Guy's Medical School, London, UK.
Br J Clin Psychol. 1995 Nov;34(4):589-99. doi: 10.1111/j.2044-8260.1995.tb01493.x.
Hot flushes and night sweats are one of the main symptoms accompanying the menopause, and are a main reason for seeking medical help at this time. This study of 61 women (reporting hot flushes once a week or more) investigates dimensions of subjective reporting using open questions and rating scales. Two separate factors were delineated using a principal component factor analysis - frequency (of hot flushes and night sweats) and problem ratings (of distress, interference and perception of flushes as problematic) - which had high test-retest reliability. The frequency ratings correlated highly with prospective daily monitoring. Depressed mood, anxiety and low self-esteem, but not frequency, discriminated between those who regarded flushes as problematic and those who did not. It is suggested that these two subjective measures should be used in assessment and in evaluation of hormonal and psychological interventions.
潮热和盗汗是绝经伴随的主要症状之一，也是此时寻求医疗帮助的主要原因。这项针对61名女性（每周报告一次或多次潮热）的研究，使用开放式问题和评分量表调查主观报告的维度。通过主成分因子分析确定了两个独立的因素——（潮热和盗汗的）频率以及问题评分（苦恼、干扰和对潮热问题的认知）——它们具有较高的重测信度。频率评分与前瞻性每日监测高度相关。情绪低落、焦虑和自卑，而非频率，区分了那些认为潮热有问题的人和不这样认为的人。建议在评估以及激素和心理干预的评价中使用这两种主观测量方法。
