Woods N F, Mitchell E S
Center for Women's Health Research, University of Washington, Seattle 98195-7261, USA.
Res Nurs Health. 1997 Apr;20(2):119-29. doi: 10.1002/(sici)1098-240x(199704)20:2<119::aid-nur4>3.0.co;2-n.
The purpose of this study was to develop and test a multidimensional model of depressed mood experienced by women during midlife. Three pathways to depressed mood were tested for their explanatory power, including menopausal transition, stressful life context, and health status pathways in a multiethnic sample (N = 337). Multiple measures for each variable in the three paths included the CESD and SCL 90 depression scales, menopausal changes questions, vasomotor symptoms rated in a daily health diary. Life Events Scale, Attitudes toward Menopause and Attitudes toward Aging Scales, and chronic health problems and perceived health ratings. The stressful life context pathway was most influential in accounting for depressed mood. Health status had a direct effect on depressed mood and an indirect effect through stress. The menopausal changes pathway had little explanatory power. These results support the need for clinicians to look beyond menopausal status to the broader context of midlife women's lives.
本研究的目的是开发并测试一个关于中年女性抑郁情绪的多维模型。在一个多民族样本（N = 337）中，对导致抑郁情绪的三条途径进行了检验，以评估其解释力，这三条途径包括更年期过渡、压力性生活情境和健康状况途径。三条途径中每个变量的多个测量指标包括CESD和SCL 90抑郁量表、更年期变化问题、日常健康日记中记录的血管舒缩症状、生活事件量表、对更年期的态度和对衰老的态度量表，以及慢性健康问题和感知健康评级。压力性生活情境途径在解释抑郁情绪方面最具影响力。健康状况对抑郁情绪有直接影响，并通过压力产生间接影响。更年期变化途径的解释力很小。这些结果支持临床医生需要超越更年期状态去关注中年女性生活的更广泛背景。
