Neri I, Demyttenaere K, Facchinetti F
Department of Obstetrics and Gynecology, University of Modena, Italy.
J Psychosom Obstet Gynaecol. 1997 Sep;18(3):229-33. doi: 10.3109/01674829709080692.
Hormonal changes as well as sociocultural and personal factors account for climacteric symptoms. The aim of this study is to investigate in a clinical population the correlation between the severity of hot flashes and vaginal dryness and the 'coping-ineffectiveness of coping' construct. Out of 120 women consecutively referring to the University Menopause Clinic, 85 subjects were evaluated for their climacteric complaints including anxiety and depression and for their coping style assessed with the Italian version of the Utrechtse Coping Lijst. Daily hot flashes and severe vaginal dryness were reported by almost half of the studied population, regression analyses were performed in order to investigate how much of the variance in such symptoms was explained by the psychosocial variables and by the coping mechanisms. A more recent menopause, a lower educational level and an active coping predict a higher severity of hot flashes; a longer time since last menstrual period and a coping of avoidance predict a higher severity of vaginal dryness. The present study suggests that the severity of hot flashes and vaginal dryness among a clinical sample of postmenopausal women is not only determined by biological and social variables, but personal resources also explain part of the variance of such climacteric complaints.
激素变化以及社会文化和个人因素是更年期症状的成因。本研究的目的是在临床人群中调查潮热和阴道干燥的严重程度与“应对无效”这一概念之间的相关性。在连续就诊于大学更年期诊所的120名女性中，对85名受试者的更年期症状（包括焦虑和抑郁）以及使用乌得勒支应对清单意大利版评估的应对方式进行了评估。几乎一半的研究人群报告有每日潮热和严重的阴道干燥情况，进行回归分析以研究心理社会变量和应对机制在多大程度上解释了这些症状的差异。更年近期较近、教育水平较低和积极应对预示着潮热的严重程度较高；末次月经后时间较长和采用回避应对预示着阴道干燥的严重程度较高。本研究表明，绝经后女性临床样本中潮热和阴道干燥的严重程度不仅由生物学和社会变量决定，个人资源也解释了这些更年期症状差异的一部分。
