Mental health and quality of life in postmenopausal women as a function of retrospective menopause symptom severity

医学 更年期 焦虑 生活质量(医疗保健) 萧条(经济学) 回顾性队列研究 心理健康 心理干预 精神科 内科学 宏观经济学 护理部 经济
作者
Savannah C. Hooper,Victoria B. Marshall,Carolyn Black Becker,Andrea Z. LaCroix,Pamela K. Keel,Lisa Smith Kilpela
出处
期刊:Menopause [Ovid Technologies (Wolters Kluwer)]
卷期号:29 (6): 707-713 被引量:15
标识
DOI:10.1097/gme.0000000000001961
摘要

Abstract Objectives: Perimenopause is commonly viewed as a window of vulnerability for developing psychiatric and eating disorders, especially for women who experience severe symptoms. However, menopausal symptoms may have a lasting effect on older women's mental health and quality of life (QOL) into postmenopause. The current study examined older (60+) postmenopausal women's mental health and QOL as a function of retrospective menopausal symptom severity. Methods: Participants were recruited via public online postings and included 227 postmenopausal women, ages 60 to 94 years old ( M = 68.84, SD = 6.53). Participants completed an online questionnaire to assess past menopausal symptoms as well as current depression, anxiety, sleep difficulties, binge eating, QOL, and demographics. The relation between the retrospective severity of menopausal symptoms and mental health/QOL was evaluated using linear regressions, while controlling for demographic covariates. Results: Retrospective menopause symptom severity was significantly associated with depression, sleep difficulties, binge eating severity, and most QOL measures. Regarding covariates, having a psychiatric history was significantly associated with all outcome variables, except for anxiety. Time since menopause and body mass index were significantly associated with binge eating severity. Regarding specific symptom subgroups, psychological and somato-vegetative symptoms were most associated with mental health and QOL. Conclusion: The menopausal transition is a significant change in a woman's life and the challenges of menopausal symptoms can have lasting impacts on women's health. It is imperative that future research seeks to further understand the lasting impacts of this transition on the lives of older women to ensure proper interventions are implemented for successful aging.

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