Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Health Perception, Body Image, Sexual Function and Depression in Menopausal Women according to Menopausal Stages

폐경기 중년여성의 폐경단계에 따른 건강지각, 신체상, 성기능 및 우울

  • Kim Jung-Hee (College of Nursing Science, Ewha Womans University) ;
  • Moon Hyun-Sook (College of Nursing Science, Ewha Womans University)
  • 김정희 (이화여자대학교 간호과학대학) ;
  • 문현숙 (이화여자대학교 간호과학대학)
  • Published : 2006.06.01
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Abstract

Purpose: The purpose of this study was to investigate the influences of health perception, body image and sexual function on depression according to the menopausal stage in Korean middle aged women. Methods: Subjects were 182 perimenopausal and postmenopausal women who had not received hormonal replacement therapy. A five-item General HealthShort Form (SF-36) Health Survey Questionnaire (Ware & Sherbourne, 1992) was used to measure health perception. Body image was measured Semantic Differential scale, CES-D was used to measure the level of depression, and sexual function was measured by FSFI. Results: The subjects rated their health as 'moderate', their body image as 'moderate, and level of depression as 'high'. However, there were no significant differences in health perception, body image, and depression between perimenopasual and postmenopausal women. Postmenopausal women experienced lower levels of sexual function than perimenopausal women in sexual arousal, lubrication, orgasm, satisfaction, and pain. In stepwise regression analysis, 21.7% of variance in depression was shown to be perceived health and body image in postmenopausal women. However, in perimenopausal women, perceived health and sexual function explained 34.5% of variance in depression. Conclusion: These findings indicate that nurses must consider the menopasusal stage when counseling their patients.

Keywords

References

  1. An, H. O. (2001). Women's body and women's age. Seoul : Ddohanaeimunhwa
  2. Avis, N. E., & McKinlay, S. M. (1995). The massachusetts women's health study: an epidemiologic investigation of the menopause. J Am Med Womens Assoc, 50, 45-49
  3. Battle, J. (1978). Relationship between self-esteem and depression. Psychol Rep, 42, 745-746 https://doi.org/10.2466/pr0.1978.42.3.745
  4. Berman J. R., Berman, I., & Goldstein, I. (1999). Female sexual dysfunction: incidence, pathophysiology, evaluation and treatment options. Urology, 54, 385-391 https://doi.org/10.1016/S0090-4295(99)00230-7
  5. Chon, J. S. (1999). Depression in women. Eldery Psych Med, 3(2), 129-139
  6. Chon, K. K., & Rhee, M. K. (1992). Preliminary development of Korean version of CES-D. Korean J Clin Psychol, 11(1), 65-76
  7. Deeks, A. (2002). Sexual desire: menopause and its psychological impact. Aust Fam Physicia, 31(5), 433-439
  8. Deeks, A. A., & McCabe, M. P. (2004). Well-being and menopause: an investigation of purpose in life, self-acceptance and social role in premenopausal, perimenopausal and postmenopausal women. Qual Life Res, 13(2), 389-398 https://doi.org/10.1023/B:QURE.0000018506.33706.05
  9. Engel, N. S. (1987). Menopausal stage, current life change, attitude toward women's roles, and percieved health status. Nurs Res, 36(6), 353-357
  10. Ha, J. Y. (2001). A study on the menopausal symptoms and quality of life in middle aged women. Unpublished master's thesis. Ewha Woman's University, Seoul
  11. Jang, H. S. (1982). A study of the influence of illness on body image and self concept specifically in children with asthma. Korean Acad Nurs, 12(2), 80-90
  12. Kim, H. J. (2003). Relationship between body composition and bone mineral density in postmenopausal women. Unpublished master's thesis, Ewha Woman's University, Seoul
  13. Kim, H. S. (2000). A study on the lifestyle and health status of middle aged women. Unpublished master's thesis, Ewha Woman's University, Seoul
  14. Kim, J. H., Bae, K. E., Moon, H. S., & Kang, H. I. (2005). The relationships among body image, depression and sexual function in postmenopausal women. J Korean Acad Adult Nurs, 17(2), 239-247
  15. Kim, W. H., & Cha, Y. I. (1999). Sexualtiy in middle age. Pusan : Pusan University Press
  16. Koh, S. B., Chang, S. J., Kang, M. G., Cha, B. S., & Park, J. K. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. Korean J Prev Med, 30(2), 251-266
  17. Lee, D. O. (2004). A study on women's preparation for senescence and health. Korean J Women's Health Nurs., 5(2), 139-161
  18. Lion, E. M. (1982). Human sexuality in nursing process. New York: Wiley
  19. Miller, B., Cambell, R. T., Farran, C. J., Kaufman, J. E. & Davis, C. (1995). Race, control, mastery and caregiver distress. J Gerontol : Soc Sci, 50, 374-382
  20. National Statistic Office (2000). Annual report on the population
  21. Osinowo. H. O. (2003). Psychosocial factors associated with perceived psychological health, perception of menopause and sexual satisfaction in menopause women and control. West Afr J Med, 22(3), 225-231
  22. Park, C. S., Oh, J. A., & Yeoum, S. G. (2001). A study of symptom of health and fatigue-regulation behavior in middle-aged women. Korean J Women Health Nurs, 7(4), 447-458
  23. Park, N. C. (2000). Sexual dysfunction in menopause women. Koeanr J Androl, 18(2), 99-104
  24. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas, 1, 385-401 https://doi.org/10.1177/014662167700100306
  25. Rasgon, N., Shelton, S., & Halbreich, L. (2005). Perimeno¬pausal mental disorders: epidemiology and phenomenology. CNS Spectr, 10(6), 417-418
  26. Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D'agostino, R. Jr. (2000). The female sexual function Index(FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther, 26, 191-208 https://doi.org/10.1080/009262300278597
  27. Shin, K. R. (1999). A study on depression among mid-aged women. J Korean Acad Adult Nurs, 11(4), 858-868
  28. Wassenr, A. (1982). The impact of mutilating surgery or trauma on body image. Inte Nurs Rev, 29(3), 86-90
  29. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey(SF-36); 1 conceptual framework and item selection. Med Care, 30, 473 https://doi.org/10.1097/00005650-199206000-00002
  30. Yoo, H. S. (2003). Predictors of female sexual dysfunction. Unpublished master's dissertation. Seoul National University, Seoul