Journal of Korean Medical Science

Korean Acad Medical Sciences (대한의학회)
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Factors Influencing the Severity of Menopause Symptoms in Korean Post-menopausal Women

  • Lee, Moon-Soo (Department of Psychiatry, Korea University Research Institute of Mental Health) ;
  • Kim, Jong-Hun (Department of Psychiatry, Korea University Research Institute of Mental Health) ;
  • Park, Man-Sik (Department of Biostatistics, Korea University, College of Medicine) ;
  • Yang, Jae-Won (Department of Psychiatry, Korea University Research Institute of Mental Health) ;
  • Ko, Young-Hoon (Department of Psychiatry, Korea University Research Institute of Mental Health) ;
  • Ko, Seung-Duk (Department of Health Management, Hyupsung University) ;
  • Joe, Sook-Haeng (Department of Psychiatry, Korea University Research Institute of Mental Health)
  • Published : 2010.05.01
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Abstract

We have relatively limited knowledge of symptomatic aspects of the postmenopause, rather than perimenopause. We tried to determine the factors associated with experiencing menopausal symptoms by Korean postmenopausal women. A total of 657 Korean women who underwent a natural menopause completed multiple questionnaires, which included questions regarding their attitudes to menopause, depressive symptoms, state anxiety, self-esteem, dyadic relationships, sociodemographic variables, and 11-item Menopause Rating Scale (MRS). Multiple regression analyses were performed to collectively examine the relative impact of each independent variable on the quality of life, as determined by the MRS. Decreased severity of menopausal symptoms was associated with more time spent in education, an employed status, a history of pregnancy, longer postmenopausal duration, positive attitudes to menopause, higher state anxiety, heightened self-esteem, and higher dyadic consensus. Increased severity of menopausal symptoms was also associated with absence of a partner, alcohol consumption, a history of hormone replacement therapy, a history of probable premenstrual dysphoric disorder, and increased severity of depressive symptoms. Sociodemographic characteristics, lifestyle factors, premenstrual dysphoric disorder, attitudes to menopause, a dyadic relationship with a partner, and the inner psychological status can be associated with the severity of menopause symptoms specifically in Korean postmenopausal women.

Keywords

References

  1. Fuh JL, Wang SJ, Lee SJ, Lu SR, Juang KD. Quality of life and menopausal transition for middle-aged women on Kinmen island. Qual Life Res 2003; 12: 53-61. https://doi.org/10.1023/A:1022074602928
  2. Schneider HP. The quality of life in the post-menopausal woman. Best Pract Res Clin Obstet Gynaecol 2002; 16: 395-409. https://doi.org/10.1053/beog.2002.0289
  3. Papini DR, Intrieri RC, Goodwin PE. Attitude toward menopause among married middle-aged adults. Women Health 2002; 36: 55-68. https://doi.org/10.1300/J013v36n04_05
  4. Lee YW. Depression in post menopausal women. J Korean Acad Nurs 2003; 33: 471-7.
  5. Yeun EJ, Kwon YM, Song MS, Ahn OH, Kim BS. Correlational study on health behaviors, menopausal symptoms and sexual satisfaction in Korean middle-aged women. J Korean Acad Adult Nurs 2004; 16: 502-12.
  6. Cha BK. Relationship between climacteric symptoms and sexual satisfaction in middle-aged women. J Korean Acad Fundam Nurs 2003; 10: 283-91.
  7. Kim YH, Ha EH, Shin SJ. A study on the menopausal symptoms and quality of life in middle aged women. J Korean Acad Nurs 2003; 33: 601-8.
  8. Heinemann K, Ruebig A, Potthoff P, Schneider HP, Strelow F, Heinemann LA, Do MT. The Menopause Rating Scale (MRS) scale: a methodological review. Health Qual Life Outcomes 2004; 2: 45. https://doi.org/10.1186/1477-7525-2-45
  9. Khademi S, Cooke MS. Comparing the attitudes of urban and rural Iranian women toward menopause. Maturitas 2003; 46: 113-21. https://doi.org/10.1016/S0378-5122(03)00182-8
  10. Hahn HM, Yum TH, Shin YW, Kim KH, Yoon DJ, Chung KJ. A standardization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc 1986; 25: 487-500.
  11. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Med J 1978; 21: 69-75.
  12. Chon SJ. A study on depression & self-esteem of the elderly in Korean. Red Cross College of Nurs Res 1988; 10: 125-44.
  13. An JY, An K, O'Connor L, Wexler S. Life satisfaction, self-esteem, and perceived health status among elder Korean women: focus on living arrangements. J Transcult Nurs 2008; 19: 151-60. https://doi.org/10.1177/1043659607313070
  14. Busby DM, Christensen C, Crane DR, Larson JH. A revision of the dyadic adjustment scale for use with distressed and nondistressed couples: construct hierarchy and multidimensional scales. J Marital Fam Ther 1995; 21: 289-308. https://doi.org/10.1111/j.1752-0606.1995.tb00163.x
  15. McKinlay JB, McKinlay SM, Brambilla D. The relative contributions of endocrine changes and social circumstances to depression in mid-aged women. J Health Soc Behav 1987; 28: 345-63. https://doi.org/10.2307/2136789
  16. Lock M. Menopause in cultural context. Exp Gerontol 1994; 29: 307-17. https://doi.org/10.1016/0531-5565(94)90011-6
  17. Pan HA, Wu MH, Hsu CC, Yao BL, Huang KE. The perception of menopause among women in Taiwan. Maturitas 2002; 41: 269-74. https://doi.org/10.1016/S0378-5122(01)00279-1
  18. Brown GW, Bifulco A, Veiel HO, Andrews B. Self-esteem and depression. II. Social correlates of self-esteem. Soc Psychiatry Psychiatr Epidemiol 1990; 25: 225-34. https://doi.org/10.1007/BF00788643
  19. Trevino YA, Wooten HR, Scott RE. A correlational study between depression and marital adjustment in hispanic couples. The Family Journal 2007; 15: 46-52. https://doi.org/10.1177/1066480706294033
  20. Deeks AA. Psychological aspects of menopause management. Best Pract Res Clin Endocrinol Metab 2003; 17: 17-31. https://doi.org/10.1016/S1521-690X(02)00077-5
  21. Leary MR, Baumeister RF. The nature and function of self-esteem: sociometer theory. In: Zanna MP, ed. Advances in experimental social psychology: Academic Press, New York, NY. 2000: 1-62.
  22. Cheng MH, Wang SJ, Wang PH, Fuh JL. Attitudes toward menopause among middle-aged women: a community survey in an island of Taiwan. Maturitas 2005; 52: 348-55. https://doi.org/10.1016/j.maturitas.2005.06.001
  23. Chen YL, Voda AM, Mansfield PK. Chinese midlife women's perceptions and attitudes about menopause. Menopause 1998; 5: 28-34.
  24. Dennerstein L, Smith AM, Morse C. Psychological well-being, midlife and the menopause. Maturitas 1994; 20: 1-11. https://doi.org/10.1016/0378-5122(94)90095-7
  25. Hunter MS. Psychological and somatic experience of the menopause: a prospective study [corrected]. Psychosom Med 1990; 52: 357-67.
  26. Freeman EW, Sammel MD, Rinaudo PJ, Sheng L. Premenstrual syndrome as a predictor of menopausal symptoms. Obstet Gynecol 2004; 103: 960-6. https://doi.org/10.1097/01.AOG.0000124804.81095.7f
  27. Bloch A. Self-awareness during the menopause. Maturitas 2002; 41: 61-8. https://doi.org/10.1016/S0378-5122(01)00252-3
  28. Sievert LL, Espinosa-Hernandez G. Attitudes toward menopause in relation to symptom experience in Puebla, Mexico. Women Health 2003; 38: 93-106. https://doi.org/10.1300/J013v38n02_07
  29. Cupach WR, Comstock J. Satisfaction with sexual communication in marriage-links to sexual satisfaction and dyadic adjustment. J Soc Personal Relationships 1990; 7: 179-86. https://doi.org/10.1177/0265407590072002
  30. Lam PM, Cheung GW, Shek DT, Lee DT, Haines C, Chung TK. Psychological well-being and the dyadic relationship of Chinese menopausal women (and their spouses) attending hormone replacement clinics. Gynecol Endocrinol 2004; 18: 206-11. https://doi.org/10.1080/09513590410001692483

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