DOI QR코드

DOI QR Code

Factors Influencing Self-Identity and Menopausal Symptoms on Level of Depression in Middle Aged Women

중년여성의 자아정체감, 갱년기 증상이 우울에 미치는 영향

  • Received : 2013.07.30
  • Accepted : 2013.11.20
  • Published : 2013.12.20

Abstract

Purpose: The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman. Methods: Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson Correlation Coefficients, and Multiple Stepwise Regression. Results: Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status. Conclusion: Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.

Keywords

References

  1. Bosworth, H. B., Bastian, L. A., Kuchibhatla, M. N., Steffens, D. C., Mcbride, C. M., Skinner, C. S., et al. (2001). Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife. Psychosomatic Medicine, 63, 603-608. https://doi.org/10.1097/00006842-200107000-00013
  2. Byeon, W. J., & Kim C. K. (2006). A study on the relevant variables of middle aged women's depression. Journal of the Korea Home Economics Association, 44, 125-139.
  3. Byeon, W. J., & Kim, C. K. (2007). Effects of depression, the sense of crisis, self- differentiation, social support, internal family systems on ego-identity of middle aged women. The Korean Journal of Women Psychology, 12, 255-276. https://doi.org/10.18205/kpa.2007.12.3.001
  4. Chang, H. K., & Cha, B. K. (2003). Influencing factors of climacteric women's depression. Journal of Korean Academy of Nursing, 33, 972-980. https://doi.org/10.4040/jkan.2003.33.7.972
  5. Cho, J. H., & Kim, B. H. (2012). Perception for successful aging & depression of middle aged women. Journal of the Korean Society of Living Environmental System, 19, 259-266.
  6. Choi, K. S., Oh, H. E., & Shim, C. S. (2008). A study on the relationship between climacteric symptom, depression and coping among middle aged women. Journal of Agricultural Medicine and Community Health, 33, 335-345.  https://doi.org/10.5393/JAMCH.2008.33.3.335
  7. Choi, W. H. (2006). Factors affecting ego identity of middle aged women in Geoje city. Journal of Korean Academy of Public Health Nursing, 20, 141-150.
  8. Chung, D. E., & Sung, K. M. (2011). The effects of an integrated management program on climacteric symptoms and depression in middle-aged women. Journal of East-West Nursing Research, 17(1), 40-47.
  9. Han, S. H. (2004). Study on the menopausal symptoms, menopausal management and quality of life in middle aged women. Unpublished master's thesis, Ewha Womans University, Seoul.
  10. Jo, H. S., & Lee, K. J. (2001). A comparative study on climacteric symptoms of natural menopausal women and artificial menopausal women. Journal of Korean Academy of Nursing, 31, 692-702. https://doi.org/10.4040/jkan.2001.31.4.692
  11. Judd, F. K., Hickey, M., & Bryant, C. (2012). Depression and midlife: Are we overpathologising the menopause? Journal of Affective Disorders, 136, 199-211. http://dx.doi.org/10.1016/ j.jad.2010.12.010
  12. Jun, S. J., Kim, H. K., Lee, S. M., & Kim, S. A. (2004). Factors influencing middle aged women's depression. Journal of Korean Academy of Community Health Nursing, 15 , 266-276.
  13. Kang, S. J., & Shin, K. R. (2002). Lifestyle and menopausal symptoms and depression of Korean women. Journal of Korean Academic Society of Women Health, 3, 207-228.
  14. Kim, S. A. (2012a). Impact of attitude to developmental phenomena and menopausal symptoms to the meaning of life among climacteric women. Journal of the Korea Gerontological Society, 32, 631-647.
  15. Kim, S. J. (2012b). A study on the relationship of marital intimacy, depression, menopausal symptom in middle aged women. Unpublished master's thesis, Eulji University, Daejeon.
  16. Kim, Y. J. (2008). A study on experience of climacteric symptom. Chungnam Journal of Nursing Academy, 11, 63-81.
  17. Klose, M., & Jacobi, F. (2004). Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors? Archives of Women's Mental Health, 7, 133-148. http://dx.doi.org/10.1007/s00737-004-0047-7
  18. Korean Statistical Information Service [KOSIS]. (2013). Korea's main index. Retrieved July 18, 2013, from http://kosis.kr/ feature/feature_0102List.jsp?menuId=all&mode=listAll
  19. Kweon, Y. R., Kang, Y. H., & Shin, K. R. (2011). Menopausal symptom, attitudes toward menopause, and depression in the middle aged women. Journal of Korean Academic Society of Women Health, 12, 81-97.
  20. Lee B. H. (2008). The structural relationships on the family income, self-esteem, role adaptations, and identity formation of the married mid-life woman according to the state of employment. Unpublished doctoral dissertation, Keimyung University, Daegu.
  21. Lee K. H., & Kim, O. J. (2001). Identity formation and development of middle-aged women through role adaptations. Journal of Educational Psychology, 15, 157-176.
  22. Lee, J. H., Chung, Y. K., Park, H. M., Park, J. S., Yumiko, H., & Yeoum, S. G. (2000). A study on climacteric symptoms in Korean midlife women. Journal of the Korean Society of Menopause, 6, 141-156.
  23. Park, G. J., & Lee, K. H. (2002). A structural model for depression in middle-aged women. Korean Journal of Women Health Nursing, 8, 69-84.
  24. Park, H. S., Kim, S. K., & Cho, G. Y. (2003). A study on climacteric symptoms, depression and quality of life in middle-aged women. Korean Journal of Women Health Nursing, 9 , 479-488.
  25. Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychology Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  26. Sarrel, P. M. (1995). Evaluation and management of postmenopausal patients. Female Patient, 20, 27-32.
  27. Shin, K. R. (2001). Depression among Korean women. Journal of Korean Academy of Nursing, 31, 391-400. https://doi.org/10.4040/jkan.2001.31.3.391
  28. Shin, K. R., Kang, Y. H., & Kim, M. J. (2010). Correlates of depression in the community dwelling middle aged women. Journal of Korean Academic Society of Women Health, 11, 1-22.
  29. Sung, M. H. (2000). An analysis of the relationship between climacteric symptoms and depression of middle aged women. Korean Journal of Women Health Nursing, 6, 465-476.
  30. Sung, M. H. (2002). Self-reported climacteric symptoms, self concept and depression in middle aged women. Korean Journal of Adult Nursing, 14, 102-113.

Cited by

  1. 중년여성의 갱년기 증상과 삶의 질의 관계에 대한 인지기능의 매개효과 vol.15, pp.7, 2014, https://doi.org/10.5762/kais.2014.15.7.4439
  2. 직업유무에 따른 부산, 경남지역 베이비붐 세대 기혼여성의 우울 영향 요인에 관한 연구 vol.23, pp.6, 2013, https://doi.org/10.5934/kjhe.2014.23.6.1105
  3. The Role of Vitamin D in Menopausal Medicine vol.31, pp.2, 2016, https://doi.org/10.7180/kmj.2016.31.2.97
  4. 자아존중감, 스트레스 및 사회적 지지가 중년 여성의 우울에 미치는 영향 vol.31, pp.1, 2013, https://doi.org/10.5932/jkphn.2017.31.1.58
  5. 중년여성의 완경기 적응에 영향을 미치는 요인 vol.24, pp.4, 2013, https://doi.org/10.4069/kjwhn.2018.24.4.336
  6. Factors Influencing Depression in Middle Aged Women: Focused on Quality of life on Menopause vol.43, pp.2, 2013, https://doi.org/10.21032/jhis.2018.43.2.148
  7. 중년여성의 건강상태와 건강관리형태가 우울에 미치는 영향 vol.24, pp.3, 2013, https://doi.org/10.5977/jkasne.2018.24.3.250
  8. 중년여성의 생활 스트레스가 우울에 미치는 영향: 사회적 지지와 삶의 의미의 매개효과 중심으로 vol.21, pp.1, 2013, https://doi.org/10.5762/kais.2020.21.1.641
  9. 중년여성의 생활 스트레스가 우울에 미치는 영향: 사회적 지지와 삶의 의미의 매개효과 중심으로 vol.21, pp.1, 2013, https://doi.org/10.5762/kais.2020.21.1.641
  10. 폐경 후 중년여성의 우울 증상 영향요인의 융합연구 vol.10, pp.4, 2013, https://doi.org/10.22156/cs4smb.2020.10.04.025