Depressive symptoms in Taiwanese women during the peri- and post-menopause years: Associations with demographic, health, and psychosocial characteristics

作者：Wang Hui Ling; Booth LaForce Cathryn; Tang Shan Mei; Wu Wan Ru; Chen Chung Hey^*

来源：Maturitas, 2013, 75(4): 355-360.

DOI：10.1016/j.maturitas.2013.04.021

• Menopause
• Depressive symptoms
• Chronic disease
• Aging
• Lifestyle
• Psychosocial factors

Objective: The purpose of this study was to evaluate the prevalence of depressive symptoms in peri- and post-menopausal Taiwanese women, and to investigate the relation between depressive symptoms and demographic variables, chronic disease status, health habits, stress management, menopausal symptoms, and attitudes toward menopause and aging. %26lt;br%26gt;Study design: Crops-sectional study, using a purposive sample of 566 women between 45 and 60 years of age from a medical center and residential community in Southern Taiwan. %26lt;br%26gt;Main outcome measures: Demographic and health habits questionnaire, Women%26apos;s Health Initiative Symptom Scale, Attitudes Toward Menopause and Aging Scale, and Center for Epidemiological Studies-Depression Scale (CES-D). %26lt;br%26gt;Results: The prevalence of depressive symptoms (CES-D score %26gt;= 16) was 38.7% in peri- and post-menopausal Taiwanese women. Bivariate correlations and analyses of variance indicated that higher CES-D scores were related to lower family income, younger age, smoking for a greater number of years, consuming more alcohol, having multiple chronic diseases, not exercising regularly, consulting with a specialist for stress management, having more severe menopausal symptoms, and more negative attitudes toward menopause and aging. A stepwise multiple regression analysis indicated that the key predictors, accounting for 33.7% of the variance, were menopausal symptoms, attitudes toward menopause and aging, family income, and chronic disease status. %26lt;br%26gt;Conclusions: Results highlight the importance of considering psychosocial factors, life style, and chronic disease management in providing health guidance for peri- and post-menopausal women to enhance their quality of life and reduce the risk of depressive symptoms.

• 出版日期2013-8