- The features of psychological adaptation of women with early menopause
The features of psychological adaptation of women with early menopause
HEALTH OF WOMAN. 2018.9(135):103–106; doi 10.15574/HW.2018.135.103
Stepanenko T. O.
Shupyk National Medical Academy of Postgraduate Education, Kiev
Psychoemotional disorders belong to the early symptoms of climacteric syndrome, especially expressed on the background of history of depression.
The objective: to investigate the features of the level of situational and personal anxiety, as well as the level of depression in women with early onset menopause.
Materials and methods. 214 women were examined, 74 of them had complaints of termination of menstruation in the age group under 40 years old (Group I), 70 menopausal women at the age of 45 years (Group II) and 70 women in age 38–42 years with unbreakable menstrual function (III group). All women were offered a scale of reactive and personal anxiety, the results for each type of anxiety were evaluated in gradations: up to 30 points – low; 31–45 – average; 46 or more – high anxiety. In addition, all participants were asked to complete the Tsong scale, the result was evaluated in the range of the sum of points in gradations: 25–49 – normal, 50–59 – light depression, 60–69 – moderate depression, 70 and more – severe depression. The statistical probability of differences between groups is estimated by the Kolmogorov-Smirnov method.
Results. Regardless of the age of menopause, no more than 28% of patients had a low level of situational anxiety, while this result is characteristic of more than half of women of the same age group with preserved reproductive function. A high level of personal anxiety was found among patients in Group I – 27%, which is significantly higher than in women with menopause after 45 years or with preserved reproductive function. In the group of early completion of reproductive function, 87.8% of women in the survey indicated a degree of severity of depression, in the menopause group after 45 years – only half. The absolute majority of patients in both groups had a mild depressive mood, but the frequency of severe depression was almost 6 times higher in the early menopause group.
Conclusion. The findings suggest that early menopause is accompanied not only by more severe physical manifestations, such as cardiovascular damage, but also by more pronounced psychological disorders, a high level of not only situational but also personality anxiety, as well as greater prevalence of depression and severe her shape. Such data is an additional argument in favor of the need for correction of menopausal disorders in such women.
Key words: early menopause, depression, situational and personality anxiety.
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