• 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.


1. Kolotusha VH. (2014). Psykhopatolohichni proiavy u zhinok v perymenopauzalnyi period ta mozhlyvosti yikh korektsii nehormonalnymy metodamy. Liky Ukrainy 3–4(179–180):16–19.

2. Naumenko HM, Chaban OS. (2013). Indyvidualno-psykholohichni kharakterystyky stanu zhinok pislia perenesenykh operatyvnykh vtruchan z pryvodu leiomiomy matky. Medytsyna transportu Ukrainy 1:9–14.

3. Potapov VO, Chuhunov VV, Siusiuka VH, Nuba NO, Kotlova YuV. (2017). Doslidzhennia psykholohichnoho statusu vahitnykh z urakhuvanniam psykhosomatychnoho komponentu. Navchalnyi posibnyk. Dnipro, Zaporizhzhia:126.

4. Striletska II. (2016). Osobystisna tryvozhnist yak skladnyi polideterminovanyi psykhichnyi protses. Insait: zb. nauk. prats studentiv, aspirantiv ta molodykh vchenykh / red. kol. IV Shaposhnykova, OIe Blynova ta in. Vyp. 13. Kherson, PP Vyshemyrskyi V.S.:299–301.

5. Chaika KV, Zahorodnia OS, Shalko MN, Stepanenko TO. (2018). Osoblyvosti spadkovoho, somatychnoho ta reproduktyvnoho anamnezu u zhinok z rannoiu menopauzoiu. Zbirnyk naukovykh prats Asotsiatsii akusheriv-hinekolohiv Ukrainy Vyp. 2:160–164.

6. Campbell K, Dennerstein L, Finch S, Szoeke C. (2017). Impact of menopausal status on negative mood and depressive symptoms in a longitudinal sample spanning 20 years. Menopause. 24 I.5:490–496 https://doi.org/10.1097/GME.0000000000000805

7. Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry 51(1):8–19. https://doi.org/10.1001/archpsyc.1994.03950010008002; PMid:8279933

8. National Institutes of Health. National Institutes of Health State-of-the-Science. Conference statement: management of menopausal-related symptoms. (2005). Ann Intern Med. 142:1003–13. https://doi.org/10.7326/0003-4819-142-12_Part_1-200506210-00117; PMid:15968015

9. Reding K, Schmidt P, Rubinow D. (2017, Dec). Perimenopausal depression and early menopause: cause or consequence? Menopause. 24 I.12:1333–1335.

10. Roseske NC. (2007). Hysterectomy and other gynecological surgeries a psychological view. The Woman Patient. 1:172–180. https://doi.org/10.1111/j.1749-6632.2009.04982.x; PMid:19906233 PMCid:PMC2891531

11. Schmidt PJ, Rubinow DR. (2009). Sex hormones and mood in the perimenopause. Ann N Y Acad Sci. 1179:70–85.

12. Freeman EW. (2010). Associations of depression with the transition to menopause. Menopause. 17(4):823–7. https://doi.org/10.1097/gme.0b013e3181db9f8b.

13. Freeman EW, Sammel MD, Lin H, Gracia CR, Pien GW, Nelson DB. (2007). Symptoms associated in menopause transition and reproductive hormones in mid-life women. Obstet Gynecol. 110:230–40. https://doi.org/10.1097/01.AOG.0000270153.59102.40; PMid:17666595