폐경단계별 근골격계 통증, 폐경증상 및 우울
Musculoskeletal pains, Menopausal Symptoms and Depression by Women's Menopausal Stage
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Purpose: The purpose of this study was to compare musculoskeletal pain, menopausal symptoms and depression by women's menopausal stage. Method: With a survey design, a convenience sample of 203 women between age of 40 to 64 was recruited through a community. Data were collected via a structured study questionnaire from May to July, 2008. Measures included with symptom severity list for menopausal symptoms, Aches and Pains scale, and Beck's Depression Inventory. Results: Thirty-seven percent of women belong to early peri-menopausal stage, 31% to late peri-menopausal stage, and 32% to postmenopausal stage. By group comparison, late peri-menopausal and post menopausal women reported higher scores of depression than early peri-menopausal women. Postmenopausal women had greater scores in two pain subscales (bodily pain and pain that interferes with normal work) and two menopausal symptoms subscales (sleep pattern and sexual behaviors) than early peri-menopausal women. There were moderate levels of positive relationships among study variables at each menopausal stage. Conclusion: Postmenopausal women seem to have greater musculoskeletal pain and menopausal symptoms, and have depression more than did early peri-menopausal women. Tailored nursing strategies are required to reduce these kinds of common symptoms for women with menopausal transition to improve their physical and psychological wellbeing.
Abstract
Purpose: The purpose of this study was to compare musculoskeletal pain, menopausal symptoms and depression by women's menopausal stage. Method: With a survey design, a convenience sample of 203 women between age of 40 to 64 was recruited through a community. Data were collected via a structured study questionnaire from May to July, 2008. Measures included with symptom severity list for menopausal symptoms, Aches and Pains scale, and Beck's Depression Inventory. Results: Thirty-seven percent of women belong to early peri-menopausal stage, 31% to late peri-menopausal stage, and 32% to postmenopausal stage. By group comparison, late peri-menopausal and post menopausal women reported higher scores of depression than early peri-menopausal women. Postmenopausal women had greater scores in two pain subscales (bodily pain and pain that interferes with normal work) and two menopausal symptoms subscales (sleep pattern and sexual behaviors) than early peri-menopausal women. There were moderate levels of positive relationships among study variables at each menopausal stage. Conclusion: Postmenopausal women seem to have greater musculoskeletal pain and menopausal symptoms, and have depression more than did early peri-menopausal women. Tailored nursing strategies are required to reduce these kinds of common symptoms for women with menopausal transition to improve their physical and psychological wellbeing.
참고문헌 (30)
- Ahn, S, "Bone mineral density perceived menopausal symptoms: factors influencing low back pain in postmenopausal women", Journal of Advanced Nursing, 65, pp.1228~1236 (2009)
- Altshuler, L. L, "The use of SSRIs in depressive disorders specific to women", Journal of Clinical Psychiatry, 63, pp.3~8 (2002)
- Avis, N. E., "The evolution of menopausal symptoms", Bailliere's Clinical Endocrinology and Metabolism, 7, pp.17~32 (1993)
- Avis, N. E., "Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: Study of Women's Health Across the Nation", Menopause, 16, pp.860~869 (2009)
- Beck, A. T., "An inventory for measuring depression", Archives of General Psychiatry, 4, pp.561~571 (1961)
- Choi, H. W., "Menopause-related attitude and symptoms in middle-aged women", Korean Journal of Neuropsychiatric Association, 37, pp.1146~1157 (1998)
- Choi, S. J, "The relationship between menopause management practice and low back pain in climacteric women by menopausal stage", Journal of the Korean Society of Maternal and Child Health, 4, pp.71~81 (2000)
- Dennerstein, L., "A prospective population-based study of menopausal symptoms", Obstetrics and Gynecology, 96, pp.351~358 (2000)
- Dugan, S. A., "Musculoskeletal pain and menopausal status", Clinical Journal of Pain, 22, pp.325~331 (2006)
- Fan, X., "Estrogen receptor β is essential for sprouting of nociceptive primary afferents and for morphogenesis and maintenance of the dorsal horninterneurons", National Academy of Sciences of the United States of America, pp.13696~13701 (2007)
- Jin, K. O, "A study on therelationship between level of pain and depression in middle-aged women with chronic low back pain", Journal of Muscle and Joint Health, 15, pp.73~87 (2008)
- Kang, S. J, "Lifestyle and menopausal symptoms and depression of Korean women", Journal of Korean Academic Society of Women's Health, 3, pp.207~228 (2002)
- 김혜원, "Perimenstural Symptoms of Korean Women Living in the USA:Applicability of the WDHD(Women's Daily Health Diary) on Prospective Report", Journal of Korean Academy of Nursing, 34(7), pp.1395~1401 (2004), 한국간호과학회
- Kim, H. Y, "Study on depression and ego identity of middle-aged women", Korean Journal of Women Health Nursing, 3, pp.117~138 (1996)
- Kim, J. A, "A study on the climacteric symptoms and emotion of Korean women living in the united states and korea", Korean Journal of Fundamentals of Nursing, 6, pp.35~50 (1999)
- 김정희, "폐경기 중년여성의 폐경단계에 따른 건강지각, 신체상, 성기능 및 우울", Journal of Korean Academy of Nursing, 36(4), pp.449~456 (2006), 한국간호과학회
- 김영혜, "중년여성의 폐경증상과 삶의 질", Journal of Korean Academy of Nursing, 33(5), pp.601~608 (2003), 한국간호과학회
- Kravitz, H. M., "Sleep disturbance during the menopausal transition in a multi-ethnic community sample of women", Sleep, 31, pp.979~990 (2008)
- Kwon, S. H., "An analysis of the relationship between menopausal symptoms and depression", Korean Journal of Women Health Nursing, 2, pp.235~245 (1996)
- Mitchell, E. S., "Differentiation of women with three perimentrual patterns", Nursing Research, 43, pp.25~30 (1994)
- Osmers, R., "Efficacy and safety of isopropanolic black cohosh extract for climacteric symptoms", Obstetrics and Gynecology, 105, pp.1074~1083 (2005)
- Parry, B. L, "Optimal management of perimenopausal depression", International Journal of Women's Health, 2, pp.143~151 (2010)
- Park, G. J, "A structural model for depression in middle-aged Women", Korean Journal of Women Health Nursing, 8, pp.69~84 (2002)
- Park, H. M., "The change of hormone therapy in postmenopausal women after publication of the women's health initiative study", Journal of Korean Society of Menopause, 11, pp.99~106 (2005)
- Pien, G. W., "Predictors of sleep quality in women in the menopausal transition", Sleep, 31, pp.991~999 (2008)
- Schmidt, P. J., "A Longitudinal evaluation of the relationship between reproductive status and mood in perimenopausal women", The American Journal of Psychiatry, 161, pp.2238~2244 (2004)
- Shakhatreh, F. M., "Menopausal symptoms and health problems of women aged 50-65 years in southern Jordan", Climacteric, 9, pp.305~311 (2006)
- Sievert, L. L, "Musculoskeletal pain among women of menopausal age in Puebla", Mexico Journal of Cross-Cultural Gerontology, 20, pp.127~140 (2005)
- Soares, C. N, "Depression during the perimenopause", Archives of General Psychiatry, 58, pp.306~ (2001)
- Yoo, E. K., "Maternity and Women's Health Nursing (9th ed.)" (2008), Hyunmoon Publisher