A STUDY ON BACKGROUND FACTORS OF CLIMACTERIC SYMPTOMS AND PSYCHOLOGICAL NEEDS OF WOMEN WITH CLIMACTERIC SYMPTOMS

更年期症状背景因素及女性更年期症状心理需求研究

• 批准号: 10670337
• 负责人: MORIOKA Yukiko
• 金额: $ 1.34万
• 依托单位: YAMAGATA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10670337/
• 关键词: climacteric symptoms; life events; coping; support system; menopause; anxiety; acceleration plethysmogram; ライフ・イベント; 自律神経機能; 性腺機能; カウンセリング

In orDer to explore background factors of climacteric symptoms and psychological needs of women with climacteric symptoms, a comprehensive study was conducted among menopausal women with and without climacteric symptoms. This study consisted of three parts. In the first part of this study, the subjects were 22 menopausal patients with climacteric symptoms and 100 healthy menopausal women. A questionnaire consisted of Simplified Menopausal Index(SMI), General Health Questionnaire(GHQ), the State-Trait Anxiety Inventory(STAI), Parental Bonding Instrument(PBI) and questions about stressful life events was administered to the subjects. In the second part of this study, the subjects were 26 menopausal patients with climacteric symptoms. Change of scores of SMI, bloodestradiol levels and types of acceleration plethysmogram pattern were investigated among the subjects. In the third part of this study, the subjects were 83 menopausal women. Correlations of SMI to GHQ and types of acceleration plethysmogram pattern were evaluated in the subjects.The results of three parts of this study were as follows. Menopausal women with climacteric symptoms had experienced more negative life events than healthy menopausal women. Sores of SMI evaluated after hormone replacement therapy(HRT)was higher than that evaluated before HRT.Type C decreased and type B increased after HRT.Menopausal women who scored 51 points and above had more somatic complaints, more anxiety and more disturbance in social activities than menopausal women who scored 50 point and under. SMI positively correlated with GHQ.From these results, it is suggested that climacteric symptoms had some relation to psychological factors as well as estradiol levels and acceleration plethysmogram. Psychosocial support should be considered in treating menopausal women with climacteric symptoms, especially in the cases in which hormone replacement therapy presented unsatisfactory effects.

为了探讨更年期症状的背景因素以及有更年期症状的女性的心理需求，对有和没有更年期症状的更年期妇女进行了综合研究。本研究由三个部分组成。在这项研究的第一部分中，研究对象是22名有更年期症状的更年期患者和100名健康的更年期女性。对受试者进行了问卷调查，包括简化更年期指数（SMI）、一般健康问卷（GHQ）、状态特质焦虑量表（STAI）、亲子联结工具（PBI）以及有关压力生活事件的问题。在这项研究的第二部分中，研究对象是26名有更年期症状的更年期患者。调查受试者的SMI评分、血液雌二醇水平和加速体积描记图类型的变化。在这项研究的第三部分中，受试者是 83 名更年期女性。对受试者中 SMI 与 GHQ 的相关性以及加速体积描记图模式的类型进行了评估。本研究的三个部分的结果如下。有更年期症状的更年期女性比健康的更年期女性经历过更多的负面生活事件。激素替代治疗（HRT）后评估的SMI疮数较HRT前评估升高。HRT后C型减少，B型增加。评分51分及以上的更年期女性躯体症状较多，焦虑较多，社交活动障碍较多高于得分 50 分及以下的更年期女性。 SMI与GHQ呈正相关。从这些结果表明，更年期症状与心理因素以及雌二醇水平和加速体积描记图有一定关系。在治疗有更年期症状的更年期妇女时，应考虑心理社会支持，特别是在激素替代疗法效果不理想的情况下。

项目成果

MIYUKI IGARASHI, HIDEKAZU SAITO, YUKIKO MORIOKA, ARATA OIJI, TOSHIHIKO NADAOKA, MASAKI KASHIWAKURA: "Stress Vulnerability and Climacteric Symptoms : Life Events, Coping Behavior, and Severity of Symptoms"Gynecologic and obstetric Investigation. 49. 170-17

MIYUKI IGARASHI、HIDEKAZU SAITO、YUKIKO MORIOKA、ARATA OIJI、TOSHIHIKO NADAOKA、MASAKI KASHIWAKURA：“压力脆弱性和更年期症状：生活事件、应对行为和症状严重程度”妇科和产科调查。

Miyuki Igarashi,Yukiko Morioka et al.: "Stress Valnerability and Climateric Symptoms"Gynecologic and Obstetric Investigation. 49. 170-178 (2000)

Miyuki Igarashi、Yukiko Morioka 等：“应激脆弱性和气候症状”妇产科调查。