Perimenopausal Column
The relationship between menopause syndrome and depression among perimenopausal women in menopausal outpatient department
Qin Jin, Cheng Huang, Qi Hua, Furui Jin, Jun Xie, Jing Ma
Published 2018-06-25
Cite as Chin J Reprod Contracep, 2018, 38(6): 441-447. DOI: 10.3760/cma.j.issn.2096-2916.2018.06.002
Abstract
ObjectiveTo explore the any correlations between menopause syndromes and depression among perimenopausal women attending a specialized "menopause outpatient clinic" .
MethodsWomen aged 40-60 years were recruited face-to-face during their first visit for a survey conducted from July 2016 to Februrary 2017. The questionnaire collected information on socio-demographics, physical health, menopause symptoms. Kupperman menopause index (KMI) and patient health questionnaire (PHQ-9) were chosen to measure menopause symptoms and major depressive disorders respectively.
ResultsOf 153 participants, the average age was (47.3±4.3) years. A majority of them (77.78%) were considered to be at perimenopausal stage with 73.86% self-reportedany menopause syndromes (KMI>6). The top five most common menopause-related symptoms were fatigue (70.59%), mood swings (63.40%), insomnia (59.48%), hot flashes/sweating (56.21%) and joint pain (52.29%). For depression, 35.95% of the participants were screened as having any major depression (PHQ-9≥5). Both the severity of menopause syndromes (higher KMI scores) and the co-occurrence of menopause-related symptoms were significantly associated with these women’s depression screening. Multivariable analysis further revealed that depression was closely associated with the following menopause-related symptoms: hot flashes/sweat, insomnia, mood swings, dizziness, fatigue, headaches, and palpitations (reaching statistical significance).
ConclusionThere is a clear link between menopause (severity and related symptoms) and depression in patients attending the specialized menopause outpatient clinic. More clinical care is needed to address the increased likelihood of co-occurring depression among perimenopausal female patients to improve their quality of life.
Key words:
Perimenopause; Depression; Influencing factors
Contributor Information
Qin Jin
Shanghai Jiao Tong University, School of Medicine, International Peace Maternal and Child Health Hospital, Shanghai 200030, China
Cheng Huang
Key Laboratory of Public Health Safety of Ministry of Education, Department of Epidemiology School of Public Health, Fudan University, Shanghai 200032, China
Qi Hua
Shanghai Jiao Tong University, School of Medicine, International Peace Maternal and Child Health Hospital, Shanghai 200030, China
Furui Jin
Shanghai Jiao Tong University, School of Medicine, International Peace Maternal and Child Health Hospital, Shanghai 200030, China
Jun Xie
Shanghai Jiao Tong University, School of Medicine, International Peace Maternal and Child Health Hospital, Shanghai 200030, China
Jing Ma
Shanghai Jiao Tong University, School of Medicine, International Peace Maternal and Child Health Hospital, Shanghai 200030, China