Psychologic distress and natural menopause: a multiethnic community study
- PMID: 11527777
- PMCID: PMC1446800
- DOI: 10.2105/ajph.91.9.1435
Psychologic distress and natural menopause: a multiethnic community study
Abstract
Objectives: This study examined the association between psychologic distress and natural menopause in a community sample of African American, White, Chinese, Hispanic, and Japanese women participating in a national women's health study.
Methods: A cohort of 16,065 women aged 40 to 55 years provided information on menstrual regularity in the previous year, psychosocial factors, health, and somatic-psychologic symptoms. Psychologic distress was defined as feeling tense, depressed, and irritable in the previous 2 weeks.
Results: Rates of psychologic distress were highest in early perimenopause (28.9%) and lowest in premenopause (20.9%) and postmenopause (22%). In comparison with premenopausal women, early perimenopausal women were at a greater risk of distress, with and without adjustment for vasomotor and sleep symptoms and covariates. Odds of distress were significantly higher for Whites than for the other racial/ethnic groups.
Conclusions: Psychologic distress is associated with irregular menses in midlife. It is important to determine whether distress is linked to alterations in hormone levels and to what extent a mood-hormone relationship may be influenced by socioeconomic and cultural factors.
Similar articles
-
Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups.Soc Sci Med. 2001 Feb;52(3):345-56. doi: 10.1016/s0277-9536(00)00147-7. Soc Sci Med. 2001. PMID: 11330770
-
Attitudes toward menopause and aging across ethnic/racial groups.Psychosom Med. 1999 Nov-Dec;61(6):868-75. doi: 10.1097/00006842-199911000-00023. Psychosom Med. 1999. PMID: 10593640
-
Role stress, role reward, and mental health in a multiethnic sample of midlife women: results from the Study of Women's Health Across the Nation (SWAN).J Womens Health (Larchmt). 2012 May;21(5):481-9. doi: 10.1089/jwh.2011.3180. Epub 2012 Feb 23. J Womens Health (Larchmt). 2012. PMID: 22360697 Free PMC article.
-
A national multiethnic online forum study on menopausal symptom experience.Nurs Res. 2010 Jan-Feb;59(1):26-33. doi: 10.1097/NNR.0b013e3181c3bd69. Nurs Res. 2010. PMID: 20010042 Free PMC article.
-
Racial and ethnic disparities and primary care experience.Health Serv Res. 2001 Dec;36(6 Pt 1):979-86. Health Serv Res. 2001. PMID: 11775671 Free PMC article. Review. No abstract available.
Cited by
-
The prevalence of depression and anxiety in premenopausal and menopausal women: A cross-sectional study.Health Sci Rep. 2024 Jul 22;7(7):e2267. doi: 10.1002/hsr2.2267. eCollection 2024 Jul. Health Sci Rep. 2024. PMID: 39044847 Free PMC article.
-
Baseline anxiety-sensitivity to estradiol fluctuations predicts anxiety symptom response to transdermal estradiol treatment in perimenopausal women - A randomized clinical trial.Psychoneuroendocrinology. 2022 Sep;143:105851. doi: 10.1016/j.psyneuen.2022.105851. Epub 2022 Jul 2. Psychoneuroendocrinology. 2022. PMID: 35809362 Free PMC article. Clinical Trial.
-
Prevalence of Psychosomatic and Genitourinary Syndrome Among Menopausal Women: A Systematic Review and Meta-Analysis.Front Med (Lausanne). 2022 Mar 3;9:848202. doi: 10.3389/fmed.2022.848202. eCollection 2022. Front Med (Lausanne). 2022. PMID: 35308492 Free PMC article.
-
Urinary metals and metal mixtures and timing of natural menopause in midlife women: The Study of Women's Health Across the Nation.Environ Int. 2021 Dec;157:106781. doi: 10.1016/j.envint.2021.106781. Epub 2021 Jul 24. Environ Int. 2021. PMID: 34311223 Free PMC article.
References
-
- Avis NE. Is menopause associated with mood disturbances? In: Lobo R, Kelsey J, Marcus R, eds. Menopause: Biology and Pathobiology. New York, NY: Academic Press Inc; 2000:339–352.
-
- O'Connor VM, Del Mar CB, Sheehan M, Siskind V, Fox-Young S, Cragg C. Do psycho-social factors contribute more to symptom reporting by middle-aged women than hormonal status? Maturitas. 1995;20:63–69. - PubMed
-
- Kuh DL, Wadsworth M, Hardy R. Women's health in midlife: the influence of the menopause, social factors and health in earlier life. Br J Obstet Gynaecol. 1997;104:923–933. - PubMed
-
- Matthews KA, Bromberger J, Egeland G. Behavioral antecedents and consequences of the menopause. In: Korenman SG, ed. The Menopause. Norwell, Mass: Serono Symposia; 1990:1–15.
-
- Treloar AE, Boynton RE, Behn BG, Brown BW. Variation of the human menstrual cycle through reproductive life. Int J Fertil. 1967;12:77–126. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical