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The menopausal hot flush: symptom reports and concomitant physiological changes.

L C Swartzman1, R Edelberg, E Kemmann

  • 1Department of Psychology, Faculty of Social Sciences, University of Western Ontario, London, Canada.

Journal of Behavioral Medicine
|February 1, 1990
PubMed
Summary
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Researchers developed the Physiological Flush Profile (PFP) to objectively identify hot flushes in menopausal women. This new method uses physiological measures, offering a reliable alternative to subjective symptom reporting.

Area of Science:

  • Menopause research
  • Physiology
  • Psychometrics

Background:

  • Hot flushes are the most common symptom reported by menopausal women.
  • Current identification relies on subjective patient reporting, which can be variable.
  • Objective measures are needed to complement or replace subjective reports.

Purpose of the Study:

  • To develop objective criteria for identifying hot flushes.
  • To create a method applicable independently of patient symptom reports.
  • To explore the relationship between physiological measures and subjective symptom severity.

Main Methods:

  • Psychophysiological monitoring was conducted on 21 postmenopausal women.
  • Physiological data during reported hot flushes were compared to non-flush periods.

Related Experiment Videos

  • Discriminant function analysis was used to identify key physiological indicators.

    • Main Results:

    • The Physiological Flush Profile (PFP) was developed, combining peripheral vasodilation and increased skin conductance.
    • The PFP demonstrated high specificity and sensitivity in identifying hot flushes.
    • Increased sternal skin conductance strongly correlated with subjective hot flush severity.

    Conclusions:

    • The PFP provides a reliable, objective measure for hot flush identification.
    • This objective measure can aid in understanding the role of psychological factors in menopausal symptom reporting.
    • The PFP has potential applications in clinical and research settings for menopause symptom assessment.