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[Psychosomatic relationships in postmenopausal women]
Terapevticheskii Arkhiv
|May 31, 2013
Summary
Postmenopausal women frequently experience depressive and anxiety disorders, with prevalence linked to menopause type and essential hypertension. Early identification and management of these affective disorders are crucial.
Area of Science:
- Reproductive Endocrinology
- Psychiatry
- Cardiology
Background:
- Menopause is associated with significant psychological distress, including depressive and anxiety disorders.
- The climacteric syndrome encompasses a range of physical and psychological symptoms impacting quality of life.
- Understanding the interplay between menopause, affective disorders, and cardiovascular health is essential.
Purpose of the Study:
- To determine the prevalence of depressive and anxiety disorders in postmenopausal women.
- To investigate the relationship between these disorders and climacteric syndrome manifestations.
- To explore the influence of menopause type and blood pressure variations on affective disorders.
Main Methods:
- A cohort of 203 postmenopausal women (142 surgical, 61 natural menopause) was studied.
- Psychometric assessments included the Hamilton depression rating scale and Spielberger test anxiety inventory.
- 24-hour ambulatory blood pressure monitoring was conducted to assess blood pressure profiles.
Main Results:
- Depressive disorders (DD) were prevalent in 82.5% of postmenopausal women, with all experiencing elevated anxiety.
- Severity of DD varied by menopause type (moderate/severe in natural, mild in ovariectomy).
- Higher DD prevalence and severity were observed in women with essential hypertension and specific diurnal blood pressure variations (e.g., no nocturnal dip).
Conclusions:
- The occurrence and severity of depressive disorders in postmenopausal women are influenced by menopause type, essential hypertension, and diurnal blood pressure patterns.
- Routine screening for affective disorders in postmenopausal women is recommended for timely intervention.
- Further research into the complex relationship between menopause, cardiovascular health, and mental well-being is warranted.
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