閉経期にわたる良好な精神的健康の促進
Lydia Brown1, Myra S Hunter2, Rong Chen3
1Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, VIC, Australia; Academic Research Collaborative in Health, La Trobe University, Bundoora, VIC, Australia; Healthscope Hospitals, Melbourne, VIC, Australia.
Lancet (London, England)
|March 8, 2024
まとめ
更年期への移行が 鬱病のリスクを 普遍的に増加させるわけではありません しかし,重度の症状やうつ病歴のある女性はより脆弱です. リスク要因を早期に認識することは メンタルヘルスの支援に不可欠です
科学分野:
- 女性 の 健康
- 精神 的 な 健康
- 生殖内分泌学
背景:
- 更年期への移行は女性の精神的健康に影響を与え 期待や生理的な反応に影響を与えます
- この段階における 精神疾患のリスクを理解することは 効果的な医療に不可欠です
研究 の 目的:
- メンタルヘルス状態と 更年期への移行との関連に関する将来的な研究をレビューする.
- 更年期中の気分障害の特定の危険因子を特定する.
主な方法:
- 12件の見通し研究を体系的に検討した.
- 鬱症状,重度うつ病,不安,双極性障害,精神病に関するデータの分析
- 更年期に関連する心理的社会的なリスク要因の検討
主要な成果:
- 閉経期におけるうつ症状や重度のうつ病のリスクの普遍的な増加は認められませんでした.
- 重度の血管運動症状,睡眠障害,より長い移行期間,特定のホルモン動態,またはストレスの多い生活イベントを有するサブグループで特定されたうつ症状に対する脆弱性.
- 重度のうつ病のリスクが高まり,主にうつ病歴のある個体で観察された.
結論:
- 更年期中の精神疾患の 正確な診断と治療には パラダイムシフトが必要で 更年期の変化に誤った説明を避ける必要があります
- プライマリーケアでは 鬱病の危険因子を認識し 早期の介入に重点を置くべきです
- 閉経期間中にうつ病の症状を検出し,治療し,精神的幸福を促すための推奨事項が提供されています.
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