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首页> 外文期刊>Climacteric: the journal of the International Menopause Society >Premature menopause: a comprehensive understanding of psychosocial aspects.
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Premature menopause: a comprehensive understanding of psychosocial aspects.

机译:绝经期:对社会心理方面的全面了解。

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OBJECTIVE: To compare experience of premature menopause (PM), information sources, treatments, depression, anxiety, body image, sexual function and self-efficacy, between women with premature ovarian failure (POF), surgically induced menopause (SIPM), chemically induced menopause (CIPM), and controls. DESIGN: Cross-sectional observational pilot study using validated and devised questionnaires in 77 Australian women (POF, n = 25; SIPM, n = 17; CIPM, n = 12; controls, n = 23). RESULTS: The average age of all women was 34.8 years (standard deviation (SD) +/- 5.7 years), and time since PM diagnosis was 3.8 years (SD +/- 4.4 years, p = 0.19). The gynecologist (69%) and internet (67%) were the best expected sources of information. Women with PM feared osteoporosis more than controls (p < 0.0001). Women with SIPM (p = 0.006) and POF (p = 0.01) had higher rates of depression compared to controls. SIPM women were more anxious than women with POF (p = 0.04) and both SIPM (p = 0.002) and CIPM (p = 0.02) women were more anxious than controls. Women with POF had higher health evaluation (p = 0.03), fitness evaluation (p = 0.01) and fitness orientation (p = 0.01) than women with SIPM. Controls had higher health evaluation than women with SIPM (p = 0.001) and CIPM (p = 0.04), higher fitness evaluation than women with SIPM (p = 0.02) and CIPM (p = 0.04), and higher fitness orientation than SIPM women (p < 0.0001). Sexual dysfunction (p < 0.0001) and dyspareunia (p = 0.001) were higher in CIPM women than controls. Controls were more sexually responsive than POF women (p = 0.008). SIPM (p = 0.008) and POF (p = 0.04) women reported decreased confidence to manage disease. CONCLUSION: Depression, anxiety, body image, sexual dysfunction and self-confidence are compromised for women across different groups of premature menopause. Understanding these differences is important to the development of individual management plans based on the needs of women.
机译:目的:比较卵巢早衰(POF),手术致绝经(SIPM),化学性致绝经的女性之间的更年期(PM),信息来源,治疗,抑郁,焦虑,身体形象,性功能和自我效能的经历更年期(CIPM)和控制。设计:采用经验证和设计的问卷对77名澳大利亚妇女进行横断面观察性试验研究(POF,n = 25; SIPM,n = 17; CIPM,n = 12;对照组,n = 23)。结果:所有女性的平均年龄为34.8岁(标准差(SD)+/- 5.7岁),自PM诊断以来的时间为3.8年(SD +/- 4.4岁,p = 0.19)。妇科医生(69%)和互联网(67%)是人们最希望得到的信息来源。患有PM的女性比对照组更担心骨质疏松症(p <0.0001)。与对照组相比,SIPM(p = 0.006)和POF(p = 0.01)的女性抑郁症发生率更高。 SIPM妇女比POF妇女更焦虑(p = 0.04),SIPM(p = 0.002)和CIPM(p = 0.02)妇女比对照组更焦虑。患有POF的女性比具有SIPM的女性具有更高的健康评估(p = 0.03),适合度评估(p = 0.01)和适合度取向(p = 0.01)。对照组的健康评估高于SIPM(p = 0.001)和CIPM(p = 0.04)的女性,健康评估比SIPM(p = 0.02)和CIPM(p = 0.04)的女性更高,健身取向也高于SIPM女性( p <0.0001)。 CIPM妇女的性功能障碍(p <0.0001)和性交困难(p = 0.001)高于对照组。对照组比POF妇女对性反应更敏感(p = 0.008)。 SIPM(p = 0.008)和POF(p = 0.04)妇女报告对疾病的信心下降。结论:不同年龄段的更年期妇女的抑郁,焦虑,身体形象,性功能障碍和自信心受到损害。了解这些差异对于根据女性需求制定个人管理计划很重要。

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