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CONTEMPORARY MENOPAUSAL DIMENSIONS IN THE ASIA-PACIFIC REGION: A CULTURAL PERSPECTIVE OF MIDLIFE EVENTS
S102
8th European Congress on Menopause (EMAS) / Maturitas 63, Supplement 1 (2009) S1–S136
Methods: One hundred and twenty four women were enrolled. Women with irregular menses or prolonged amenorrhea lasting less than 12 months were assigned to the premenopausal group, while women who had experienced 12 months of amenorrhea were put into the post-menopausal group. All patients answered a questionnaire regarding demographic characteristics and then underwent a psychological examination using the Beck Depression Inventory (BDI) to analyse their mood and Rorschach inkblot test to analyse their psychological organization. Results: BDI scores were found to be higher in the pre menopause group (12.7±1.1 vs 9.7±1.1; p=0.004). However, by dichotomising these scores, a higher incidence of medium-severe depression was found in the postmenopause group (26.6% vs 15.4%, p=0.007). No intra-group correlations were found between a positive Rorschach and severity of depression. In the premenopause group, the severity of depression did not correlate with the considered variables, while in the post-menopausal group it was found to be correlated with gynaecological disorders, low financial income and unemployment. A positive Rorschach was found to be correlated with age of menarche and menopausal symptoms in the pre-menopause, and only with menopausal symptoms in the post-menopause. Conclusions: Depressive symptoms in pre- and post-menopause are not linked to the individual psychological organization, but to psychosocial factors. They are more frequent in the premenopause but become severe in the post-menopause. Keywords: Depression, rorschach, Beck Depression Inventory.
402
Australian and Taiwanese men and women completed a questionnaire including the measurement of values, attitudes, social networks, midlife events, socio-demographic factors. The finding of this study revealed that the biological event of menopause seems less stressful for both midlife Australians (M=3.36, SD=1.90) and Taiwanese (M=3.84, SD=1.94) compared to those undesirable biological events, midlife Taiwanese viewed their wife’s menopause/or husband’s testosterone decline (M=4.09, SD=1.98) more stressful than their own biological hormone effect [t(664)=-7.79, p<0.001]. Conversely, this was the opposite situation for midlife Australians, who felt that their own menopause/or testosterone decline and circumstances were more stressful than their wife’s menopause/or husband’s testosterone decline [M=3.10, SD=1.92; t(664)= -4.18, p<0.001]. The findings of this study suggest essentially that cultural values significantly involve negative (-0.27
404 CHARACTERISTICS OF THE CLIMACTERIC SYNDROME AND QUALITY OF LIFE IN WOMEN WITH AUTOIMMUNNE THYROIDITIS N. Podzolkova, G. Gvasalia. Russian Medical Academy of Postgraduate Study, Department of Obstetrics and Gynecology, Moscow, Russian Federation
QUALITY OF LIFE AFTER THE MENOPAUSE IN IRAN: A POPULATION STUDY H. Fallahzadeh. Sahid Sadougi University of Medical Sciences, Epidemiology and Biostatistics, Yazd, Iran, Islamic Republic of The objective of the present research was to assess QOL and determine factors related to its impairment among postmenopausal Iranian women. Methods: A descriptive study was conducted. The sample consisted of 300 post-menopausal women in Yazd in 2006.Data was collected using the menopause quality of life questionnaire (MENQOL) by interviewing. Content validity and cronbach’s alpha were used respectively to ensure the validity and reliability of the questionnaires. Inferential and descriptive statistics via SPSS.15 software were used for data analysis. Results: The mean scores for quality of life in psychological dimension was 18.15±8.9, in physical dimension, it was 41.9±16.3, in vasomotor dimension, it was 12.34±4.7 and in sexual dimension was 10.97±6.5. Regarding the influence of social markers (age, marital status, school years, work, number of children and economic status), housewives were found to have higher, worse, scores than working women in further test components (vasomotor, 12.12±4.6 versus 13.4±4.6, P>0.1; psychosocial, 19.44±8.4 versus 12.86±7.8, P<0.0007; physical, 44.2±14.7 versus 26.6±17.5, P<0.0001; sexual, 11.9±6.2 versus 6.4±6.7, P<0.0001). However, logistic regression demonstrated that the variables school years, work and economic status found to be related to QoL scores. Conclusion: Menopause causes a decrease in quality of life, which is dependent to work and other sociodemographic variables. Therefore, it is necessary to develop effective intervention programs to improve quality of life after menopause. Keywords: Quality of life; Estrogens; Menopause; Climacteric symptoms; Specific Quality of Life Questionnaire.
Objective: To determine the characteristics of climacteric syndrome and quality of life in women with autoimmunne thyroiditis (AT). Methods: The study included 86 patients of age 48-55 (M ± σ, 51.2±1.24) and 53 apparently healthy, age-matched women. Morbidity, menstrual function, menopausal symptoms by menopause rating scale (MRS) and health related quality of life with questionnairy SF36 were studied. Results: High rate of morbidity was found. Cardiovascular and vertebral pathologies were dominant. No difference was found between the mean age of the menopause onset in women with AT (49.8±1.2) and the controls (50.5±0.8), (p=0.12). Women with AT presented with higher total score of MRS -29.2±3.2 vs. 20.4±1.7, P=0.008. Women with uncompensated hypothyroidism (N52) had increased scores of arthralgia & mialgia (0.9±0.1 vs. 0.5±0.1, p=0.039) and exhaustion (2.1±0.2 vs. 1.4±0.1, p=0.031). Depression and anxiety scores were irrespective of the thyroid function and almost twice as higher in objects with AT (1.9±0.3 vs. 1.1±0.3, p=0.021 and 1.5±0.2 vs. 0.8±0.2, p=0.028 respectively). Most of the dimensions of the SF36 were reduced in women with uncompensated hypothyroidism. Daily life was decreased by 25%. Viability counted just 42% of the upper limit and twice as less than in the controls (82%). Emotional and psychological well-being did not exceed 65.3% and 45.8% respectively. Conclusion: Women with thyroid autoimmunity are at high risk of severe climacteric syndrome. Psychological disordes seem to result from autoimmunne processes and have negative impact on morbidity and quality of life. Keywords: Autoimmunne Thyroiditis, Hypothyroidism, Climacteric Syndrome, Quality Of Life.
405 AN AUDIT OF THE OPINIONS OF WOMEN WITH PREMATURE OVARIAN FAILURE ATTENDING A GENERAL MENOPAUSE CLINIC
403 CONTEMPORARY MENOPAUSAL DIMENSIONS IN THE ASIA-PACIFIC REGION: A CULTURAL PERSPECTIVE OF MIDLIFE EVENTS S.-Y.K. Fu 1 , B. McAvan 2 . 1 Fu Jen Catholic University, Nursing, Taipei County, Taiwan, Republic of China; 2 Griffith University, Asia Institute, Brisbane, Australia The aims of study were to (1) compare the midlife events of men and women in Australia and Taiwan; and (2) to explore the significant effect of cultural values, attitudes, and social networks on the perceptions of menopause. Using a secondary data analysis addressed the research gap. This secondary data was obtained from the Australian and Taiwanese Midlife Citizens Quality of Life Research (ATMCQOL, 2006) which included randomized population figures in Brisbane, Australia and Taipei, Taiwan. Selected
D. Holloway 1 , J. Robinson 2 , J. Rymer 2 . 1 Guys and St Thomas NHS Foundation Trust, Women’s Services, London, United Kingdom; 2 Menopause Research Unit, Division of Reproduction & Endocrinology, Kings College London, London, United Kingdom Objectives: To undertake an audit of women with premature ovarian failure (POF) who have attended a general menopause clinic and to use this information to re-design and improve the service to meet the needs of these women. Methods: Women, 45 years and under, who attended the menopause clinic within the time period October 2007 - October 2008 were identified and contacted. They were invited to complete & return a questionnaire relating to their menopausal symptoms, clinic attendance and future management. Results: As this is still ongoing no results are currently available. Within this audit we will report on symptoms, age at diagnosis, menopausal
8th European Congress on Menopause (EMAS) / Maturitas 63, Supplement 1 (2009) S1–S136
Methods: One hundred and twenty four women were enrolled. Women with irregular menses or prolonged amenorrhea lasting less than 12 months were assigned to the premenopausal group, while women who had experienced 12 months of amenorrhea were put into the post-menopausal group. All patients answered a questionnaire regarding demographic characteristics and then underwent a psychological examination using the Beck Depression Inventory (BDI) to analyse their mood and Rorschach inkblot test to analyse their psychological organization. Results: BDI scores were found to be higher in the pre menopause group (12.7±1.1 vs 9.7±1.1; p=0.004). However, by dichotomising these scores, a higher incidence of medium-severe depression was found in the postmenopause group (26.6% vs 15.4%, p=0.007). No intra-group correlations were found between a positive Rorschach and severity of depression. In the premenopause group, the severity of depression did not correlate with the considered variables, while in the post-menopausal group it was found to be correlated with gynaecological disorders, low financial income and unemployment. A positive Rorschach was found to be correlated with age of menarche and menopausal symptoms in the pre-menopause, and only with menopausal symptoms in the post-menopause. Conclusions: Depressive symptoms in pre- and post-menopause are not linked to the individual psychological organization, but to psychosocial factors. They are more frequent in the premenopause but become severe in the post-menopause. Keywords: Depression, rorschach, Beck Depression Inventory.
402
Australian and Taiwanese men and women completed a questionnaire including the measurement of values, attitudes, social networks, midlife events, socio-demographic factors. The finding of this study revealed that the biological event of menopause seems less stressful for both midlife Australians (M=3.36, SD=1.90) and Taiwanese (M=3.84, SD=1.94) compared to those undesirable biological events, midlife Taiwanese viewed their wife’s menopause/or husband’s testosterone decline (M=4.09, SD=1.98) more stressful than their own biological hormone effect [t(664)=-7.79, p<0.001]. Conversely, this was the opposite situation for midlife Australians, who felt that their own menopause/or testosterone decline and circumstances were more stressful than their wife’s menopause/or husband’s testosterone decline [M=3.10, SD=1.92; t(664)= -4.18, p<0.001]. The findings of this study suggest essentially that cultural values significantly involve negative (-0.27
404 CHARACTERISTICS OF THE CLIMACTERIC SYNDROME AND QUALITY OF LIFE IN WOMEN WITH AUTOIMMUNNE THYROIDITIS N. Podzolkova, G. Gvasalia. Russian Medical Academy of Postgraduate Study, Department of Obstetrics and Gynecology, Moscow, Russian Federation
QUALITY OF LIFE AFTER THE MENOPAUSE IN IRAN: A POPULATION STUDY H. Fallahzadeh. Sahid Sadougi University of Medical Sciences, Epidemiology and Biostatistics, Yazd, Iran, Islamic Republic of The objective of the present research was to assess QOL and determine factors related to its impairment among postmenopausal Iranian women. Methods: A descriptive study was conducted. The sample consisted of 300 post-menopausal women in Yazd in 2006.Data was collected using the menopause quality of life questionnaire (MENQOL) by interviewing. Content validity and cronbach’s alpha were used respectively to ensure the validity and reliability of the questionnaires. Inferential and descriptive statistics via SPSS.15 software were used for data analysis. Results: The mean scores for quality of life in psychological dimension was 18.15±8.9, in physical dimension, it was 41.9±16.3, in vasomotor dimension, it was 12.34±4.7 and in sexual dimension was 10.97±6.5. Regarding the influence of social markers (age, marital status, school years, work, number of children and economic status), housewives were found to have higher, worse, scores than working women in further test components (vasomotor, 12.12±4.6 versus 13.4±4.6, P>0.1; psychosocial, 19.44±8.4 versus 12.86±7.8, P<0.0007; physical, 44.2±14.7 versus 26.6±17.5, P<0.0001; sexual, 11.9±6.2 versus 6.4±6.7, P<0.0001). However, logistic regression demonstrated that the variables school years, work and economic status found to be related to QoL scores. Conclusion: Menopause causes a decrease in quality of life, which is dependent to work and other sociodemographic variables. Therefore, it is necessary to develop effective intervention programs to improve quality of life after menopause. Keywords: Quality of life; Estrogens; Menopause; Climacteric symptoms; Specific Quality of Life Questionnaire.
Objective: To determine the characteristics of climacteric syndrome and quality of life in women with autoimmunne thyroiditis (AT). Methods: The study included 86 patients of age 48-55 (M ± σ, 51.2±1.24) and 53 apparently healthy, age-matched women. Morbidity, menstrual function, menopausal symptoms by menopause rating scale (MRS) and health related quality of life with questionnairy SF36 were studied. Results: High rate of morbidity was found. Cardiovascular and vertebral pathologies were dominant. No difference was found between the mean age of the menopause onset in women with AT (49.8±1.2) and the controls (50.5±0.8), (p=0.12). Women with AT presented with higher total score of MRS -29.2±3.2 vs. 20.4±1.7, P=0.008. Women with uncompensated hypothyroidism (N52) had increased scores of arthralgia & mialgia (0.9±0.1 vs. 0.5±0.1, p=0.039) and exhaustion (2.1±0.2 vs. 1.4±0.1, p=0.031). Depression and anxiety scores were irrespective of the thyroid function and almost twice as higher in objects with AT (1.9±0.3 vs. 1.1±0.3, p=0.021 and 1.5±0.2 vs. 0.8±0.2, p=0.028 respectively). Most of the dimensions of the SF36 were reduced in women with uncompensated hypothyroidism. Daily life was decreased by 25%. Viability counted just 42% of the upper limit and twice as less than in the controls (82%). Emotional and psychological well-being did not exceed 65.3% and 45.8% respectively. Conclusion: Women with thyroid autoimmunity are at high risk of severe climacteric syndrome. Psychological disordes seem to result from autoimmunne processes and have negative impact on morbidity and quality of life. Keywords: Autoimmunne Thyroiditis, Hypothyroidism, Climacteric Syndrome, Quality Of Life.
405 AN AUDIT OF THE OPINIONS OF WOMEN WITH PREMATURE OVARIAN FAILURE ATTENDING A GENERAL MENOPAUSE CLINIC
403 CONTEMPORARY MENOPAUSAL DIMENSIONS IN THE ASIA-PACIFIC REGION: A CULTURAL PERSPECTIVE OF MIDLIFE EVENTS S.-Y.K. Fu 1 , B. McAvan 2 . 1 Fu Jen Catholic University, Nursing, Taipei County, Taiwan, Republic of China; 2 Griffith University, Asia Institute, Brisbane, Australia The aims of study were to (1) compare the midlife events of men and women in Australia and Taiwan; and (2) to explore the significant effect of cultural values, attitudes, and social networks on the perceptions of menopause. Using a secondary data analysis addressed the research gap. This secondary data was obtained from the Australian and Taiwanese Midlife Citizens Quality of Life Research (ATMCQOL, 2006) which included randomized population figures in Brisbane, Australia and Taipei, Taiwan. Selected
D. Holloway 1 , J. Robinson 2 , J. Rymer 2 . 1 Guys and St Thomas NHS Foundation Trust, Women’s Services, London, United Kingdom; 2 Menopause Research Unit, Division of Reproduction & Endocrinology, Kings College London, London, United Kingdom Objectives: To undertake an audit of women with premature ovarian failure (POF) who have attended a general menopause clinic and to use this information to re-design and improve the service to meet the needs of these women. Methods: Women, 45 years and under, who attended the menopause clinic within the time period October 2007 - October 2008 were identified and contacted. They were invited to complete & return a questionnaire relating to their menopausal symptoms, clinic attendance and future management. Results: As this is still ongoing no results are currently available. Within this audit we will report on symptoms, age at diagnosis, menopausal