Factors Related to Depression during Menopause: A Study in Southern Taiwan

南台灣更年期婦女憂鬱之相關因素

盧欣怡(Shin-Yi Lu)；曾弘富(Hung-Fu Tseng)；林俐伶(Li-Ling Lin)；陸偉明(Wei-Ming Luh)；徐畢卿(Bih-Ching Shu)

更年期 ； 憂鬱 ； 更年期生理症狀 ； menopause ； depression ； climacteric physiological symptoms

The Journal of Nursing Research

17卷2期（2009 / 06 / 01）

128 - 135

英文

本研究目的旨在調查更年期婦女之憂鬱，並探討憂鬱與自我概念、更年期態度、生活事件壓力、更年期生理症狀與人口學特徵之關係，採用橫斷式相關研究設計及自填式問卷進行調查，以隨機集束抽樣方式選取南台灣台南市的45歲至55歲女性為研究對象，獲取266份有效問卷進行分析。研究結果顯示：㈠參與者有憂鬱症狀之盛行率為31.2%；㈡更年期婦女之憂鬱與生活事件壓力、更年期生理症狀有顯著正相關（相關係數為.23及.34），憂鬱與更年期態度、自我概念有顯著負相關（相關係數為-.31及-.65）；㈢藉由羅吉斯迴歸分析顯示，更年期生理症狀、自我概念與憂鬱具相關性。藉此初步研究，提出負向自我概念、增加的更年期生理症狀與多數住在台灣郊區城市的更年期婦女之憂鬱有密切相關。為進一步探討令更年期婦女持續憂鬱的相關因素，建議可進行大規模的追蹤研究。

The purpose of this study was to survey the prevalence of women's depression during menopause and investigate the relationships between menopause depression and variables including self-concept, menopause attitudes, life-event stresses, climacteric physiological symptoms, and demographics. Research was conducted using a cross-sectional study and self-administered questionnaires. We randomly selected female participants between the ages of 45 and 55 years from Tainan City in southern Taiwan using the cluster method. Two hundred sixty-six valid questionnaires were analyzed. Results were as follows: (a) The prevalence of depression among participants was 31.2%; (b) depression was positively associated with life-event stresses and climacteric physiological symptoms (r=.23 and .34, respectively) and was negatively associated with attitude toward menopause and self-concept (r=-.31 and -.65, respectively); and (c) by logistic regression analyses, climacteric physiological symptoms and self-concept were associated with menopause depression. This preliminary survey suggests that low self-concept and increased climacteric physiological symptoms are closely related to depression among menopausal women. Larger scale follow-up studies are warranted to investigate factors that predispose women to depression during menopause.

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