Factors Influencing Adaptation to Menopause in Middle-aged Women

Eun Joo Lee

doi:10.4069/kjwhn.2018.24.4.336

Journal List > Korean J Women Health Nurs > v.24(4) > 1109659

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Lee: Factors Influencing Adaptation to Menopause in Middle-aged Women

Original Article

Korean Journal of Women Health Nursing 2018; 24(4): 336-345.

Published online: 20 December 2018

DOI: https://doi.org/10.4069/kjwhn.2018.24.4.336

Factors Influencing Adaptation to Menopause in Middle-aged Women

Eun Joo Lee

Assistance Professor, Department of Nursing, Kyungnam University, Changwon, Korea.

Corresponding author: Corresponding author: Lee, Eun Joo. Department of Nursing, Kyungnam University, 7 Kyungnamdaehak-ro, Masanhappo-gu, Changwon 51767, Korea. Tel: +82-55-249-2424, Fax: +82-55-249-2272, augmentin@naver.com

Received 23 August 2018 Revised 20 October 2018 Accepted 12 November 2018

Korean Society of Women Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To identify factors influencing adaptation to menopause in middle-aged women.

Methods

Participants were 157 middle-aged women who visited Y gynecologic clinic in C city. Data were collected through interviews using the Korean CES-D (Center for Epidemiological Studies Depression), climacteric symptoms, life event stress, and menopausal adaptation scale. Data were analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression using SPSS.

Results

There were significant differences in adaptation to menopause according to monthly income, life satisfaction, and marital satisfaction. Adaptation to menopause had significantly negative correlations with depression, climacteric symptoms, and life event stress. Depression, monthly income, climacteric symptoms, and life event stress were verified as factors affecting adaptation to menopause. These factors accounted for 41.9% of adaptation to menopause.

Conclusion

These variables should be considered in nursing interventions to improve adaptation to menopause in middle-aged women. Individuals should have the will to overcome menopause positively and actively.

Keywords: Depression, Stress, Menopause, Adaptation, Women

Figures and Tables

Table 1

General and Menopausal Characteristics (N=157)

Table 2

Depression, Climacteric Symptoms, Life Event Stress, and Adaptation to Menopause (N=157)

Table 3

Differences in Adaptation to Menopause by General and Menopausal Characteristics (N=157)

Table 4

Correlations among Depression, Climacteric Symptoms, Stress, and Adaptation to Menopause (N=157)

Table 5

Factor Influencing of Menopause Adaptation in Middle-aged Women (N=157)

^*Reference=Unsatisfied.

Notes

This work supported by the 2017 Kyungnam University research grant.

^{Conflict of Interest} The authors declared no conflict of interest.

Summary Statement

▪ What is already known about this topic?

If middle-aged women can adapt and cope with various changes related to menopause, they can improve their health and quality of life after middle age.

▪ What this paper adds?

Depression, monthly income, climacteric symptoms, and stress were verified as factors affecting adaptation to menopause.

▪ Implications for practice, education and/or policy

To help middle-aged women improve their menopausal adaptation, nursing intervention is needed to manage menopausal symptoms, reduce depression and life event stress, and take household income into account.

References

1. Yoon JH, Han JH. A study on the psychological phenomenon experienced by menopausal middle-aged women. Korean Journal of Counseling. 2013; 14(4):2195–2212. DOI: 10.15703/kjc.14.4.201308.2195.

2. The American College of Obstetrics and Gynecologists. Menopause: Resource overview [Internet]. Washington, DC: The American College of Obstetrics and Gynecologists;2017. cited 2018 May 18. Available from: http://www.acog.org/Womens-Health/Menopause.

3. Women health nursing learning communities. Women's health nursing. Paju: Soomoonsa;2016. p. 297–.

4. Bae KE. Instrument development for adaptation of women in the menopause period [dissertation]. Seoul: Ewha Womans University;2006. 145.

5. Kim KW, Bae KE. Crisis adaptation of middle-aged women during climacteric period. Crisisonomy. 2017; 13(2):45–55.

6. Park SY. A study on experience of health behaviors of the menopausal women. Journal of Korean Academy of Adult Nursing. 2007; 19(3):484–494.

7. Kwon EJ, Nah EH, Kim HK, Joe SH, Cho HI. Association between metabolic syndrome and psychological characteristics in Korean postmenopausal women. Korean Journal of Health Promotion. 2016; 16(2):119–126. DOI: 10.15384/kjhp.2016.16.2.119.

8. Han MJ, Lee JH. Factors influencing self-identity and menopausal symptoms on level of depression in middle aged women. Korean Journal of Women Health Nursing. 2013; 19(4):275–284. DOI: 10.4069/kjwhn.2013.19.4.275.

9. Kim JH, Oh PJ. Menopause symptoms and perceived cognitive decline in menopausal women: The mediating effect of health promotion behavior. Journal of Korean Academy of Adult Nursing. 2017; 29(2):200–210. DOI: 10.7475/kjan.2017.29.2.200.

10. Healthline. Perimenopause and depression [Internet]. San Francisco, CA: Healthline;2018. cited 2018 August 28. Available from: https://www.healthline.com/health/depression/perimenopausal-depression.

11. Chung WS, Hwang MJ, Kim SS, Song MY. Relationship between obesity, social readjustment rating, self-esteem, eating attitude, depression, stress response and climacteric symptom in Korean peri-menopausal overweight women. Journal of Society of Korean Medicine for Obesity Research. 2008; 8(1):71–80.

12. Kim CK. A qualitative study on depression experiences of middle aged depressed women. Korean Journal of Counseling. 2010; 11(1):1783–1806. DOI: 10.15703/kjc.11.4.201012.1783.

13. Lee HS, Ko Y. The effects of self-esteem, stress, and social support on depression among middle-aged women. Journal of Korean Public Health Nursing. 2017; 31(1):58–70. DOI: 10.5932/JKPHN.2017.31.1.58.

14. Cho YJ. Effect of middle-aged women's stress of life events and social support on their perceived crisis [master's thesis]. Cheongju: Korea National University of Education;2006. 68.

15. Shin HS. Subjectivity on stressful life events of middle-aged women: A Q methodology approach. Journal of Korean Academy of Nursing. 2002; 32(3):406–415.

16. Song EM, Lee SY. The relation between the middle class married middle-aged women's health stress and depression, anxiety: Moderation effect of ego-identify. Korean Journal of Woman Psychology. 2015; 20(4):531–549.

17. Yang KM. The effect of depression, life stress and resilience on quality of life in middle aged women. Journal of Korean Academic Society of Home Care Nursing. 2015; 22(2):300–309.

18. Kim MJ, Kang KJ. Effects of sanhujori and menopausal adaptation on health-related QOL in middle-aged women. Korean Journal of Women Health Nursing. 2014; 20(1):62–71. DOI: 10.4069/kjwhn.2014.20.1.62.

19. Park HS, Kim AJ. Adaptation to menopause and use of yangsaeng in middle-aged Korean women. Korean Journal of Women Health Nursing. 2010; 16(1):1–9. DOI: 10.4069/kjwhn.2010.16.1.1.

20. Park HS, Kim AJ, Bae KE. Life stress, life satisfaction, and adaptation of middle-aged women in the menopause period. Korean Parent-Child Health Journal. 2010; 13(2):55–62.

21. Radoff L. The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement. 1977; 1:385–401.

22. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. The Korean Journal of Health Psychology. 2001; 6(1):59–76.

23. Sarrel PM. Evaluation and management of the menopausal patients. Female Patient. 1995; 20(2):27–32.

24. Jo HS, Lee KJ. A comparative study on climacteric symptoms of natural menopausal women and artificial menopausal women. Journal of Korean Academy of Nursing. 2001; 31(4):692–702. DOI: 10.4040/jkan.2001.31.4.692.

25. Han SH. Study on the menopausal symptoms, menopausal management and quality of life in middle aged women [master's thesis]. Seoul: Ewha Womans University;2004. 60.

26. Holmes TH, Rahe RH. The social readjustment rating scale. Journal of Psychosomatic Research. 1967; 11:213–218.

27. Choi KS, Oh HE, Shim CS. A study on the relationship between climacteric symptom, depression and coping among middle-aged women. Journal of Agricultural Medicine and Community Health. 2008; 33(3):335–345. DOI: 10.5393/JAMCH.2008.33.3.335.

28. Oh YK, Hwang SY. A path analysis on the effect of anxiety and depression on health-related quality of life of middle aged women. Journal of Digital Convergence. 2017; 15(10):579–588. DOI: 10.14400/JDC.2017.15.10.579.

29. Jang HK. Influencing factors on mid-life crisis. Korean Journal of Adult Nursing. 2018; 30(1):98–105. DOI: 10.7475/kjan.2018.30.1.98.

30. Kim EK, Lee KH. The factors related to the menopausal symptoms of married middle-aged women: Focus on the effects of attitudes toward menopause and family related variables. Korean Journal of Human Ecology. 2012; 21(6):1043–1058. DOI: 10.5934/KJHE.2012.21.6.1043.

TOOLS

ORCID iDs: 은주 이
https://orcid.org/0000-0003-1387-7621
Similar articles