| BackgroundMenopausal syndromes, refers to women in the before and after menopause, around the menstrual disorders or menopause appear Hongrehanchu, irritability, hot flashes red, chills and fever, dizziness, palpitation and insomnia, tinnitus, waist sour, floating face swollen limbs, skin creepss, emotional restless and so on.The traditional view of the biology of perimenopausal symptoms are attributed to ovarian dysfunction, endocrine changes. But with the biomedical model changing to biopsychosocial medical model, it has been more and more aware of psychological and social factors in the occurrence of diseases and development plays an important role in. But the people encountered in daily life to a variety of social life changes, i. e., life events, such as marriage, education, family death affect people’s thought and psychological activity, so the various psychological changes affect disease occurrence.ObjectiveThe subject is about perimenopausal women with somatic and psychological symptoms investigated in a hospital in Guangzhou. Under the guidance of traditional Chinese medicine, including "holistic view"," psychosomatic unity"," the emotional pathogenic theory", we explore the relationship among social factors, life events, psychosocial stress and menopausal syndromes. And analysis the possible risk factors. All of them is for providing scientific evidence of traditional Chinese medicine" the emotional pathogenic theory" and control scheme. MethodsThis study is a cross-sectional study. From modern medical psychology, traditional Chinese medicine emotional pathogenic etiological perspective, using psychometric, clinical epidemiology and evidence-based medical research method, with the domestic modified Kupperman Index, Psychosocial Stress Survey for Groups (PSSG), Chinese Menopause Rating Scale, Self-reporting Inventory (SCL-90), investigate178perimenopausal women with somatic and psychological symptoms in a hospital in Guangzhou. Explore somatic and psychological symptoms of menopausal syndromes occurring regularity by the effects of social factors, life events, and psychosocial stress. All of them is for providing scientific evidence of traditional Chinese medicine" the emotional pathogenic theory " and control scheme.Results1. Background Analysis.The study included170menopausal women, among them86cases of Menopausal Syndromes Group,84cases of Healthy Group. The Menopausal Syndromes Group according to KI Scale total score display, mild38cases, accounted for44.20%, moderate in45cases, accounting for52.30%, severe3cases, accounting for3.50%. of. KI Scale total score and each item comparison show the severity of menopause symptoms from two groups of women obviously different. Analysising KI each symptom of86menopausal syndrome patients, the most common five symptoms according to the frequency of occurrence are:Insomnia (91.86%); fatigue (88.37%); irritability (87.21%); hot flashes and sweating (84.88%); joint and muscle pain (83.72%).2. Menopausal Syndromes Group and Healthy Group Comparison2.1Group of Two Life Events and Psychosocial Stress ComparisonComparison of the Menopausal Syndromes Group and Healthy Group in life events, negative life events, negative emotion, positive emotions, negative coping, positive coping, total stress are statistical differences (P<0.05).To Menopausal Syndromes Group, life events in the highest frequency in previous five years before suffering menopausal syndromes are:personal health changes (74.40%); overwork (60.50%); children’s future (40.70%); the death of their loved ones (34.90%); relatives of seriously i11(34.90%); occupation changes (33.70%); a family feud or marital problems (19.80%). 2.2Group of Two Somatic and Psychological Symptoms ComparisonTwo groups’somatosensory and psychological field scrores are statistically significant differences (P<0.05).The Menopausal Syndromes Group with each factor of SCL-90, the highest5factor scores are as follows:other factors (sleeping and eating), obsessive symptoms, somatization, depression, anxiety3. The Menopausal Syndrome Group according to severity grading, comparison of life events and psychosocial stress.Comparison of mild Menopausal Syndrome Group and moderate severe Menopausal Syndrome Group, negative coping, total stress are statistically significant differences (P<0.05).4. The Menopausal Syndrome Group according to the amount of life events groupcomparisonThe high number life event group and the low number life events group, their somatic symptoms, psychological symptoms, social function are put in difference. The difference of the two groups is significant (P<0.05). In addition, somatosensory areas difference is less than psychological differences.5. The Menopausal Syndrome Group according to total stress score group comparisonComparison of high total stress and low total stress groups, Chinese Menopause Rating Scale of each dimension, menopausal syndrome scores, psychological field, social function and the ability in work are statistically significant differences (P<0.05).For the SCL-90of each dimension, SCL-90scores, somatic symptoms, psychological symptoms between group differences are statistically significant differences (P<0.05).6. The high number life event group according to the total stress level group comparisonThe high number life event high total stress group and high low stress life events total group comparison, psychological field differences between group are statistically significant (P<0.05).7. Menopause syndrome group life events, total stress, somatic and psychological symptoms of menopause Spearman correlation analysis.Life events and both somatic and psychological symptoms of menopause have positive correlation, and all pass the test of correlation coefficient.Negative life events and both somatic and psychological symptoms of menopause have positive correlation, and all pass the test of correlation coefficient.Positive life events and both somatic and psychological symptoms of menopause have no correlation, and all fail the test of correlation coefficient.Total stress score and both somatic and psychological symptoms of menopause have positive correlation. Expecially with the psychological field, SCL-90total score and psychological symptoms were highly correlated, and all pass the test of correlation coefficient.8. A comparison among different syndromes of traditional Chinese Medicine of menopausal syndromes86cases of menopausal syndrome, with kidney yin deficiency in14cases(16.28%), kidney yang deficiency in6cases(6.98%), kidney yin and yang deficiency in16cases (18.60%), kidney deficiency and liver stagnation in42cases (48.84%), disharmony of the heart and kidney in7cases (8.14%) yin deficiency and fire excess in1cases (1.16%)Kidney deficiency and liver stagnation group and other syndromes of comparison, life events, negative life events, negative emotion, negative coping, total stress were statistically significant differences (P<0.05).Chinese Menopause Rating Scale of each dimension, menopausal syndrome, psychological field, social function and the ability in work show statistically significant difference between group(P<0.05).For the SCL-90of each dimension, SCL-90total scores, somatic symptoms, psychological symptoms show statistically significant difference between groups (P<0.05).Conclusion1. This study found that menopausal syndrome symptoms occur in high frequency. There are12entries of KI scale, and their frequency of symtoms is more than50%,5entries occur at a frequency of80%or more. Through the investigation of SCL-90was found, the most serisous psychological symptoms are as follows: obsessive symptoms, depression, anxiety.2. To Menopausal Syndromes Group, there are6life events’ frequency in previous five years before suffering menopausal syndromes higher than30%:health changes, overwork, children’s future, the death of their loved ones, relatives of seriously ill, occupation change.3. There are effect on menopausal syndrome both somatic and psychological symptoms with life events increasing. When life events occur of, the bad psychosocial stress will greatly increase the psychological symptoms of menopause syndrome.4. Menopausal syndrome with multiple syndromes of traditional Chinese medicine, kidney deficiency and liver stagnation showed that negative life events, negative emotion and negative coping were significantly higher than that of the other TCM syndromes. Psychological symptoms of kidney deficiency and liver stagnation are more serious than other syndromes, while somatic symptoms have no much difference. |
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