Mediating effect of menopausal symptoms between the lifestyle and depressive symptoms.

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2024-08-13 DOI:10.1007/s00737-024-01501-w

Si Qin, Yang Luo

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引用次数: 0

Abstract

Purpose: This study aimed to explore relationship between lifestyle and depressive symptoms and evaluated the mediating effect of menopausal symptoms.

Methods: This was a secondary analysis of a survey in Hunan Province, China. We selected 3190 women aged 40 to 55 into final analyses. Menopausal and depressive symptoms were assessed by the Kupperman Menopausal Index and the 9-item Patient Health Questionnaire, respectively. A self-administered questionnaire was used to collect demographic and lifestyle information.

Results: The prevalence of depressive symptoms was 19.5%. After adjusting for demographic variables, passive smoking, drinking, and intensity of physical activity were positively associated with depressive symptoms. Frequency of exercise was a protective factor for depressive symptoms (AOR = 0.783, 95%CI: 0.446-0.991). Excess or restricted sleep duration was associated with higher probability of having depressive symptoms (AOR = 1.746, 95% CI: 1.324-2.304). Menopausal symptoms partially mediated the relationship between lifestyle and depressive symptoms.

Conclusion: Findings highlighted the importance of menopausal symptoms in the relationship between the lifestyle and depressive symptoms, and provided a possibility that active lifestyle might improve depression symptoms among women at perimenopause through changes in sex hormones.

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更年期症状在生活方式和抑郁症状之间的中介效应。

目的：本研究旨在探讨生活方式与抑郁症状之间的关系，并评估更年期症状的中介效应：这是对中国湖南省一项调查的二次分析。我们选取了 3190 名 40 至 55 岁的女性进行最终分析。更年期症状和抑郁症状分别通过库珀曼更年期指数（Kupperman Menopausal Index）和9项患者健康问卷（Patient Health Questionnaire）进行评估。自填式问卷用于收集人口统计学和生活方式信息：结果：抑郁症状的发生率为 19.5%。在对人口统计学变量进行调整后，被动吸烟、饮酒和体育锻炼强度与抑郁症状呈正相关。运动频率是抑郁症状的保护因素（AOR = 0.783，95%CI：0.446-0.991）。睡眠时间过长或受限与抑郁症状的发生概率较高有关（AOR = 1.746，95% CI：1.324-2.304）。更年期症状在一定程度上调节了生活方式与抑郁症状之间的关系：研究结果强调了更年期症状在生活方式与抑郁症状之间关系中的重要性，并提供了一种可能性，即积极的生活方式可能会通过性激素的变化改善围绝经期妇女的抑郁症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.