Seda Hazar, Gülçin Nacar, Furkan Doğan, Sermin Timur Taşhan
{"title":"Determination of the association between aging anxiety and menopausal symptoms in middle-aged women.","authors":"Seda Hazar, Gülçin Nacar, Furkan Doğan, Sermin Timur Taşhan","doi":"10.1097/GME.0000000000002534","DOIUrl":"https://doi.org/10.1097/GME.0000000000002534","url":null,"abstract":"<p><strong>Objectives: </strong>This study was conducted to determine the association between aging anxiety and menopausal symptoms.</p><p><strong>Methods: </strong>The study was descriptive and cross-sectional, conducted with women between the ages of 40 and 59 who actively use internet social media (WhatsApp, Instagram, Facebook, etc). The Personal Information Form, Menopause Symptoms Rating Scale (Menopause Rating Scale), and Aging Anxiety Scale for Middle-Aged Women were used to collect the data.</p><p><strong>Results: </strong>In the study, a statistically significant positive correlation was found between women's aging anxiety and menopausal symptoms (P < 0.05, r = 0.659). It was determined that there is an association between the effect of aging anxiety and menopausal symptoms (B = 0.38, P < 0.001).</p><p><strong>Conclusions: </strong>In the study, it was found that there was an association between menopausal symptoms and aging anxiety. However, the direction of the association is unknown. Therefore, it is recommended that health professionals address menopausal symptoms and aging anxiety together.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Camille P Vaughan, Alayne D Markland, Gerald McGwin, Emily S Lukacz, Sonya S Brady, Yvette D Lacoursiere, Jean F Wyman, Siobhan Sutcliffe, Ariana L Smith, Kimberly Kenton, Ann Stapleton, Linda Brubaker, Bernard L Harlow
{"title":"Association of menopausal status and hormone use with bladder health and lower urinary tract symptoms in US women: results from the RISE FOR HEALTH study.","authors":"Camille P Vaughan, Alayne D Markland, Gerald McGwin, Emily S Lukacz, Sonya S Brady, Yvette D Lacoursiere, Jean F Wyman, Siobhan Sutcliffe, Ariana L Smith, Kimberly Kenton, Ann Stapleton, Linda Brubaker, Bernard L Harlow","doi":"10.1097/GME.0000000000002541","DOIUrl":"https://doi.org/10.1097/GME.0000000000002541","url":null,"abstract":"<p><strong>Objectives: </strong>Most previous studies of genitourinary symptoms associated with menopause focus on comparisons of postmenopausal to premenopausal women and less is known about bladder health during menopause. We evaluated associations of menopause status and hormone use with bladder health and lower urinary tract symptoms (LUTS).</p><p><strong>Methods: </strong>Data were collected from May 2022 to December 2023 from a regionally representative cohort of community-dwelling adult women in the United States. Bladder health and LUTS were measured using validated questionnaires. Analyses included multivariable linear and logistic regression models.</p><p><strong>Results: </strong>Of 3,423 eligible participants, 3,126 responded to menopause and hormone use questions. Of these, 1,226 were premenopausal, 260 perimenopausal, and 1,640 postmenopausal. Premenopausal women reported hormone use more often than perimenopausal or postmenopausal women (38.3% vs. 21.5% and 13.2%). Across multiple bladder health scales (BHS, range 0-100) and bladder function indices (BFI, range 0-100), perimenopause and postmenopause status were associated with worse scores compared with premenopause status. Perimenopausal women were more likely to report urgency UI [OR 2.27, (95% CI: 1.49-3.46)] and other LUTS compared to premenopausal women. Hormone use was associated with worse bladder health in postmenopausal women [postmenopause/hormone -6.0 Overall BHS, (95% CI: -9.8 to -2.2)] and BFI [postmenopause/hormone BFI -4.8, (95% CI: -7.4 to -2.2)].</p><p><strong>Conclusions: </strong>Promotion of bladder health and LUTS prevention is important as women approach the menopause transition. Hormone use was infrequently reported in perimenopausal and postmenopausal women and was associated with worse bladder health postmenopause.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Getaneh Worku, Mikyas A Muluneh, Endinew B Mehiretie, Addisu A Ferede
{"title":"Knowledge about menopause and its associated factors among women aged 30 and above in Merawi administrative town, Northwest, Ethiopia, 2022.","authors":"Getaneh Worku, Mikyas A Muluneh, Endinew B Mehiretie, Addisu A Ferede","doi":"10.1097/GME.0000000000002533","DOIUrl":"https://doi.org/10.1097/GME.0000000000002533","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine knowledge about menopause and its associated factors among women aged 30 and above in Merawi administrative town, Northwest, Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted on 537 women aged 30 and above from June 1 to July 10, 2022. Participants were selected using a systematic random sampling technique and data were collected through a pretested interviewer-administered questionnaire. The data were entered into EPI-data version 4.6 and analyzed by the Statistical Package for Social Science version 25. Multivariable logistic regression was conducted to check the association between dependent and independent variables. The strength of association and the level of significance were determined by P-value <0.05 with 95% CI and adjusted odds ratio (AOR).</p><p><strong>Results: </strong>The overall knowledge of women about menopause was 28.9% (95% CI, 25.1-32.9). Secondary school education AOR 2.99 (95% CI, 1.43-6.28), tertiary level education AOR 3.63 (95% CI, 1.63-8.08), employed women AOR 2.64 (95% CI, 1.21-5.76), history of contraceptive use AOR 2.07 (95% CI, 1.24-7.58), perimenopausal women AOR 2.24 (95% CI, 1.26-4.00), postmenopausal women AOR 3.02 (95% CI, 1.49-6.14), access to information about menopause AOR 3.67 (95% CI, 2.13-6.33) were independent factors significantly associated with knowledge about menopause.</p><p><strong>Conclusions: </strong>Nearly one-third of women were knowledgeable about menopause. Educational status, history of contraceptive use, menopausal status, occupation, and having information about menopause were factors significantly associated with it. Therefore, an effort to empower and support women in education, and disseminating menopause information is recommended.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gulcin Nacar, Elif Ayfer Baltacı Yıldız, Sermin Timur Tashan
{"title":"Investigation of the relationship between intimate partner violence and menopausal symptoms.","authors":"Gulcin Nacar, Elif Ayfer Baltacı Yıldız, Sermin Timur Tashan","doi":"10.1097/GME.0000000000002523","DOIUrl":"https://doi.org/10.1097/GME.0000000000002523","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the relationship between intimate partner violence and menopausal symptoms.</p><p><strong>Methods: </strong>The cross-sectional design included 168 postmenopausal women, 69 in the self-reported intimate partner violence group and 99 in the control (no experience of intimate partner violence) group. The women were registered in a family health center. Menopausal symptoms were assessed using the Menopause Rating Scale. The data were analyzed using descriptive statistics, χ2 test, independent-samples t test, Mann-Whitney U test, and logistic regression analysis.</p><p><strong>Results: </strong>In our study, it was found that 62.3% of the women in the intimate partner violence group experienced physical, 71.0% verbal, 29.0% psychological, 4.3% economic, and 1.4% sexual violence. It was determined that there was a relationship between intimate partner violence and menopausal symptoms (OR = 1.11, 95% CI = 1.07 to 1.17).</p><p><strong>Conclusions: </strong>In the study, it was found that there was a relationship between intimate partner violence and menopausal symptoms.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pascual García-Alfaro, Faustino R Pérez-López, María Angela Sulé, Ignacio Rodríguez
{"title":"Evaluation of the association between thyroid-stimulating hormone with handgrip strength and dynapenia in euthyroid postmenopausal women.","authors":"Pascual García-Alfaro, Faustino R Pérez-López, María Angela Sulé, Ignacio Rodríguez","doi":"10.1097/GME.0000000000002499","DOIUrl":"10.1097/GME.0000000000002499","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between serum thyroid-stimulating hormone (TSH) levels with handgrip strength (HGS) and dynapenia in euthyroid postmenopausal women.</p><p><strong>Methods: </strong>This was an exploratory cross-sectional study among 385 participants from the Department of Obstetrics, Gynecology, and Reproduction of the Dexeus Women's University Hospital, Barcelona, Spain. Age, age at menopause, adiposity, alcohol consumption, body mass index (BMI), and smoking status were recorded. TSH was determined by electrochemiluminescence immunoassay. HGS was measured using a digital dynamometer, and physical activity was assessed by the International Physical Activity Questionnaire. Dynapenia was considered when HGS was <20 kg. A directed acyclic graph was designed to identify confounding variables. Multivariable linear and logistic regression models were adjusted by age, age at menopause, adiposity, BMI, glomerular filtration rate, glycated hemoglobin, physical activity, and smoking status.</p><p><strong>Results: </strong>Multivariable linear regression model showed that age ( β = -0.22; 95% CI, -0.28 to -0.16), adiposity ( β = -0.15; 95% CI, -0.22 to -0.07), BMI ( β = 0.15; 95% CI, 0.04-0.25), glomerular filtration rate ( β = -0.04; 95% CI, -0.07 to -0.01), and physical activity ( β = 0.79; 95% CI, 0.07-1.5) were significantly associated with HGS. Instead, serum TSH levels were not significantly associated ( β = 0.21; 95% CI, -0.10 to 0.51). Multivariable logistic regression model showed that dynapenia was associated with age (OR, 1.20; 95% CI, 1.12-1.31) and glomerular filtration rate (OR, 1.03; 95% CI, 1.00-1.05). No significant association between TSH and dynapenia was observed (OR, 0.98; 95% CI, 0.78-1.23).</p><p><strong>Conclusions: </strong>In this study of postmenopausal women, normal TSH levels were not associated with low HGS or dynapenia.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"331-336"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jinyu Pan, Chuan Shao, Chao Xu, Gang Zhang, Haotian Jiang, Tao Tang, Hui Tang, Nan Wu
{"title":"Association between hormone therapy and glioma risk in US women: a cancer screening trial.","authors":"Jinyu Pan, Chuan Shao, Chao Xu, Gang Zhang, Haotian Jiang, Tao Tang, Hui Tang, Nan Wu","doi":"10.1097/GME.0000000000002507","DOIUrl":"10.1097/GME.0000000000002507","url":null,"abstract":"<p><strong>Objective: </strong>Gliomas are the most common primary brain tumors in adults, and the role of hormone therapy (HT) in their development remains controversial. This study with a cohort design aimed to investigate the association between HT use and glioma risk using the data from the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial.</p><p><strong>Methods: </strong>We analyzed data from 75,335 women, aged 50-78, who were enrolled between 1993 and 2001. The median follow-up period was 11.82 years. Cox proportional hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for the relationship between HT use and glioma risk, adjusting for various potential confounders.</p><p><strong>Results: </strong>Over the follow-up period, 101 participants were diagnosed with glioma. After adjusting for relevant variables, there was no significant association between HT use and glioma risk (HR, 1.16; 95% CI, 0.75-1.81). Similarly, no significant associations were found when considering HT status or duration of use. However, in subgroup analysis by education, marital status, body mass index, oral contraceptive, hysterectomy, ovariectomy, ever been pregnant, age at menarche, and age at menopause, we found that a significant positive association was only observed in the group with at least college graduate (HR, 3.00; 95% CI, 1.02-8.84). The interaction effect for education was not significant ( P = 0.056).</p><p><strong>Conclusions: </strong>Our findings suggest no overall link between HT use and glioma risk. Further research is needed to confirm these results.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"346-352"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hye Rin Choi, Yoosoo Chang, Danbee Kang, Jiseon Lee, Yoonyoung Jang, Hoon Kim, Seungho Ryu, Hyun-Young Park, Juhee Cho
{"title":"Health-related quality of life across menopausal stages among middle-aged Korean women.","authors":"Hye Rin Choi, Yoosoo Chang, Danbee Kang, Jiseon Lee, Yoonyoung Jang, Hoon Kim, Seungho Ryu, Hyun-Young Park, Juhee Cho","doi":"10.1097/GME.0000000000002501","DOIUrl":"10.1097/GME.0000000000002501","url":null,"abstract":"<p><strong>Objectives: </strong>We examined the health-related quality of life (HRQoL) during menopause transition (MT) among middle-aged Korean women.</p><p><strong>Methods: </strong>This cross-sectional study comprised 2,290 middle-aged women who completed web-based questionnaires between 2020 and 2022. Based on self-reported menstrual cycle patterns, menopause status was classified as premenopausal, early or late transition, or postmenopausal. HRQoL was assessed using the Patient-Reported Outcomes Measurement Information system, with all 29 items scored using a T-score metric. Multiple linear regression analyses were performed to investigate whether HRQoL varied based on MT stages. Antimüllerian hormone levels were used as an objective measure instead of self-reported menstrual status in the sensitivity analysis. Logistic regression models were used to estimate the prevalence ratios for moderate or severe HRQoL symptoms across menopausal stages.</p><p><strong>Results: </strong>The mean T-scores for anxiety, depression, and pain interference and intensity were significantly higher with advancing menopausal stage. Anxiety, depression, sleep disturbances, pain interference, and intensity were significantly and linearly positively correlated with MT stages after adjusting for potential confounders. Physical function significantly worsened in the late transition stage compared with premenopausal status ( β = -1.51 [95% CI, -2.72 to -0.31] in late MT and β = -1.92 [95% CI, -3.46 to -0.37] in postmenopause, P for trend = 0.007). However, no significant trends were observed in the sensitivity analysis using antimüllerian hormone levels. Women with moderate or severe symptoms in all domains except physical function had significantly higher prevalence ratios according to MT.</p><p><strong>Conclusions: </strong>Overall HRQoL was lower with advancing menopausal stages. All symptoms should be monitored to control early transition symptoms. Thus, women undergoing MT should consistently assess and manage not only menopausal symptoms but also the overall quality of their health to prevent both menopause-specific and nonspecific conditions and their consequences.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"337-345"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nathan J Cohen, Sheryl L Rifas-Shiman, Diana C Soria-Contreras, Wei Perng, Marie-France Hivert, Emily Oken, Jorge E Chavarro, Lidia Minguez-Alarcon
{"title":"Associations of gestation length and offspring birthweight for gestational age with menopausal symptoms and age of natural menopause at midlife among women enrolled in a prebirth longitudinal cohort.","authors":"Nathan J Cohen, Sheryl L Rifas-Shiman, Diana C Soria-Contreras, Wei Perng, Marie-France Hivert, Emily Oken, Jorge E Chavarro, Lidia Minguez-Alarcon","doi":"10.1097/GME.0000000000002495","DOIUrl":"10.1097/GME.0000000000002495","url":null,"abstract":"<p><strong>Objective: </strong>Reproductive history may help identify women at higher risk for experiencing menopausal symptoms. We hypothesized that gestation length and offspring birthweight for gestational age z-scores would be associated with menopausal symptoms and age at natural menopause in midlife among women in a longitudinal prebirth cohort.</p><p><strong>Methods: </strong>Among 691 women enrolled in pregnancy and followed to midlife, we examined associations of gestation length and offspring birthweight for gestational age z-score at the index pregnancy with total menopausal symptoms assessed with the 11-item Menopause Rating Scale (MRS) using linear regression models, with individual menopausal symptoms using binomial regression models with a log link function, and with age at natural menopause using Cox proportional hazards models. We adjusted all models for age at enrollment, education, parity, annual household income, and prepregnancy body mass index.</p><p><strong>Results: </strong>Mean (SD) MRS total score was 7.9 (5.8) points at age 52.1 (3.8) years, and mean (SD) age at natural menopause was 50.8 (3.7) years. We observed null associations of gestation length (β = -0.07 points per week, 95% confidence interval [CI] = -0.32 to 0.18) and birthweight for gestational age z-score (β = 0.16 points per z-score, 95% CI = -0.31 to 0.63) with the MRS total score in adjusted models. We also observed null associations of gestation length (adjusted hazards ratio = 0.99 per week, 95% CI = 0.94-1.06) and birthweight for gestational age z-score (adjusted hazards ratio = 1.06 per z-score, 95% CI = 0.94-1.19) with age of onset of natural menopause.</p><p><strong>Conclusions: </strong>Birth outcomes were not associated with total menopause symptom scores or age at natural menopause.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"323-330"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The mediating role of genital self-perception in the relationship between attitudes toward menopause and sexual quality of life in postmenopausal women: a pilot study.","authors":"Ruveyde Aydin, Tuğba Ulaş","doi":"10.1097/GME.0000000000002502","DOIUrl":"10.1097/GME.0000000000002502","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the mediating role of genital self-image in the relationship between postmenopausal women's attitudes toward menopause and their sexual quality of life.</p><p><strong>Method: </strong>This study is descriptive. The sample consisted of 351 postmenopausal women who met the research criteria. The data were collected online between May and December 2023 using a descriptive information form, the Attitude Towards Menopause Questionnaire, the Female Genital Self-Image Scale, and the Sexual Quality of Life Questionnaire Scale. Data were collected using descriptive statistics, Pearson correlation analysis, and structural equation modeling.</p><p><strong>Results: </strong>The mean total scale scores of the women were 34.41 ± 9.22 for Attitude Towards Menopause Questionnaire, 16.24 ± 3.40 for Female Genital Self-Image Scale, and 44.46 ± 22.16 for Sexual Quality of Life Questionnaire Scale. Analysis revealed moderate positive relationships: between attitude toward menopause and sexual quality of life ( r = 0.451, P < 0.001); between attitude toward menopause and genital self-image ( r = 0.520, P < 0.001); and between the genital self-image and sexual quality of life ( r = 0.361, P < 0.001). When genital self-image was added as a mediator, there was a direct positive relationship between attitude toward menopause and genital self-image ( β = 0.192, P < 0.001) and between genital self-image and sexual quality of life ( β = 1.126, P < 0.05). The indirect relationship of attitude toward menopause on sexual quality of life through genital self-image was positive and significant ( β = 0.216; P < 0.05; 95% CI, 0.063-0.353). With the inclusion of genital self-image as a mediator, the combined effect of attitude toward menopause and genital self-image explained 22.5% of the variance in sexual quality of life ( R2 = 0.225). In comparison, attitude toward menopause explained 27% of the variance in genital self-image ( R2 = 0.270).</p><p><strong>Conclusion: </strong>There is an inverse relationship between postmenopausal women's negative attitudes toward menopause and their genital self-image and quality of sexual life.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"315-322"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lexi He, Nicole G Jaff, Emily Kontaris, Aimee Spector
{"title":"The psychometric properties and applicability of subjective cognitive measures used in menopause research: a systematic review.","authors":"Lexi He, Nicole G Jaff, Emily Kontaris, Aimee Spector","doi":"10.1097/GME.0000000000002494","DOIUrl":"10.1097/GME.0000000000002494","url":null,"abstract":"<p><strong>Importance: </strong>Many midlife women report cognitive issues when they transition through menopause. These cognitive complaints affect women's mental health and quality of life. However, the current understanding of women's cognitive experiences during the menopause transition has been limited by the lack of validated self-reported cognitive measures.</p><p><strong>Objective: </strong>This systematic review aimed to identify existing self-reported, or subjective, cognitive measures used in menopause research and evaluate their psychometric properties and applicability.</p><p><strong>Evidence review: </strong>Three databases, Medline, Embase, and PsycINFO, were searched in March 2024 with no restriction on publication year. Studies investigating women transitioning into postmenopause and with cognitive experiences measured using validated subjective cognitive measures were selected. The assessment of psychometric properties and applicability of included measures was conducted based on their development process and their performance in the menopause studies selected.</p><p><strong>Finding: </strong>Twenty-eight menopause studies involving 15 measures were included. Included measures showed adequate content validity, internal consistency, and construct validity when they were developed, yet other psychometric properties were either poor or not reported. Hence, the overall performance of included measures was generally moderate to poor. Information relating to psychometric properties of included measures in menopause studies was also lacking, indicating doubtful applicability.</p><p><strong>Conclusions and relevance: </strong>Poor psychometric properties or the lack of psychometric assessment of existing subjective cognitive measures may indicate doubt or uncertainty regarding their applicability in women transitioning through menopause. This review recommends the use of subjective cognitive measures that assess more than one cognitive domain, as well as further assessment of the psychometric properties of these measures before their use in menopause research or clinical settings, particularly those measures initially developed for clinical practice. It also highlights the need for future development of a subjective cognitive measure for women transitioning through menopause to improve the current understanding of their cognitive challenges.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"361-379"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}