Elizabeth S Wenzel, Jacob L Van Doorn, Rachel A Schroeder, Beau Ances, Susan Bookheimer, Melissa Terpstra, Roger P Woods, Pauline M Maki
{"title":"COVID-19 流行期间的心理健康：社会支持对中年女性的重要性。","authors":"Elizabeth S Wenzel, Jacob L Van Doorn, Rachel A Schroeder, Beau Ances, Susan Bookheimer, Melissa Terpstra, Roger P Woods, Pauline M Maki","doi":"10.1080/13697137.2024.2340476","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine sex differences in factors associated with mood and anxiety in midlife men and women during the COVID-19 pandemic.</p><p><strong>Methods: </strong>During a remote visit, 312 adults aged 40-60 years (167 female; 23.6% perimenopausal) from the Human Connectome Project in Aging completed PROMIS measures of depression, anxiety and anger/irritability; perceived stress; and questions about social support, financial stress and menopause stage. Multivariate linear regression models assessed sex differences in mental health and the association of social support, financial stress and menopause stage with mental health.</p><p><strong>Results: </strong>Anxiety was higher in women than in men (<i>b</i> = 2.39, <i>p</i> = 0.02). For women only, decreased social support was associated with increased anxiety (<i>b</i> = -2.26, <i>p</i> = 0.002), anger/irritability (<i>b</i> = -1.89, <i>p</i> = 0.02) and stress (<i>b</i> = -1.67, <i>p</i> = 0.002). For women only, not having close family was associated with increased depressive symptoms (<i>b</i> = -6.60, <i>p</i> = 0.01) and stress (<i>b</i> = -7.03, <i>p</i> < 0.001). For both sexes, having children was associated with lower depressive symptoms (<i>b</i> = -3.08, <i>p</i> = 0.002), anxiety (<i>b</i> = -1.93, <i>p</i> = 0.07), anger/irritability (<i>b</i> = -2.73, <i>p</i> = 0.02) and stress (<i>b</i> = -1.44, <i>p</i> = 0.07). Menopause stage was unrelated to mental health.</p><p><strong>Conclusion: </strong>Social support, but not financial stress, influenced mental health during the COVID-19 pandemic at midlife, particularly for women.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362980/pdf/","citationCount":"0","resultStr":"{\"title\":\"Mental health during the COVID-19 pandemic: the importance of social support in midlife women.\",\"authors\":\"Elizabeth S Wenzel, Jacob L Van Doorn, Rachel A Schroeder, Beau Ances, Susan Bookheimer, Melissa Terpstra, Roger P Woods, Pauline M Maki\",\"doi\":\"10.1080/13697137.2024.2340476\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to examine sex differences in factors associated with mood and anxiety in midlife men and women during the COVID-19 pandemic.</p><p><strong>Methods: </strong>During a remote visit, 312 adults aged 40-60 years (167 female; 23.6% perimenopausal) from the Human Connectome Project in Aging completed PROMIS measures of depression, anxiety and anger/irritability; perceived stress; and questions about social support, financial stress and menopause stage. Multivariate linear regression models assessed sex differences in mental health and the association of social support, financial stress and menopause stage with mental health.</p><p><strong>Results: </strong>Anxiety was higher in women than in men (<i>b</i> = 2.39, <i>p</i> = 0.02). For women only, decreased social support was associated with increased anxiety (<i>b</i> = -2.26, <i>p</i> = 0.002), anger/irritability (<i>b</i> = -1.89, <i>p</i> = 0.02) and stress (<i>b</i> = -1.67, <i>p</i> = 0.002). For women only, not having close family was associated with increased depressive symptoms (<i>b</i> = -6.60, <i>p</i> = 0.01) and stress (<i>b</i> = -7.03, <i>p</i> < 0.001). For both sexes, having children was associated with lower depressive symptoms (<i>b</i> = -3.08, <i>p</i> = 0.002), anxiety (<i>b</i> = -1.93, <i>p</i> = 0.07), anger/irritability (<i>b</i> = -2.73, <i>p</i> = 0.02) and stress (<i>b</i> = -1.44, <i>p</i> = 0.07). Menopause stage was unrelated to mental health.</p><p><strong>Conclusion: </strong>Social support, but not financial stress, influenced mental health during the COVID-19 pandemic at midlife, particularly for women.</p>\",\"PeriodicalId\":10213,\"journal\":{\"name\":\"Climacteric\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362980/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Climacteric\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13697137.2024.2340476\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Climacteric","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13697137.2024.2340476","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/2 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Mental health during the COVID-19 pandemic: the importance of social support in midlife women.
Objective: This study aimed to examine sex differences in factors associated with mood and anxiety in midlife men and women during the COVID-19 pandemic.
Methods: During a remote visit, 312 adults aged 40-60 years (167 female; 23.6% perimenopausal) from the Human Connectome Project in Aging completed PROMIS measures of depression, anxiety and anger/irritability; perceived stress; and questions about social support, financial stress and menopause stage. Multivariate linear regression models assessed sex differences in mental health and the association of social support, financial stress and menopause stage with mental health.
Results: Anxiety was higher in women than in men (b = 2.39, p = 0.02). For women only, decreased social support was associated with increased anxiety (b = -2.26, p = 0.002), anger/irritability (b = -1.89, p = 0.02) and stress (b = -1.67, p = 0.002). For women only, not having close family was associated with increased depressive symptoms (b = -6.60, p = 0.01) and stress (b = -7.03, p < 0.001). For both sexes, having children was associated with lower depressive symptoms (b = -3.08, p = 0.002), anxiety (b = -1.93, p = 0.07), anger/irritability (b = -2.73, p = 0.02) and stress (b = -1.44, p = 0.07). Menopause stage was unrelated to mental health.
Conclusion: Social support, but not financial stress, influenced mental health during the COVID-19 pandemic at midlife, particularly for women.
期刊介绍：
Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women.
Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments.
The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.
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