心理和更年期:拥抱硬币的(积极的)一面。

IF 3.2 4区 医学 Q1 OBSTETRICS & GYNECOLOGY
Elena Vegni, Lidia Borghi
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引用次数: 0

摘要

虽然更年期的生物学过程是普遍的,但由于心理、社会和文化因素的影响,个人经历差别很大。最近的观点提倡以赋权为基础的模式,强调将医学和心理层面纳入更年期管理的重要性。这一贡献建立在以前的模型之上,并整合了一个心理学框架,认为更年期不仅是一个失去的时期,也是一个成长、自我实现和转变的时期。从心理学的角度来看,更年期引起了对身份的重新定义,主要的心理变化围绕着两个中心维度:身体空间和时间感知。从生育的周期性节奏过渡到更稳定的身体和时间体验,为女性提供了一种基本的自我意识,并促进了对长期目标的更深层次的参与。这些变化虽然可能使人迷失方向,但却代表着稳定和增长的发展机会。通过接受这一更广泛的理解,临床医生和研究人员可以支持妇女在这一阶段和之后茁壮成长,而不仅仅是症状管理,并与正在经历这一转变的妇女建立合作关系。该方法对临床实践的影响进行了讨论,为临床医生如何将心理健康纳入更年期护理提供指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psyche and menopause: embracing the (positive) flip side of the coin.

While the biological processes of menopause are universal, individual experiences vary widely, shaped by psychological, social and cultural factors. Recent perspectives advocate for an empowerment-based model, emphasizing the importance of incorporating both medical and psychological dimensions into menopause management. This contribution builds upon previous models and integrates a psychological framework that considers menopause as not only a time of loss but also a period of growth, self-realization and transformation. From a psychological perspective, menopause invites a redefinition of identity, with key psychological changes structured around two central dimensions: body-space and time perception. The transition away from the cyclical rhythms of fertility to a more stable bodily and temporal experience provides women with a grounding sense of self and fosters a deeper engagement with long-term goals. These changes, although potentially disorienting, represent a developmental opportunity for stabilization and growth. By embracing this broader understanding, clinicians and researchers can support women in thriving during and beyond this stage, moving beyond solely symptoms management and fostering a collaborative relationship with women navigating this transition. Implications for clinical practice of this approach are discussed, offering guidance on how clinicians can integrate psychological well-being into menopause care.

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来源期刊
Climacteric
Climacteric 医学-妇产科学
CiteScore
1.70
自引率
7.10%
发文量
53
审稿时长
1 months
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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