The relationship between stress-coping and vasomotor symptoms in postmenopausal women |
| |
Authors: | Nedstrand E Wijma K Lindgren M Hammar M |
| |
Affiliation: | 1. Research Institute, California Pacific Medical Center, San Francisco, CA, USA;2. Park Nicollet Institute for Research and Education, University of Minnesota, Minneapolis, MN, USA;3. Minneapolis Veterans Affairs Health Care System, and University of Minnesota, Minneapolis, MN, USA;4. University of California, San Francisco, CA, USA;5. University of Pittsburgh, Pittsburgh, PA, USA;6. Kaiser Permanente Center for Health Research NW, Portland, OR, USA;7. Universtity of California, San Diego, CA, USA;8. Oregon Health and Science University, Portland, OR, USA;9. Stanford University, Stanford, CA, USA;10. University of Toronto, Toronto, ON, Canada;1. Neuroscience Paris Seine, Institut National de la Santé et de la Recherche Médicale, Unité Mixte de Recherche (UMR) S1130, Université P. et M. Curie, Paris, France;2. Centre National de la Recherche Scientifique, UMR 8246, Université P. et M. Curie, Paris, France;3. Sorbonne Universités, Université P. et M. Curie UM CR18, Université Paris 06, France;4. UMR 85, Institut National de la Recherche Agronomique, Nouzilly, France;5. UMR7247, Centre National de la Recherche Scientifique, Nouzilly, France;6. Université François Rabelais, Tours, France;7. Institut Français du Cheval et de l''Equitation, Nouzilly, France;1. Universidad de Valparaíso, Facultad de Medicina, Valparaíso, Chile;2. Universidad del Desarrollo, Facultad de Medicina, Clínica Alemana Santiago de Chile, Santiago, Chile;3. Lab. de Neurobiología, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, Chile |
| |
Abstract: | Objective: The objective was to assess whether menopausal women with vasomotor symptoms had a lower stress-coping than menopausal women without symptoms and if stress-coping changed when vasomotor symptoms had been effectively treated with estrogens. The objective was also to assess whether menopausal women, effectively treated for vasomotor symptoms, had a higher neuroticism score than women without such symptoms. Methods: Two groups of physically and mentally healthy postmenopausal women were recruited from the outpatient clinic at the Department of Obstetrics and Gynaecology, University Hospital of Linköping, Sweden. Sixteen women with vasomotor symptoms (target group) were treated with oral 17β-estradiol, 2 mg/day during 3 months. A comparison group was formed comprising 17 women without vasomotor symptoms. The Kupperman Index was used to cover menopausal characteristics in all women at baseline as well as at the second visit after 3 months. Stress-coping was measured by means of the Stress Coping Inventory, which is an instrument developed to measure of the individual's appraisal of having adaptive resources for handling stressful situations. At the second visit all women were also asked to complete the Eysenck Personality Inventory. Results: Women in the target group had a significantly lower stress-coping than women in the comparison group at baseline as well as after 3 months. Stress-coping did not change after estrogen therapy, although the vasomotor symptoms had virtually disappeared. Women in the target group successfully treated for vasomotor symptoms, had a significantly higher neuroticism score compared to the comparison group. Conclusions: Differences in behaviour patterns and personality are probably two reasons why some women report or seek advice due to vasomotor symptoms and some women do not. Stress-coping in women with moderate to severe vasomotor symptoms is unaffected by estrogens. |
| |
Keywords: | |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|