ID 110438
タイトルヨミ
コウネンキ ジョセイ ニ ミラレル セイシン シンケイ ショウジョウ
タイトル別表記
Psychological symptoms in postmenopausal women
著者
手束, 典子 徳島大学医学部産科婦人科学講座
山田, 正代 徳島大学医学部産科婦人科学講座
青野, 敏博 徳島大学医学部産科婦人科学講座
キーワード
psychological symptoms
postmenopausal women
hormone replacement therapy
資料タイプ
学術雑誌論文
抄録
Declining estrogen level associated with ovarian failure has wide-ranging and unwelcome consequences and leads to diverse metabolic changes and symptoms. The short-term effects are vasomotor instability and psychological symptoms, and medium-term effects include urogenital atrophy. On the other hand, long-term consequences are an increased risk of coronary artery disease, osteoporosis and possibly Alzheimer's disease. The hormonal change occurring around menopause and their influence may be enough to trigger emotional reactions such as depression. Furthermore, life events, personality also affect psychological symptoms which include forgetfulness, fatigue, irritability, loss of concentration, depressed mood, anxiety and sleep-related problems. Middle age is considered to be a period of increased role change and occurrence of stressful life events, particularly those called exit events. Such events include children moving out, elderly parents developing illnesses and requiring assistance or dying, partners or close friends aging or developing disease, separation and divorce. Hormone replacement therapy (HRT) improves mood and increases a sense of well-being in postmenopausal women, however estrogen was not effective in women with more severe depressive symptoms. When HRT is not advisable, other treatments such as Kampo medicine, anti-anxiety drugs and counseling should be considered. It is important for postmenopausal women suffered from psychological symptoms to look for signs of increased vulnerability to hormonal fluctuation and individualize treatment.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
56
2
開始ページ
35
終了ページ
39
並び順
35
発行日
2000-04-25
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系