| Summary: | 碩士 === 國立成功大學 === 護理學系碩博士班 === 91 === The purpose of this study was to explore the relationship among demographic data, life-event stress, perimenopause attitude, climacteric symptoms, self-concepts and depression of women during perimenopause. A cross-sectional design used self-administered questionnaires or interview was applied in this study. The subjects aged between 45 and 55 were selected by cluster random sampling of Tainan city in southern Taiwan. There were 43 district areas and Da Shan, Shjian and Wen Yuan district areas were selected. Total of 266 valid subjects were in this study.
Data were collected from February to April 2003. The following 5 instruments were used: the Adult Life-Event Scale, the Perimenopause Attitude Scale, the Greene Climacteric Symptom Scale, the Tennessee Self-Concept Scale Chinese Version and the Center of Epidemiological Study Depression Scale. Multiple regression analysis was used to analyze the data.
The results show that: (1) women who have depression symptoms are about 31.2%, that is about one-third women have depression; (2) women who are currently unemployed, with physical disease, have used hormone replacement therapy (HRT) frequently have more depression symptoms; there are no significant difference of depression symptoms between different marriage status, educational level, menopause stages of perimenopause women, (3) 91.8% women view that perimenopause as a natural phenomenon, women whose education level below elementary or who have used hormone replacement therapy have more negative attitude toward perimenopause; (4) about 92.5% women whose self-concept are at norm range as general adult, compare to the norm more women get lower score on self-concept subscale: Physical Self-concept, Moral Self-concept, Psychological Self- concept, Family Self-concept, Social Self-concept and Work Self-concept, women who are currently unemployed, who have used HRT have more negative attitude toward perimenopause; (5) the correlation between life event stress and depression, climacteric symptoms and depression are positive; the correlation between perimenopause attitude and depression, self-concept and depression are negative; and (6) negative self-concept, more climacteric symptoms, more life event stress and higher educational level are the most important variables to predict depression of women during perimenopause. The self-concept subscales: Family Self-concept, Physical Self-concept and Social Self-concept also predict depression.
The results of this study will help us to know more about the depression during perimenopause and we may apply these findings to develop interventions for preventing depression and promoting women’s mental health.
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