IMPACT OF MENOPAUSE ON PSYCHOLOGICAL WELLBEING OF WOMEN IN PAKISTAN
Main Article Content
Keywords
Menopause, Psychological Wellbeing, Mental Health, Anxiety, Depression, Stress
Abstract
Background: Menopause is a significant life transition for women that is often associated with various physical and psychological challenges. This study aimed to explore the impact of menopause on the psychological well-being of women in Karachi, Pakistan, focusing on anxiety, depression, and stress levels.
Objective: To assess the relationship between menopausal status and psychological well-being, specifically examining levels of anxiety, depression, and stress among postmenopausal women.
Method: A cross-sectional survey design was employed, involving 184 women aged 45-60 years. Participants were recruited through convenience sampling from community centers and clinics. Data were collected using paper-based questionnaires, assessing psychological well-being across three domains: anxiety, depression, and stress. Descriptive and inferential statistics, including Pearson’s correlation and regression analyses, were performed using SPSS to evaluate the relationship between menopausal status and psychological outcomes, with a significance level set at p < 0.05.
Results: The study revealed that postmenopausal women exhibited higher levels of anxiety (mean = 14.2 ± 3.1), depression (mean = 13.5 ± 2.8), and stress (mean = 12.0 ± 3.4). Anxiety was the most prevalent psychological issue, with a statistically significant correlation between menopausal status and increased anxiety (r = 0.30, p = 0.005), depression (r = 0.28, p = 0.01), and stress (r = 0.25, p = 0.02). Comparisons between menopausal and non-menopausal women showed significantly elevated anxiety and depression scores among menopausal women.
Conclusion: This study highlights the substantial psychological burden of menopause, particularly in terms of increased anxiety and depression. These findings emphasize the need for targeted mental health interventions to support menopausal women, especially in developing countries where resources may be limited.
References
2. Afridi I. Psychological and Social Aspects of Menopause. In: A Multidisciplinary Look at Menopause. InTech; 2017.
3. WHO. Research on the menopause in the 1990s. Report of a WHO Scientific Group. World Health Organ Tech Rep Ser. 1996;866:1–107.
4. Ali AM, Ahmed AH, Smail L. Psychological Climacteric Symptoms and Attitudes toward Menopause among Emirati Women. Int J Environ Res Public Health. 2020 Jul 13;17(14):5028.
5. Barile LA. Theories of Menopause Brief Comparative Synopsis. J Psychosoc Nurs Ment Health Serv. 1997 Feb;35(2):36–9.
6. Mahmoud Mohammed S, Mohammed N. Effect of menopausal symptoms on psychological problems among middle-aged women. Egypt Nurs J. 2018;15(3):292.
7. Behrman S, Crockett C. Severe mental illness and the perimenopause. BJPsych Bull. 2023 Nov 13;1–7.
8. Reyes-Gibby CC, Wang J, Spitz M, Wu X, Yennurajalingam S, Shete S. Genetic Variations in Interleukin-8 and Interleukin-10 Are Associated With Pain, Depressed Mood, and Fatigue in Lung Cancer Patients. J Pain Symptom Manage. 2013 Aug;46(2):161–72.
9. Saˇgsöz N, Oˇguztürk Ö, Bayram M, Kamacı M. Anxiety and depression before and after the menopause. Arch Gynecol Obstet. 2001 Jan 26;264(4):199–202.
10. Jafari F, Hadizadeh MH, Zabihi R, Ganji K. Comparison of depression, anxiety, quality of life, vitality and mental health between premenopausal and postmenopausal women. Climacteric. 2014 Dec 29;17(6):660–5.
11. Mulhall S, Andel R, Anstey KJ. Variation in symptoms of depression and anxiety in midlife women by menopausal status. Maturitas. 2018 Feb;108:7–12.
12. Lee H, Choi D, Lee JJ. Depression, anxiety, and stress in Korean general population during the COVID-19 pandemic. Epidemiol Health. 2022 Jan 18;44:e2022018.
13. Vasudevan S, Senthilvel S. A Prospective and Cross-Sectional Study on Quality of Life among Postmenopausal Women in a Coastal Semi Urban area of India. Int J Med Sci Nurs Res. 2022 Sep 30;2(3):14–21.
14. Tang R, Luo M, Li J, Peng Y, Wang Y, Liu B, et al. Symptoms of anxiety and depression among Chinese women transitioning through menopause: findings from a prospective community-based cohort study. Fertil Steril. 2019 Dec;112(6):1160–71.
15. Neutzling AL, Leite HM, Paniz VM V., de Bairros FS, Dias da Costa JS, Olinto MTA. Association between common mental disorders, sleep quality, and menopausal symptoms: a population-based study in Southern Brazil. Menopause. 2020 Apr;27(4):463–72.
16. da Silva AR, d‘Andretta Tanaka AC. Factors associated with menopausal symptom severity in middle-aged Brazilian women from the Brazilian Western Amazon. Maturitas. 2013 Sep;76(1):64–9.
17. Singh A, Pradhan S. Menopausal symptoms of postmenopausal women in a rural community of Delhi, India: A cross-sectional study. J Midlife Health. 2014;5(2):62.
18. Fooladi E, Bell RJ, Masoumi M, Azizi M, Atarod Z, Davis SR. Bothersome menopausal symptoms amongst postmenopausal Iranian women. Climacteric. 2018 Nov 2;21(6):586–93.
19. Merz EL, Roesch SC, Malcarne VL, Penedo FJ, Llabre MM, Weitzman OB, et al. Validation of Interpersonal Support Evaluation List-12 (ISEL-12) scores among English- and Spanish-speaking Hispanics/Latinos from the HCHS/SOL Sociocultural Ancillary Study. Psychol Assess. 2014 Jun;26(2):384–94.
20. Erdogdu BS, Yontem M, Kocak FE, Yazar H. SERUM LEVELS OF OXIDATIVE STRESS PARAMETERS IN POSTMENOPAUSAL VERSUS FERTILE WOMEN OF KUTAHYA CITY, TURKEY. Gomal J Med Sci. 2021 Mar 31;19(1):19–27.
21. Hunter M, Rendall M. Bio-psycho-socio-cultural perspectives on menopause. Best Pract Res Clin Obstet Gynaecol. 2007 Apr;21(2):261–74.
22. Barghandan N, Dolatkhah N, Eslamian F, Ghafarifar N, Hashemian M. Association of depression, anxiety and menopausal-related symptoms with demographic, anthropometric and body composition indices in healthy postmenopausal women. BMC Womens Health. 2021 May 7;21(1):192.