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http://dx.doi.org/10.4069/kjwhn.2013.19.4.275

Factors Influencing Self-Identity and Menopausal Symptoms on Level of Depression in Middle Aged Women  

Han, Mi-Jeong (Ilsin Christian Hospital)
Lee, Ji-Hyun (College of Nursing, Kosin University)
Publication Information
Women's Health Nursing / v.19, no.4, 2013 , pp. 275-284 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman. Methods: Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson Correlation Coefficients, and Multiple Stepwise Regression. Results: Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status. Conclusion: Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.
Keywords
Middle-aged women; Depression; Gender identity; Menopause;
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1 Bosworth, H. B., Bastian, L. A., Kuchibhatla, M. N., Steffens, D. C., Mcbride, C. M., Skinner, C. S., et al. (2001). Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife. Psychosomatic Medicine, 63, 603-608.   DOI
2 Byeon, W. J., & Kim C. K. (2006). A study on the relevant variables of middle aged women's depression. Journal of the Korea Home Economics Association, 44, 125-139.
3 Byeon, W. J., & Kim, C. K. (2007). Effects of depression, the sense of crisis, self- differentiation, social support, internal family systems on ego-identity of middle aged women. The Korean Journal of Women Psychology, 12, 255-276.   DOI
4 Chang, H. K., & Cha, B. K. (2003). Influencing factors of climacteric women's depression. Journal of Korean Academy of Nursing, 33, 972-980.   DOI
5 Cho, J. H., & Kim, B. H. (2012). Perception for successful aging & depression of middle aged women. Journal of the Korean Society of Living Environmental System, 19, 259-266.
6 Shin, K. R., Kang, Y. H., & Kim, M. J. (2010). Correlates of depression in the community dwelling middle aged women. Journal of Korean Academic Society of Women Health, 11, 1-22.
7 Sung, M. H. (2000). An analysis of the relationship between climacteric symptoms and depression of middle aged women. Korean Journal of Women Health Nursing, 6, 465-476.
8 Sung, M. H. (2002). Self-reported climacteric symptoms, self concept and depression in middle aged women. Korean Journal of Adult Nursing, 14, 102-113.
9 Choi, W. H. (2006). Factors affecting ego identity of middle aged women in Geoje city. Journal of Korean Academy of Public Health Nursing, 20, 141-150.
10 Choi, K. S., Oh, H. E., & Shim, C. S. (2008). A study on the relationship between climacteric symptom, depression and coping among middle aged women. Journal of Agricultural Medicine and Community Health, 33, 335-345.　   DOI   ScienceOn
11 Chung, D. E., & Sung, K. M. (2011). The effects of an integrated management program on climacteric symptoms and depression in middle-aged women. Journal of East-West Nursing Research, 17(1), 40-47.
12 Han, S. H. (2004). Study on the menopausal symptoms, menopausal management and quality of life in middle aged women. Unpublished master's thesis, Ewha Womans University, Seoul.
13 Jo, H. S., & Lee, K. J. (2001). A comparative study on climacteric symptoms of natural menopausal women and artificial menopausal women. Journal of Korean Academy of Nursing, 31, 692-702.   DOI
14 Judd, F. K., Hickey, M., & Bryant, C. (2012). Depression and midlife: Are we overpathologising the menopause? Journal of Affective Disorders, 136, 199-211. http://dx.doi.org/10.1016/ j.jad.2010.12.010   DOI   ScienceOn
15 Jun, S. J., Kim, H. K., Lee, S. M., & Kim, S. A. (2004). Factors influencing middle aged women's depression. Journal of Korean Academy of Community Health Nursing, 15 , 266-276.
16 Kang, S. J., & Shin, K. R. (2002). Lifestyle and menopausal symptoms and depression of Korean women. Journal of Korean Academic Society of Women Health, 3, 207-228.
17 Kim, S. A. (2012a). Impact of attitude to developmental phenomena and menopausal symptoms to the meaning of life among climacteric women. Journal of the Korea Gerontological Society, 32, 631-647.
18 Kim, S. J. (2012b). A study on the relationship of marital intimacy, depression, menopausal symptom in middle aged women. Unpublished master's thesis, Eulji University, Daejeon.
19 Kim, Y. J. (2008). A study on experience of climacteric symptom. Chungnam Journal of Nursing Academy, 11, 63-81.
20 Klose, M., & Jacobi, F. (2004). Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors? Archives of Women's Mental Health, 7, 133-148. http://dx.doi.org/10.1007/s00737-004-0047-7   DOI   ScienceOn
21 Korean Statistical Information Service [KOSIS]. (2013). Korea's main index. Retrieved July 18, 2013, from http://kosis.kr/ feature/feature_0102List.jsp?menuId=all&mode=listAll
22 Kweon, Y. R., Kang, Y. H., & Shin, K. R. (2011). Menopausal symptom, attitudes toward menopause, and depression in the middle aged women. Journal of Korean Academic Society of Women Health, 12, 81-97.
23 Lee B. H. (2008). The structural relationships on the family income, self-esteem, role adaptations, and identity formation of the married mid-life woman according to the state of employment. Unpublished doctoral dissertation, Keimyung University, Daegu.
24 Lee K. H., & Kim, O. J. (2001). Identity formation and development of middle-aged women through role adaptations. Journal of Educational Psychology, 15, 157-176.
25 Lee, J. H., Chung, Y. K., Park, H. M., Park, J. S., Yumiko, H., & Yeoum, S. G. (2000). A study on climacteric symptoms in Korean midlife women. Journal of the Korean Society of Menopause, 6, 141-156.
26 Park, G. J., & Lee, K. H. (2002). A structural model for depression in middle-aged women. Korean Journal of Women Health Nursing, 8, 69-84.
27 Park, H. S., Kim, S. K., & Cho, G. Y. (2003). A study on climacteric symptoms, depression and quality of life in middle-aged women. Korean Journal of Women Health Nursing, 9 , 479-488.
28 Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychology Measurement, 1, 385-401.   DOI
29 Sarrel, P. M. (1995). Evaluation and management of postmenopausal patients. Female Patient, 20, 27-32.
30 Shin, K. R. (2001). Depression among Korean women. Journal of Korean Academy of Nursing, 31, 391-400.   DOI