• Journal of the Korea Convergence Society
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• v.12 no.2
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• pp.347-356
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• 2021

The purpose of this study was to investigate the correlation between menopausal symptoms, perceived awareness of menopausal symptom, menopausal attitude and of menopausal management in middle aged women and to identify factors affecting menopausal symptoms. The subjects of study were 242 middle aged women who are living in G, J, K city and understood the research items and agreed to participate in the research. Data were collected from April 10 to May 30, 2019. Data were analyzed using t-test, ANOVA, Pearson's Correlation Coefficient and Stepwise Multiple Regression with SPSS/WIN 25.0. In this study, it was founded that perceived awareness of menopausal symptom(β=. 51, p<.001), menstruation status(β=. 23, p<.001), perceived health status(β=. 19, p=. 002), satisfaction of life(β=. 14, p=. 019) and religion(β=. 10, p=. 045) were found to be influential factors affecting menopausal symptoms in middle aged women. The most influential factor was perceived awareness of menopausal symptom. A nursing intervention program is needed to change positively the awareness of menopausal symptom.

• Korean Journal of Psychosomatic Medicine
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• v.23 no.1
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• pp.57-65
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• 2015

Objectives:Within the normal reproductive cycles of women, dramatic fluctuations of sexual hormones occur in the premenstrual and menopausal periods. In both periods, women are vulnerable to mood disturbances and show several somatic complaints. Based on these common clinical profiles and physiological changes, a relationship between vasomotor symptoms and the premenstrual syndrome has been suggested. However, attempts to establish such a link have yielded inconclusive results. The purpose of this study was to investigate the association between histories of premenstrual syndrome and menopausal vasomotor symptoms within different menopausal stages. Methods:This cross-sectional study recruited Korean women aged 45-64 years who were perimenopausal and postmenopausal from 16 branch offices of the Korean Association of Health Promotion. All subjects completed self-report questionnaires that asked about a history of premenstrual syndromes, vasomotor symptoms, and several other variables. Results:A total of 1054 participants(361 perimenopausal women and 693 postmenopausal women) completed the study. Severity of premenstrual symptoms significantly correlated with postmenopausal vasomotor symptoms, only in late perimenopausal(r=0.213, p=0.010) and early postmenopausal women(r=0.246, p<0.001). After adjusting for several factors related to vasomotor symptoms, a history of premenstrual syndrome was a significant predictor of moderate to very severe vasomotor symptoms in late perimenopausal(OR=5.197, p=0.005) and early postmenopausal women(OR=3.017, p=0.010). Conclusions:This study suggests that a history of premenstrual syndrome/premenstrual dysphoric disorder is differentially associated with vasomotor symptoms in the menopausal stage. Prospective studies with larger population are needed to confirm these findings

• Korean Journal of Psychosomatic Medicine
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• v.17 no.2
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• pp.52-61
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• 2009

Objectives : The aim of this study was to assess health-related quality of life and evaluate the risk factors affecting severity of menopausal symptoms in early and late postmenopausal women based on the stages of reproductive aging workshop(STRAW) paradigm. Methods : This cross-sectional study examined 497 Korean postmenopausal women aged 41-59 years in Seoul and Gyeonggi province. We divided subjects into early postmenopause group and late postmenopause group. Menopause Rating Scale(MRS) was used to measure the quality of life. MRS scores, sociodemographic variables, smoking, alcohol use, age at menopause, and risk factors such as attitude to menopause, depression, history of premenstrual dysphoric disorder were compared between early and late postmenopause groups. Multiple regression analysis was performed in each group to assess the independent contribution of several variables. Results : Early postmenopause group showed significantly higher MRS scores, more negative attitude toward menopause, higher scores of depressive symptoms than late postmenopause group. Moderate to very severe hot flush group showed significantly, more negative attitude toward menopause, higher score of depressive symptoms, and higher MRS scores than none to mild hot flush groups. Depressive symptoms and attitude toward menopause contributed to the severity of menopausal symptom in both early and late postmenopause groups. Chronological age, age at menopause, history of PMDD contributed to severity of menopausal symptoms in early postmenopause group while marital status and occupation contributed in late postmenopause group. Conclusion : Health-related quality of life in postmenopause women was significantly lower in early postmenopause group than the late. Attitude toward menopause and depressive symptoms contributed significantly to quality of life in both early and late postmenopause groups but other variables contributed differently in each group. Further studies on clinical samples of postmenopausal women in order to confirm quality of life and its risk factor are needed to be done.

• Korean Journal of Psychosomatic Medicine
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• v.18 no.2
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• pp.82-93
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• 2010

Objectives : The purpose of this study was to explore attitude and belief about menopause and severity of menopausal symptoms according to menopausal status. This study conducted a cross-sectional assessment of the effects of depressive symptoms and the severity of trait anxiety on the severity of menopausal symptoms. Methods : Participants were all outpatients at the psychiatric outpatient clinic of Korea University Guro Hospital. All participants, aged 40 to 64, had depressive or anxiety disorders and were divided into the premenopause, perimenopause, premenopause, and postmenopause groups. Menopause Rating Scale(MRS) was used to measure the severity of menopausal symptoms. The attitude toward menopause was examined by a self-report questionnaire regarding menopause. Beck Depression Inventory(BDI) and State-Trait Anxiety Inventory(STAI) were used to assess depressive symptoms and anxiety. Results : The severity of menopausal symptoms was not different among the groups according to menopausal status. There was a significant correlation between a negative attitude toward menopause and the severity of menopausal symptoms. Patients with moderate to severe depressive symptoms and trait anxiety had more severe menopausal symptoms. Conclusion : Negative attitude toward menopause, depressive symptoms, and anxiety had a significantly negative impact on the severity of menopausal symptoms. The results of this study suggest that treatment to relieve depressive symptoms and anxiety and intervention to reduce negative attitude toward menopause are required. Further studies with larger sample size are needed to evaluate potentially effects of depressive symptoms and anxiety on severity of menopausal symptoms in middle-aged female psychiatric patients.

• Journal of dental hygiene science
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• v.13 no.1
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• pp.53-61
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• 2013

The aim of this study was to assess oral health related quality of life and evaluation the risk factors in menopausal woman. The subjects of this study were 531 menopausal woman from August 5 to September 27, 2012. Data were analyzed with t-test, one-way ANOVA, and binary logistic regression analysis SPSS 12.0. The most influential factors of perceived oral symptoms was menopause symptoms (odds ratio [OR], 3.72; 95% confidence interval [CI], 2.34~5.92), anxiety symptoms (OR, 2.14; 95% CI, 1.34~3.41), drinking (OR, 1.37; 95% CI, 1.04~1.81), living with a spouse (OR, 0.83; 95% CI, 0.70~0.98). There are a statistically significant relationship between perceived oral symptoms and menopause, anxiety symptoms. The postmenopausal woman can be the important menopause and anxiety symptoms interventions in maintaining perceived oral health as good.

• The Journal of the Korea Contents Association
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• v.20 no.12
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• pp.198-205
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• 2020

This study was conducted to explore the relationship between stress and quality of life experienced by middle-aged women according to menopause and to provide basic data for improving the quality of life and health of middle-aged women. The data collection period was from September 02, 2019 to November 29, 2019, and a total of 400 questionnaires were distributed and 362 copies were used, excluding unscrupulous responses. As a result of the study, it was found that the more severe the menopause symptoms, the higher the effect on physical stress and psychological stress(p<.001). In addition, in terms of quality of life satisfaction, the more severe the menopause symptoms were, the higher the satisfaction was with physical and psychological health, but it could be seen that it did not have a significant effect on the satisfaction of social and environmental relationships. In future studies, further studies require a detailed observation of various menopause conditions and symptoms, and a multi-view approach. In addition, education and intervention programs should be activated to alleviate the symptoms of menopause and to receive relevant information.

• Journal of Convergence for Information Technology
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• v.10 no.4
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• pp.25-34
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• 2020

The purpose of this study was to identify its influencing factors of depressive symptoms in postmenopausal middle-aged women though analyzing secondary data. The data of 647 with 40~65 aged women who participated in the Seventh Korea National Health and Nutrition Examination Survey in 2016 were used. The data were analyzed by complex sample independent t-test and multiple linear regression. In multiple linear regression analysis, economic status, subjective health status, perceived stress, smoking, physical activity, and limitation of active had significant effect on depressive symptoms in postmenopausal middle-aged women. These variables explained 36% of the variance in depressive symptoms. The findings suggest that healthcare providers should be considered to these factors when developing intervention strategies to decrease depressive symptoms in postmenopausal middle-aged women.

• 한국노년학
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• v.32 no.2
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• pp.631-647
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• 2012

The purpose of this study was to examine the impact of climacteric women's attitude to developmental phenomena and their menopausal symptoms on their meaning of life in an attempt to provide some information on the improvement of climacteric women's quality of life. The subjects in this study were 313 women who resided in different regions involving a large city D and another city C. They were aged between 40 and 60 and were going through their menopause. They were aged between 40 and 60 and were going through their menopause. The subjects were selected by convenient sampling, which was one of nonprobability sampling methods. The collected data were analyzed by the statistical package SPSS. The major findings of the study were as follows: First, the climacteric women didn't take a positive attitude toward developmental phenomena. They occasionally suffered severe menopausal symptoms, and they didn't find a great meaning in their life. Second, the climacteric women found a more meaning in their life when they took a more positive attitude to developmental phenomena, and those who underwent severer menopausal symptoms found a less meaning in their life. Third, the climacteric women's meaning of life was under the influence of their attitude toward developmental phenomena and menopausal symptoms. Specifically, their attitude to menopause and mental symptoms had a large impact on that. Given the findings of the study, social welfare intervention should be provided for climacteric women to promote their physical health related to menopausal symptoms and psychological health related to attitude toward developmental phenomena to find a more meaning in their life. Besides, local welfare centers should be open to climacteric women as one of governmental policies so that they could lead a healthy life. Education should be provided for them to be ready for their own menopause, and social welfare counseling service should be offered from diverse angles

• Korean Journal of Psychosomatic Medicine
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• v.24 no.2
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• pp.146-156
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• 2016

Objectives : The aim of this study was to evaluate the associations between vasomotor symptoms and factors such as sociodemographics, health behaviors, medical condition, depression, stress, anxiety, attitude toward menopause, and quality of life. Methods : We conducted a cross-sectional study in peri- and post-menopausal women enrolled by the Korean Association of Health Promotion. Subjects submitted self-report questionnaires about vasomotor symptoms and other clinical symptoms. Associations between vasomotor symptoms and clinical variables were analyzed using stepwise multiple regression analyses. Results : 1951 women completed self-report questionnaires and 1022 women were enrolled in the study. The prevalence of vasomotor symptoms in peri- and post-menopausal women was 63.9%. Variables showing significant differences between subjects with vasomotor symptoms and subjects without them were score of Beck Depression Inventory, Brief Encounter Psychosocial Instrument-Korean Version, proportions of clinically significant depression(Beck Depression Inventory ${\geq}16$), Menopausal rating scale, attitude towards menopause, the 4 subscales of World Health Organization Quality of Life-BREF(Physical health, psychological, social relationships, environment), and a History of Premenstrual syndrome/Premenstrual dysphoric disorder. Stepwise multiple regression analyses indicated that Beck Depression Inventory, Brief Encounter Psychosocial Instrument-Korean Version, Menopausal Rating Scale, and the Psychological subscale of World Health Organization Quality of Life -BREF show associations with vasomotor symptoms. Conclusions : Menopausal vasomotor symptoms are associated with various psychological factors, especially with depression. Midlife women suffering vasomotor symptoms should therefore be screened for depression. Future prospective studies where clinical subjects are diagnosed using structured interviews, focusing on the causal relationship between depression and vasomotor symptoms are necessary.

• Korean Journal of Psychosomatic Medicine
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• v.22 no.2
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• pp.138-142
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• 2014

Burning mouth syndrome is characterized by intra-oral burning sensation without any organic abnormalities. This syndrome is associated with various etiological factors such as neuropathy, malnutrition, menopause and depression. Several medications have been tried for the treatment. Those are analgesics, hormones, anticonvulsants and antidepressants. However, optimal effective pharmacologic treatment remains still unknown. The purpose of this case study is to report the clinical effectiveness of gabapentin in the treatment of burning mouth syndrome in postmenopausal women with comorbid depression. We report two menopausal women. Antidepressants were effective for improving depressive symptoms, but it had no effects on intra-oral burning sensation. Gabapentin reduced intra-oral burning sensation effectively for all two patients. One patient reported 55% reduction(a decrease from 9 to 4 on VAS), the other patient reported 35% reduction(from 8 to 5) of the intra-oral burning sensation during 16 weeks. The minimal effective daily dose of gabapentin was 300mg. This study suggests that gabapentin might be a useful, effective therapeutic option for treating burning mouth syndrome in postmenopausal women with comorbid depression. Further prospective clinical studies are needed to investigate the effectiveness of gabapentin in patients with burning mouth syndrome.