Association between perimenopausal age and greater posttraumatic stress disorder and depression symptoms in trauma-exposed women.

Autor:	Michopoulos V; From the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA., Huibregtse ME; From the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA., Chahine EB; Department of Gynecology and Obstetrics, Emory University School of Medicine Atlanta, GA., Smith AK, Fonkoue IT, Maples-Keller J; From the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA., Murphy A; From the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA., Taylor L; From the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA., Powers A; From the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA., Stevens JS; From the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA.
Jazyk:	angličtina
Zdroj:	Menopause (New York, N.Y.) [Menopause] 2023 Oct 01; Vol. 30 (10), pp. 1038-1044. Date of Electronic Publication: 2023 Aug 22.
DOI:	10.1097/GME.0000000000002235
Abstrakt:	Objective: This study aimed to determine the relationship between stages of the menopause transition (premenopausal, perimenopausal, and postmenopausal) on symptoms of posttraumatic stress disorder (PTSD) and depression in trauma-exposed women. Methods: A cross-sectional study conducted between 2005 and 2017 recruited and enrolled an urban community sample (n = 6,093) from nonpsychiatric medical clinic waiting rooms of Grady Memorial Hospital, a public safety net hospital in Atlanta, Georgia. Participants were female, 18 to 65 years old, and predominantly Black/African American. Results: Of the 6,093 participants, 93.8% were Black/African American, 2.5% were White, and 3.8% were of all other races (Hispanic/Latino, Asian, multiracial). Participants younger than 40 years were categorized as premenopausal (n = 3,166), between 40 and 55 years of age were categorized as perimenopausal (n = 2,127), and older than 55 years were categorized as postmenopausal (n = 790). Menopause status was associated with total PTSD symptom severity ( F2,5416 = 9.61, P < 0.001), symptom severity within all three PTSD symptom clusters (avoidance/numbing symptoms: F2,5416 = 7.10, P < 0.001; intrusive symptoms: F2,5416 = 7.04, P < 0.001; hyperarousal symptoms: F2,5409 = 8.31, P < 0.001), and depression symptom severity ( F2,5148 = 11.4, P < 0.001). Compared with both premenopausal and postmenopausal women, perimenopausal women reported significantly worse total PTSD symptoms, symptoms in the hyperarousal cluster, and depressive symptoms. Conclusions: The current cross-sectional data show that symptoms of PTSD and depression in women are associated with reproductive age, such that perimenopausal women show higher symptom severity than premenopausal and postmenopausal women. Future longitudinal studies can reveal how changes in hormones over the course of the menopause transition impact the symptoms, neurobiology, and psychophysiology of PTSD. Competing Interests: Financial disclosure/conflicts of interest: None reported. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The Menopause Society.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu