Chávez-Ayala R, Andrade-Palos P, Rivera-Rivera L

Language: Spanish
References: 15
Page: 385-391
PDF size: 46.31 Kb.

ABSTRACT

Objective. To design an instrument for measuring beliefs about the social, psychological, and physiological consequences of women’s climacteric stage. Material and Methods. The study included 340 women affiliated to Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado (Institute for Social Services and Security for State Workers, ISSSTE) (age mean=49.46, (SD 7.92). The mean number of pregnancies in the sample was 3.75 (SD 2.57), and the mean number of born children was 3.21 (SD 2.19); 48% of women were premenopausal, 10.9% perimenopausal, and 40.6% postmenopausal. The instrument consisted of 25 items. Results. A factorial analysis with Varimax rotation was carried out. Four factors were confirmed: disadvantages (alpha=0.769), advantages (alpha=0.839), physiological (alpha=0.659), and psychological alpha=0.711). Conclusions. This instrument shows good internal consistency, and measures four climacteric belief groups: a) beliefs on disadvantages, b) beliefs on advantages, c) beliefs on physiological ailments, and d) beliefs on psychological symptoms. All three confirmed dimensions of the climacteric phase have been proposed in other studies.

REFERENCES

1. Lobo RA. Treatment of the postmenopausal woman: Basic and clinical aspects. EUA: Raven press, 1994.

2. Grady D, Ernester V. Does postmenopausal hormone therapy cause breast cancer? American Journal of Epidemiology 1991;134:1396-1400.

3. Sherwin BB. Influencia de la terapia de reemplazo hormonal en el estado de ánimo y la función cognitiva. Climaterio 1998;1:52-60.

4. Hunter MS, Liao KLM. Intentions to use hormone replacement therapy in community of 45 years old women. Maturitas 1994;20:13-23.

5. Jiménez LJ, Pérez SG. The attitude of the woman in menopause and its influence on the climateric. Ginecol Obstet Mex 1999;67:319-322.

6. Malacara JM, Huerta R, Rivera B, Esparza S, Fajardo ME. Menopause in normal and uncomplicated NIDDM women: Physical and emotional symptoms and hormone profile. Maturitas 1997;28:35-45.

7. Huerta R, Mena A, Malacara JM, Díaz de León J. Symptoms at the menopausal and premenopausal years: Their relationship with insulin, glucose, cortisol, FSH, prolactin, obesity and attitudes towards sexuality. Psychoneuroendocrinology 1995;20:851-864.

8. Casamadrid M. La mujer, sus síntomas y sus actitudes en la fase de climaterio (tesis). México D.F.: Universidad Nacional Autónoma de México, 1986.

9. Fishbein M, Ajzen I. Belief, attitude, intention and behavior: An introduction to theory and research. Massachusetts: Addison-Wesley Publishing Company, 1975:131-188.

10. World Health Organization. Research on the menopause, report of a WHO scientific group. Ginebra: WHO Technical Report Series # 670, 1995.

11. Ballinger SE. Psychosocial stress and symptoms of menopause: A comparative study of menopause clinic patients and non-patients. Maturitas 1985;7:315-327.

12. Gorsuch, Richard L. Factor analysis. Hillsdale: Lawrence Erlbaum Associates, 1984.

13. Groenveld FPMJ, Bareman FP, Barentsen R, Dokter HJ. Relationships between attitude towards menopause, well-being and medical attention among women aged 45-60 years. Maturitas 1993;17:77-88.

14. Hay AG, Bancroft J, Johnstone EC. Affective symptoms in women attending a menopause clinic. British Journal of Psychiatry 1994;164: 513-516.

15. Stewart DE, Boydell K, Derzko C, Marshall V. Psychologic distress during the menopausal years in women attending a menopause clinic. International Journal Psychiatry Medicine 1992;22:213-220.