Investigation and prevention of psychosocial factors in female menopausal depression patients / 中国基层医药

ABSTRACT

Objective:To investigate the psychosocial factors of women with menopausal depression and to study their preventive measures.Methods:From July 2016 to December 2018, 150 patients with climacteric depression who admitted to the Third People's Hospital of Huzhou were selected as the study group, and 150 healthy women during the same period were selected as the control group.The psychosocial factors of the two groups were investigated and compared, and the preventive measures were studied.Results:The total scores of the Symptom Checklist (SCL-90), the number of positive items and their average scores in the study group[(174.41±38.32)points, (38.94±18.21)points, (3.22±0.49)points] were significantly higher than those in the control group[(155.09±48.50)points, (30.08±20.20)points, (2.92±0.56)points], the scores of the 9 factors in the study group were significantly higher than those in the control group, and the differences were statistically significant ( t=2.271, 2.212, 2.290, 2.133, 2.112, 1.970, 3.602, 3.425, 2.104, 1.951, 2.093, 2.146; P=0.038, 0.030, 0.022, 0.017, 0.017, 0.018, 0.006, 0.004, 0.015, 0.015, 0.013, 0.012). The neurotic (P) and internal and external (E) dimension scores of the study group[(6.83±2.36)points, (9.53±5.64)points] were significantly lower than those in the control group[(7.78±3.27)points, (14.21±5.31)points], the differences were statistically significant ( t=1.203, 4.313; P=0.021, 0.002). The emotional stability (N) and occlusion (L) dimension scores of the study group[(13.39±6.01)points, (10.80±4.31)points] were significantly higher than those of the control group[(7.20±2.11)points, (6.39±2.69)points], the differences were statistically significant ( t=6.896, 6.210; P=0.007, 0.004). The total score of social support[(31.66±4.61)points] in the study group was significantly lower than that in the control group[(36.75±4.79)points], the difference was statistically significant ( t=4.97; P=0.003). The scores of total life events and negative events in the study group [(60.61±14.68)points, (39.02±15.27)points] were significantly higher than those in the control group[(32.09±9.20)points, (9.21±4.53)points], the differences were statistically significant ( t=11.396, 12.510; P=0.006, 0.008). Conclusion:Female patients with menopausal depression are closely related to their psychosocial factors, and their mental status is poor, and they are in a sub-health state for a long time.Active and effective psychological interventions for menopausal women can effectively prevent the occurrence of menopausal depression, and thus improve the quality of life and level of menopausal women.