Mental health during the COVID-19 pandemic: the importance of social support in midlife women.

IF 2.9 4区医学 Q1 OBSTETRICS & GYNECOLOGY Climacteric Pub Date : 2024-08-01 Epub Date: 2024-05-02 DOI:10.1080/13697137.2024.2340476

Elizabeth S Wenzel, Jacob L Van Doorn, Rachel A Schroeder, Beau Ances, Susan Bookheimer, Melissa Terpstra, Roger P Woods, Pauline M Maki

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Abstract

Objective: This study aimed to examine sex differences in factors associated with mood and anxiety in midlife men and women during the COVID-19 pandemic.

Methods: During a remote visit, 312 adults aged 40-60 years (167 female; 23.6% perimenopausal) from the Human Connectome Project in Aging completed PROMIS measures of depression, anxiety and anger/irritability; perceived stress; and questions about social support, financial stress and menopause stage. Multivariate linear regression models assessed sex differences in mental health and the association of social support, financial stress and menopause stage with mental health.

Results: Anxiety was higher in women than in men (b = 2.39, p = 0.02). For women only, decreased social support was associated with increased anxiety (b = -2.26, p = 0.002), anger/irritability (b = -1.89, p = 0.02) and stress (b = -1.67, p = 0.002). For women only, not having close family was associated with increased depressive symptoms (b = -6.60, p = 0.01) and stress (b = -7.03, p < 0.001). For both sexes, having children was associated with lower depressive symptoms (b = -3.08, p = 0.002), anxiety (b = -1.93, p = 0.07), anger/irritability (b = -2.73, p = 0.02) and stress (b = -1.44, p = 0.07). Menopause stage was unrelated to mental health.

Conclusion: Social support, but not financial stress, influenced mental health during the COVID-19 pandemic at midlife, particularly for women.

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COVID-19 流行期间的心理健康：社会支持对中年女性的重要性。

研究目的本研究旨在探讨在 COVID-19 大流行期间，中年男女在情绪和焦虑相关因素方面的性别差异：在一次远程访问中，人类老龄化连接组项目的 312 名 40-60 岁成年人（167 名女性；23.6% 处于围绝经期）完成了 PROMIS 测量，内容包括抑郁、焦虑和愤怒/易怒；感知压力；以及有关社会支持、经济压力和绝经期的问题。多变量线性回归模型评估了心理健康的性别差异以及社会支持、经济压力和更年期阶段与心理健康的关系：结果：女性的焦虑程度高于男性（b = 2.39，p = 0.02）。仅就女性而言，社会支持的减少与焦虑（b = -2.26，p = 0.002）、愤怒/烦躁（b = -1.89，p = 0.02）和压力（b = -1.67，p = 0.002）的增加有关。就女性而言，没有近亲与抑郁症状（b = -6.60，p = 0.01）和压力（b = -7.03，p b = -3.08，p = 0.002）、焦虑（b = -1.93，p = 0.07）、愤怒/易怒（b = -2.73，p = 0.02）和压力（b = -1.44，p = 0.07）的增加有关。更年期阶段与心理健康无关：结论：在 COVID-19 大流行期间，社会支持（而非经济压力）会影响中年女性的心理健康，尤其是女性。

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来源期刊

Climacteric 医学-妇产科学

CiteScore

1.70

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.