绝经期妇女的抑郁症

N. Khan
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引用次数: 1

摘要

抑郁症在女性中更常见,而在更年期的时候,这种转变可能有一定的风险。雌激素水平下降与更年期热闪有关。有些妇女经常感到经前综合症(PMS)。一般症状的抑郁和焦虑与情绪障碍是常见的更年期过渡。随着睡眠障碍、血管舒缩和手术后绝经,症状更为严重。发展压力和抑郁情绪的可能性是绝经前妇女的三倍。有抑郁症病史的女性患抑郁症的可能性更大。更年期的抑郁症有不同的表现,因为它看起来很独特,有低水平的抑郁症状,疲劳,愤怒和睡眠障碍增加。这些症状是非特异性的躯体症状,使得诊断更加困难,特别是在认知特异性的情况下。女性存在抑郁症状和情绪变化,但通常不符合DSM5的诊断标准[1]。
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Depression among Women in Menopause
Depression is more common in women while at the time of menopause the transition may be a certain risk. Declining estrogen levels are associated with hot flashy menopause. Some women feel constant state of PMS (premenstrual syndrome). General symptoms of depression and anxiety with mood disturbance are common during menopause transition. The symptoms are more severe with sleep disturbance, vasomotor and the following surgical menopause. Developing of stressed and depressed mood is up to three times more likely that of women in premenopausal period. There is a greater likelihood for those women who have history of depressive illness. There are different presentations of depression in menopause as it appears unique with low level depressive symptoms, fatigue, anger and increased sleep disturbance. These symptoms are non-specific somatic and makes the diagnosis more difficult particular overshadow the cognitive specific ones. Women are present with depressive symptoms and mood changes but generally not meet the DSM5 criteria of diagnosis [1].
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