Quality of life in climacteric women
- 24 January 2017
- journal article
- review article
- Published by Taylor & Francis Ltd in Climacteric
- Vol. 20 (3), 187-194
- https://doi.org/10.1080/13697137.2017.1279599
Abstract
Health-related quality of life (HRQoL) refers to the effects of an individual’s physical state on all aspects of psychosocial functioning. For postmenopausal women, HRQoL is the only global criterion that is decisive for their daily well-being. Symptoms experienced during menopause and sociodemographic characteristics affect quality of life in postmenopausal women. In younger, symptomatic, postmenopausal women, HRQoL may be significantly diminished. However, quality of life after menopause is influenced by many additional, non-menopausal factors. In the last decades, more specific symptom lists or other questionnaires have been developed. Such scales would qualify as standardized or disease-specific by fulfilling four criteria: (1) they have been constructed on the basis of a factor analysis; (2) they consist of several subscales, each measuring a different aspect of a specific symptomatology; (3) the scales possess sound psychometric properties; and (4) they have been standardized using adequate populations of women. A variety of instruments currently dominating international practice are here reviewed. Therapeutic approaches that treat climacteric symptoms and all measures ameliorating unfavorable non-hormonal factors could improve HRQoL among postmenopausal women. This includes partnership and sexual counseling as well as psychosocial measures. Menopausal hormone therapy (MHT) may reverse this deterioration of HRQoL if it is due to postmenopausal estrogen deficiency. On the contrary, when MHT is prescribed to asymptomatic younger and older postmenopausal women, no gain in HRQoL can be obtained.Keywords
This publication has 51 references indexed in Scilit:
- Physical activity and change in quality of life during menopause -an 8-year follow-up studyHealth and Quality of Life Outcomes, 2012
- Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged womenMenopause, 2009
- Quality of life impairment during the female menopausal transition is related to personal and partner factorsGynecological Endocrinology, 2009
- Adiposity and Reporting of Vasomotor Symptoms among Midlife Women: The Study of Women's Health Across the NationAmerican Journal of Epidemiology, 2007
- Modeling women's health during the menopausal transitionMenopause, 2007
- Development of a revised version of the Women's Health QuestionnaireClimacteric, 2006
- Menopausal Symptoms and Treatment-Related Effects of Estrogen and Progestin in the Womenʼs Health InitiativeObstetrics & Gynecology, 2005
- Menopausal symptoms in older women and the effects of treatment with hormone therapyObstetrics & Gynecology, 2002
- Development of the Menopause Symptom List: A Factor Analytic Study of Menopause Associated SymptomsWomen & Health, 1997
- Mental Health in the Climacteric: The Longitudinal Study of Women in GothenburgActa Obstetricia et Gynecologica Scandinavica, 1985