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WEDNESDAY, March 6, 2024 (HealthDay Information) — Menopause is believed to set off temper adjustments amongst girls, with adjustments in feminine hormone ranges contributing to nervousness, melancholy and stress.
Nonetheless, a brand new examine says some girls are at extra danger than others for menopause-linked psychological well being points, and plenty of escape them altogether.
There’s no proof that menopause causes a common rise in danger for psychological well being situations like melancholy, nervousness, bipolar dysfunction or psychosis, researchers concluded March 5 in The Lancet journal.
As a substitute, sure teams of girls usually tend to have psychological well being issues throughout menopause — these with earlier melancholy or depressive signs, these whose sleep is disturbed by nighttime scorching flashes, and those that had a tense life occasion across the time of menopause.
“We’ve got a adverse media picture about menopause, however with out taking a look at somebody’s psychological well being previous to menopause, it’s very difficult to grasp what is likely to be biologically associated to menopause versus life stage or life trajectory,” stated co-senior examine writer Dr. Hadine Joffe, interim chair of psychiatry at Brigham and Ladies’s Hospital in Boston.
“Clinicians want to consider what occurred earlier than, as a result of melancholy is likely to be coincident with menopause however unrelated,” Joffee added in a hospital information launch.
Menopause can final 4 to 10 years, and tends to begins round age 47, researchers stated in background notes.
Menopause is considered emotionally taxing on girls due to hormone fluctuations, but it surely additionally coincides with substantial mid-life stresses and life occasions, researchers famous.
To tease out potential hyperlinks, researchers pooled and reviewed information from earlier research that seemed on the incidence of psychological well being issues throughout menopause.
They centered on research that studied psychological well being previous to menopause, then adopted these girls via the transition.
Outcomes confirmed that whereas some research linked depressive signs and menopause, extreme melancholy occurred solely in girls who’d beforehand been recognized with the situation.
“In the event you’ve by no means had main melancholy earlier than, you’re extraordinarily unlikely to have a primary episode of medical melancholy throughout the menopause transition,” Joffe stated.
Despair signs have been extra often noticed in girls who underwent a really lengthy menopause transition, had poor sleep as a consequence of scorching flashes, or skilled current tense life occasions.
The staff additionally discovered no compelling proof that menopause universally will increase the chance of tension, bipolar dysfunction or psychosis.
Importantly, the outcomes point out that hormone remedy isn’t an acceptable first therapy for medical melancholy throughout menopause, researchers stated.
As a substitute, docs ought to think about a girl’s background and present life scenario when she experiences psychological well being signs throughout menopause.
“The take-home message to girls and their clinicians is that we shouldn’t assume that if somebody has psychological well being signs throughout the menopause transition that these two issues are associated,” Joffee stated.
“We don’t need to invalidate the truth that some individuals will expertise psychological well being signs throughout the menopause transition, but it surely’s not assured,” Joffee added.
Extra info
Harvard Medical Faculty has extra about menopause and psychological well being.
SOURCE: Brigham and Ladies’s Hospital, information launch, March 5, 2024
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