Abstract
Background: Disability associated with depression could contribute to declining quality of life of women during menopausal transition. Improving the quality of life of depressed perimenopausal women with disrupted familial, social and/or occupational functioning is one of the valued goals of treatment. This study was conducted with an aim to assess disability due to depression among rural women in menopausal transition.
Aims: To study disability due to depression among rural women in menopausal transition.
Methods: Sixty-one patients in menopausal transition, diagnosed with major depressive disorder were taken as subjects for the study. Hamilton Rating Scale for Depression and World Health Organization Disability Assessment Schedule (WHODAS 2.0) were applied to assess the severity of depression and disability, respectively.
Statistical Analysis Used: Statistical analysis was done using SPSS version 25.
Results: Mean age of the sample was 48.89±3.2 years. Among our sample of participants, 50.8% had symptoms of mild depression, and 49.1% moderate depression. Mild difficulty in functioning was reported by 44.2%, while 19.6% reported moderate difficulty on the WHODAS scale. Significant association was found between depression and disability in women during menopausal transition (p<0.05).
Conclusion: Taken together, our results have indicated that many women during menopausal transition experience symptoms of depression and have significant disability. There is a need to develop interventions to reduce disability thereby enhancing the quality of life of these women.
Keywords: Menopausal transition, depression, disability.
References
- Santoro N. Perimenopause: From Research to Practice. J. Womens. Health. 2016; 25:332-339.
- Kanadys K, Lewicka M, Wiktor-Stoma A, Sulima M, Wiktor H. Predictors of the quality of life of women in peri-menopausal period. Ann. Agric. Environ. Med. 2016; 23:641-648.
- Elsabagh EEM, Allah ESA. Menopausal symptoms and the quality of life among pre/post menopausal women from rural area in Zagazig city. Life. Sci. J. 2012; 9:283–291.
- Dar SA, Wani ZA, Bhat BA, Sheikh S, Nabi J, Khanam A, et al. Anxiety and depression in menopausal transition: A hospital-based study from Kashmir. Med. J. DY. Patil. Vidyapeeth. 2020; 13:37-42.
- Novaes C, Almeida OP, de Melo NR. Mental health among perimenopausal women attending a menopause clinic: Possible association with premenstrual syndrome? Climacteric. 1998;1:264‑270.
- Lolak S, Rashid N, Wise TN. Interface of women's mental and reproductive health. Psychiatry. Rep. 2005;7:220–227.
- Suau GM, Normandia R, Rodriguez R, Romaguera J, Segarra L. Depressive symptoms and risk factors among perimenopausal women. R. Health. Sci. J. 2005;24:207–210.
- Jagtap BL, Prasad BSV, Chaudhury S. Psychiatric morbidity in perimenopausal women. Ind. Psychiatry. J. 2016; 25:86-92.
- Matthews KA, Bromberger JT. Does the menopausal transition affect health-related quality of life? Am. J. Med. 2005; 118:25–36.
- Wariso BA, Guerrieri GM, Thompson K, Koziol DE, Haq N, Martinez PE, et al. Depression during the menopausal transition: impact on quality of life, social adjustment, and disability. Arch. Womens Ment. Health. 2017; 20:273-282.
- Hamilton M. A rating scale for depression. J. Neurol. Neurosurg. Psychiatry. 1960; 23:56-62.
- Üstün TB, Kostanjsek N, Chatterji S, Rehm J, editors. Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. World Health Organization; 2010.
- Üstün TB, Chatterji S, Kostanjsek N, Rehm J, Kennedy C, Epping-Jordan J, et al. Developing the World Health Organization disability assessment schedule 2.0. Bulletin of the World Health Organization. 2010; 88:815–823.
- Bromberger JT, Matthews KA, Schott LL, Brockwell S, Avis NE, Kravitz HM, et al. Depressive symptoms during the menopausal transition: The Study of Women’s Health Across the Nation (SWAN). J. Affect. Disord. 2007; 103:267-272.
Corresponding Author
Therissa Benerji
Assistant Professor, Department of Psychiatry, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India