Korean J Women Health Nurs.  2013 Dec;19(4):275-284. 10.4069/kjwhn.2013.19.4.275.

Factors Influencing Self-Identity and Menopausal Symptoms on Level of Depression in Middle Aged Women

• Han MJ
• Lee JH

• KMID: 2307950
• DOI: http://doi.org/10.4069/kjwhn.2013.19.4.275

Abstract

PURPOSE
The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman.
METHODS
Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson Correlation Coefficients, and Multiple Stepwise Regression.
RESULTS
Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status.
CONCLUSION
Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.

Keyword

Middle-aged women; Depression; Gender identity; Menopause

MeSH Terms

Depression*
Female
Gender Identity
Humans
Menopause
Middle Aged*
Weights and Measures

Reference

1. Bosworth HB, Bastian LA, Kuchibhatla MN, Steffens DC, Mcbride CM, Skinner CS, et al. Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife. Psychosom Med. 2001; 63:603–608.

2. Byeon WJ, Kim CK. A study on the relevant variables of middle aged women's depression. J Korean Home Econ Assoc. 2006; 44:125–139.

3. Byeon WJ, Kim CK. Effects of depression, the sense of crisis, self-differentiation, social support, internal family systems on ego-identity of middle aged women. Korean J Woman Psychol. 2007; 12:255–276.

4. Chang HK, Cha BK. Influencing factors of climacteric women's depression. J Korean Acad Nurs. 2003; 33:972–980.

5. Cho JH, Kim BH. Perception for successful aging & depression of middle aged women. J Korean Soc Living Environ Syst. 2012; 19:259–266.

6. Choi KS, Oh HE, Shim CS. A study on the relationship between climacteric symptom, depression and coping among middle aged women. J Agric Med Community Health. 2008; 33:335–345.

7. Choi WH. Factors affecting ego identity of middle aged women in Geoje city. J Korean Acad Public Health Nurs. 2006; 20:141–150.

8. Chung DE, Sung KM. The effects of an integrated management program on climacteric symptoms and depression in middle-aged women. J East West Nurs Res. 2011; 17(1):40–47.

9. Han SH. Study on the menopausal symptoms, menopausal management and quality of life in middle aged women. Seoul: Ewha Womans University;2004. Unpublished master's thesis.

10. Jo HS, Lee KJ. A comparative study on climacteric symptoms of natural menopausal women and artificial menopausal women. J Korean Acad Nurs. 2001; 31:692–702.

11. Judd FK, Hickey M, Bryant C. Depression and midlife: Are we overpathologising the menopause? J Affect Disord. 2012; 136:199–211. http://dx.doi.org/10.1016/j.jad.2010.12.010.

12. Jun SJ, Kim HK, Lee SM, Kim SA. Factors influencing middle aged women's depression. J Korean Community Nurs. 2004; 15:266–276.

13. Kang SJ, Shin KR. Lifestyle and menopausal symptoms and depression of Korean women. Korean J Womens Health. 2002; 3:207–228.

14. Kim SA. Impact of attitude to developmental phenomena and menopausal symptoms to the meaning of life among climacteric women. J Korean Gerontol Soc. 2012a; 32:631–647.

15. Kim SJ. A study on the relationship of marital intimacy, depression, menopausal symptom in middle aged women. Daejeon: Eulji University;2012b. Unpublished master's thesis.

16. Kim YJ. A study on experience of climacteric symptom. Chungnam J Nurs Acad. 2008; 11:63–81.

17. Klose M, Jacobi F. Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors? Arch Womens Ment Health. 2004; 7:133–148. http://dx.doi.org/10.1007/s00737-004-0047-7.

18. Korean Statistical Information Service [KOSIS]. Korea's main index. 2013. Retrieved July 18, 2013. fromhttp://kosis.kr/feature/feature_0102List.jsp?menuId=all&mode=listAll.

19. Kweon YR, Kang YH, Shin KR. Menopausal symptom, attitudes toward menopause, and depression in the middle aged women. J Korean Acad Soc Women Health. 2011; 12:81–97.

20. Lee BH. The structural relationships on the family income, self-esteem, role adaptations, and identity formation of the married mid-life woman according to the state of employment. Daegu: Keimyung University;2008. Unpublished doctoral dissertation.

21. Lee KH, Kim OJ. Identity formation and development of middle-aged women through role adaptations. Korean J Educ Psychol. 2001; 15:157–176.

22. Lee JH, Chung YK, Park HM, Park JS, Yumiko H, Yeoum SG. A study on climacteric symptoms in Korean midlife women. J Korean Soc Menopause. 2000; 6:141–156.

23. Park GJ, Lee KH. A structural model for depression in middle-aged women. Korean J Women Health Nurs. 2002; 8:69–84.

24. Park HS, Kim SK, Cho GY. A study on climacteric symptoms, depression and quality of life in middle-agedwomen. Korean J Women Health Nurs. 2003; 9:479–488.

25. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1:385–401.

26. Sarrel PM. Evaluation and management of postmenopausal patients. Female Patient. 1995; 20:27–32.

27. Shin KR. Depression among Korean women. J Korean Acad Nurs. 2001; 31:391–400.

28. Shin KR, Kang YH, Kim MJ. Correlates of depression in the community dwelling middle aged women. Korean J Womens Health. 2010; 11:1–22.

29. Sung MH. An analysis of the relationship between climacteric symptoms and depression of middle aged women. J Korean Acad Womens Health Nurs. 2000; 6:465–476.

30. Sung MH. Self-reported climacteric symptoms, self concept and depression in middle aged women. J Korean Acad Adult Nurs. 2002; 14:102–113.