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Original Articles

The unique symptom profile of perimenopausal depression

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Pages 76-84 | Received 06 May 2013, Accepted 02 Nov 2013, Published online: 09 Nov 2020
 

Abstract

Background

Perimenopause is associated with increased depression symptoms in women. Symptoms at this time are thought to be qualitatively different from those in childbearing years, and to present with milder symptoms of depression, increased agitation, and fatigue. This research aimed to determine whether depressive symptoms during perimenopause can be distinguished from those in the childbearing years.

Methods

Seventy‐four depressed women who were either perimenopausal (n = 40) or in their childbearing years (n = 34) were recruited (M = 40.11; SD = 11 years). Participants completed a series of questionnaires relating to depression (Beck Depression Inventory‐II), various mood states (Profile of Mood States), and changes in sleep patterns.

Results

Univariate relationships between symptoms and perimenopausal status were assessed. All significant variables (anger‐hostility, depression, tension‐anxiety, fatigue‐inertia, and changes in sleep quality) were analysed via logistic regression. Mood profile at these two different life stages were differentiated based on lower levels of depression symptoms and tension‐anxiety, and increased levels of anger‐hostility, fatigue‐inertia, and sleep disturbance in the perimenopausal women as compared with the childbearing group.

Conclusions

This research supports the unique presentation of perimenopausal depression. The identification of a unique symptomatic profile provides targets for intervention and allows for different treatment options.

Abstract

Funding: None.

Conflict of interest: Jayashri Kulkarni, Stuart Lee, and Zoe Gibbs declare that they have no conflict of interest.

Funding: None.

Conflict of interest: Jayashri Kulkarni, Stuart Lee, and Zoe Gibbs declare that they have no conflict of interest.

Acknowledgement

The authors would like to acknowledge Margaret Hay, from Monash University, Faculty of Medicine, Nursing and Health Sciences, for her contribution to the design of this study.

Notes

Funding: None.

Conflict of interest: Jayashri Kulkarni, Stuart Lee, and Zoe Gibbs declare that they have no conflict of interest.

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