Psychosocial aspect determines quality of life in postmenopausal women

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Raditya Wratsangka


The postmenopausal period plays an important role in women’s life and gives rise to many physical and mental problems. A cross-sectional was conducted to determine the quality of life and its determinants, namely pyschosocial and lifestyle factors in postmenopausal women. One hundred and seventy-six postmenopausal women meeting the inclusion criteria were recruited. The            menopause rating scale (MRS) questionnaire was used for the assessment of quality of life. One hundred and thirty-one (74.4%) subjects had complaints related to menopausal symptoms in 3 degrees of severity: mild (38.6%), moderate (30.7%) and severe (5.1%). Urogenital symptoms were the most frequent       complaints reported by the subjects (71.6%). The correlation between quality of life of   postmenopausal women and several psychosocial and lifestyle factors, namely marital status, education, occupation, knowledge and attitude towards menopause, exercise, smoking and consumption of caffeine and alcohol was statistically not significant (p>0.05). By multiple logistic regression analysis, some of the determinants, such as the subjects’ attitude towards menopause (PR = 2.863; 95% CI: 0.578 – 14.185) and support from the husband and/or family (PR = 2.124; 95% CI: 0.979 – 4.610) did not reach statistical significance, but were still the most influencing factors on their quality of life. Quality of life is worst in postmenopausal women and therefore counseling and support from husband and/or family are needed by the postmenopausal women in order to improve their quality of life.

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Wratsangka, R. (2010). Psychosocial aspect determines quality of life in postmenopausal women. Universa Medicina, 29(1), 34–45.
Review Article


Departemen Kesehatan Republik Indonesia. Survei Kesehatan Nasional 2001, Laporan SKRT 2001: studi morbiditas dan disabilitas. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan RI; 2002.

Hvas L, Thorsen H, Sondergaard K. Discussing menopause in general practice. Maturitas 2003; 46:139–46.

Ho SC, Ho SC, Chan SG, Yip YB, Cheng A, Yi Q, Chan C. Menopausal symptoms and symptom clustering in Chinese women. Maturitas 1999;33: 219–27.

Gold EB, Sternfeld B, Kelsey JL, Brown C, Mouton C, Reame N, Salamone L, Stellato R. Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40-55 years of age. Am J Epidemiol 2000; 152:463-73.

Hvas L. Positive aspects of menopause: a qualitative study. Maturitas 2001;39:11-7.

Hvas L, Thorsen H, Sondergaard K. Discussing menopause in general practice. Maturitas 2003; 46:139-46.

Gold EB, Block G, Crawford, S, Lachance L, Gerald GF, Miracle H, et al. Lifestyle and demographic factors in relation to vasomotor symptoms: baseline results form the study of women’s health across the nation. Am J Epidemiol 2004;159:1189-99.

Genazzani AR, Gambacciani M, Simoncini T. International Menopause Society Expert Workshop. Menopause and aging, quality of life and sexuality. Climacteric 2007;10:88–96.

Alder EM. How to assess quality of life: problems and methodology. In: Schneider HPG, editor. Hormone replacement therapy and quality of life. London: Parthenon Publishing;2002.p.11-21.

Schneider HPG, Strelow F, Heinemann LAJ, Thai DM. The menopause rating scale (MRS) scale: A methodological review. Health Qual Life Outcomes 2004;2:45-52.

Schneider HPG, Heinemann LAJ, Rosemeier HP, Potthoff P, Behre HM. The menopause rating scale (MRS): reliability of scores of menopausal complaints. Climacteric 2000;3:59-64.

Schneider HPG, Heinemann LAJ, Rosemeier HP, Potthoff P, Behre HM. The menopause rating scale (MRS): comparison with kupperman index and quality of life scale SF-36. Climacteric 2000; 3:50-8.

Schneider HPG, Rosemeier HP, Schnitker J, Gerbsch S, Turck R. Application and factor analysis of the menopause rating scale [MRS] in a post-marketing surveillance study of Climen. Maturitas 2000;37:113-24.

Patria F. Gambaran densitas tulang pada wanita menopause yang menderita osteopenia osteoporosis dan mendapat terapi fitoestrogen di RSUPN Cipto Mangunkusumo (tesis). Program Pendidikan Dokter Spesialis Obstetri dan Ginekologi. Jakarta: Fakultas Kedokteran Universitas Indonesia;2006.

Lasmini PS. Pengaruh Isoflavon terhadap profil lipid pada perempuan menopause dan pasca menopause di Jakarta (tesis). Program Pendidikan Konsultan Fertilitas Endokrinologi Reproduksi Bagian Obstetri dan Ginekologi. Jakarta: Fakultas Kedokteran Universitas Indonesia;2005.

Heinemann, LAJ, Potthoff, P, Schneider HPG. International version of the menopause rating scale (MRS). Health Qual Life Outcomes 2003; 1:28.

Heinemann LAJ, DoMinh T, Strelow F. The menopause rating scale (MRS) as outcome measure for hormone treatment? A validation study. Health Qual Life Outcomes 2004;2:67.

Budikoðlu R, Õscan C, Eri”lu, Yanik F. Quality of life and postmenopausal symptoms among women in a rural district of the capital city of Turkey. Gynecol Endocrinol 2007;23:404-9.

Boekitwetan P, Surjawidjaja JE, Aidilfit M, Lesmana M. Multimicronutrient suplementation and asymptomatic urinary tract infections in the elderly. Univ Med 2009;28:25-33.

Kowalski I, Rote D, Bans C, Dietrich K. Women’s attitude and perception towards menopause in different cultures. Cross-cultural and intra-cultural comparison of pre-menopausal and post-menopausal women in Germany and in Papua New Guinea. Maturitas 2005;51:227-35.

Dennerstein L, Lehert P, Guthrie JR, Burger HG. Modeling women’s health during menopausal transition: a longitudinal analysis. Menopause 2007;14:53-62.

Nelson HD. Menopause. The Lancet 2008;371: 760-70.

Armitage GD, Suter E, Verhoef MJ. Women’s needs for CAM information to manage menopausal symptoms. Climacteric 2007;10:215-24.

Upmatis DH, Lobo R, Bradley L. Vasomotor symptom relief by soy isoflavone extract tablets in postmenopausal women: a multicenter, double-blind, randomized placebo controlled study. Menopause 2000;7:236-42.

Faure ED, Chantre P, Mares P. Effects of standardized soy extract on hot flushes: a multicenter, double-blind, randomized placebo-controlled study. Menopause 2002;9:329-34.

Nagata C, Nagao Y, Shibuya C, Kashiki Y, Shimizu H. Fat intake is associated with serum estrogen and androgen concentrations in postmenopausal Japanese women. J Nutr 2005; 135:2862–5.

Dowsett M, Donaldson K, Tsuboi M, Wong J, Yates R. Effects of the aromatase inhibitor anastrozole on serum oestrogens in Japanese and Caucasian women. Cancer Chemother Pharmacol 2000;45:35–9.