Determining the association between Turkish women’s menopausal symptoms and their marital adjustment

To determine the association between women's menopausal symptoms and their marital adjustment. Materials and methods: A descriptive cross-sectional study was conducted on 263 Turkish women chosen using an improbable randomized sampling method. A questionnaire, the Menopause Symptom Rating Scale (MSRS), and the Dyadic Adjustment Scale (DAS) were used to collect data. Percentage distributions, the t-test in independent groups, the one-way ANOVA test, Pearson correlation analysis, and the Kruskal-Wallis test were used in the evaluation of the data. Results: The mean of the overall MSRS score for women was 22.67 ± 8.06 and the mean of the overall DAS score for women was 105.93 ± 16.60. There was a significantly negative relationship between menopausal symptoms and marital adjustment (r: -0.357, P < 0.001), while the differences between MSRS total point averages according to women's age at marriage and total number of pregnancies were found to be statistically significant (P < 0.05). According to the comparison of the subscale mean score and the overall mean score obtained from the MSRS and DAS based on how women entered menopause, the difference between groups was statistically significant (P < 0.05, P < 0.001). Conclusion: The level of marital adjustment decreased in line with the increase in menopausal symptoms suffered by women. It was determined that women whose age at marriage was 20 and over, according to MSRS total point averages, suffered from menopausal symptoms less. It was seen that women who had 6 or more pregnancies had more menopausal complaints. Women who entered menopause due to surgery experienced more menopausal complaints than those who entered menopause naturally, and women who entered menopause due to surgery had a better level of marital adaptation.

Determining the association between Turkish women&#8217;s menopausal symptoms and their marital adjustment

To determine the association between women's menopausal symptoms and their marital adjustment. Materials and methods: A descriptive cross-sectional study was conducted on 263 Turkish women chosen using an improbable randomized sampling method. A questionnaire, the Menopause Symptom Rating Scale (MSRS), and the Dyadic Adjustment Scale (DAS) were used to collect data. Percentage distributions, the t-test in independent groups, the one-way ANOVA test, Pearson correlation analysis, and the Kruskal-Wallis test were used in the evaluation of the data. Results: The mean of the overall MSRS score for women was 22.67 ± 8.06 and the mean of the overall DAS score for women was 105.93 ± 16.60. There was a significantly negative relationship between menopausal symptoms and marital adjustment (r: -0.357, P < 0.001), while the differences between MSRS total point averages according to women's age at marriage and total number of pregnancies were found to be statistically significant (P < 0.05). According to the comparison of the subscale mean score and the overall mean score obtained from the MSRS and DAS based on how women entered menopause, the difference between groups was statistically significant (P < 0.05, P < 0.001). Conclusion: The level of marital adjustment decreased in line with the increase in menopausal symptoms suffered by women. It was determined that women whose age at marriage was 20 and over, according to MSRS total point averages, suffered from menopausal symptoms less. It was seen that women who had 6 or more pregnancies had more menopausal complaints. Women who entered menopause due to surgery experienced more menopausal complaints than those who entered menopause naturally, and women who entered menopause due to surgery had a better level of marital adaptation.

___

  • Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği. Ankara: Sistem Ofset; 2009 (book in Turkish).
  • WHO Scientific Group. Research on the Menopause in the 1990s. WHO Technical Report Series 866. Geneva: World Health Organization; 1996.
  • Hotun Şahin N, Coşkun A. The menopausal age, related factors and climacteric, complaints in Turkish women. Revista Referencia 2007; 4: 91–99.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2008 Türkiye Nüfus ve Sağlık Araştırması. Ankara: Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü, Başbakanlık Devlet Planlama Teşkilatı Müsteşarlığı, and TÜBİTAK; 2009 (report in Turkish).
  • Turkish Statistical Institute. Statistics. Ankara: TÜİK. Available at www.tuik.gov.tr/Gosterge.do?id=3714&sayfa=giris&metod=Il giliGosterge, 22.06.2010 (in Turkish).
  • Kadayıfçı O. Klimakterium, Premenopoz, Menopoz, Postmenopoz, Senium, Ikinci Bahar. İstanbul: Nobel Tıp kitapevleri; 2006 (book in Turkish).
  • Shaver JL. The interface of depression, sleep, and vasomotor symptoms. Menopause 2009; 16: 626–629.
  • Tot Ş. Menopozun psikiyatrik yönleri. Anadolu Psikiyatri Derg 2004; 5: 114–119 (article in Turkish).
  • Yurdakul M, Eker A, Kaya D. Menopozal dönemlerdeki kadınların yaşam kalitesinin değerlendirilmesi. Fırat Üniversitesi Sağ Bil Derg 2007; 21: 187–193 (article in Turkish).
  • Erbek E, Beştepe E, Akar H, Eradamlar N, Alpkan RL. Evlilik uyumu. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Derg 2005; 18: 39–47 (article in Turkish).
  • Erbek E, Beştepe E, Akar H, Alpkan RL, Eradamlar N. Cinsellik ve çift uyumu: üç gurup evli çiftte karşılaştırmalı bir çalışma. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Derg 2005; 18: 72–81 (article in Turkish).
  • Tutarel-Kışlak Ş, Çabukça F. Empati ve demografik değişkenlerin evlilik uyumu ile ilişkisi. Aile ve Toplum Eğitim, Kültür ve Araştırma Derg 2002; 5: 35–41 (article in Turkish).
  • Tutarel-Kışlak Ş, Çavuşoğlu Ş. Evlilik uyumu, bağlanma biçimleri, yüklemeler ve benlik saygısı arasındaki ilişkiler. Aile ve Toplum Eğitim, Kültür ve Araştırma Derg 2006; 9: 61–69 (article in Turkish).
  • Ensrud KE, Stone KL, Blackwell TL, Sawaya GF, Tagliaferri M, Diem SJ, Grady D. Frequency and severity of hot flashes and sleep disturbance in postmenopausal women with hot flashes. Menopause 2009; 16: 286–292.
  • Warren MP. Menopausal hot flashes: how long do they really last? Menopause 2009; 16: 427.
  • Varma GS, Karadağ F, Oğuzhanoğlu NK, Özdel O, Kökten S. Menopause: the relationship between climacteric symptoms and sexual satisfaction. New Symposium 2006; 44: 182–188.
  • Amore M, Donato PD, Berti A, Palareti A, Chirico C, Papalini A, Zucchini S. Sexual and psychological symptoms in the climacteric years. Maturitas 2006; 56: 303–311.
  • Graham JG, Kaczorowski J, Skelly J, Finkelstein M. Urinary incontinence: common problem among women over 45. Can Fam Physician 2005; 51: 84–85.
  • Nehir S, Çoban A, Demirci H, Özbaşaran F, Inceboz Ü. Menopozal belirtilerin ve evlilik uyumunun yaşam kalitesi üzerine etkisi. Cumhuriyet Tıp Derg 2009; 31: 15–21 (article in
  • Çoban A, Nehir S, Demirci H, Özbaşaran F, Inceboz Ü. Klimakterik dönemdeki evli kadınların eş uyumları ve menopoza ilişkin tutumlarının menopozal yakınmalar üzerine etkisi. Fırat Üniversitesi Sağ Bil Derg 2008; 22: 343–349 (article in Turkish).
  • Sağlık Bakanlığı. Herkese Sağlık-Türkiye’nin Hedef ve Stratejileri (Sağlık 21). Ankara: Barok Matbaacılık; 2001 (book in Turkish).
  • Karasar N. Bilimsel Araştırma Yöntemi. Ankara: Nobel Tıp Kitapevleri; 2008 (book in Turkish).
  • Cohen J. Statistical Power Analysis for the Behavioural Sciences. 2nd ed. Hillsdale, NJ, USA: Erlbaum; 1988.
  • Scheineder HP, 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: 50–58.
  • Scheineder HP, Heinemann LAJ, Rosemeier HP, Potthoff P, Behre HM. The Menopause Rating Scale (MRS) reliability of scores of menopausal complaints. Climacteric 2000; 3: 59–64.
  • Potthoff P, Heinemann LA, Schneider HP, Rosemeier HP, Hauser G. The Menopause Rating Scale (MRS II): methodological standardization in the German population. Zentralbl Gynakol 2000; 122: 280–286.
  • Schneider HPG, Heinemann LAJ, Thiele K. The Menopause Rating Scale (MRS). Cultural and linguistic translation into English. Life Med Sci Online 2002; 3: DOI 101072/LO0305326.
  • Gürkan CÖ. The reliability and validity of the Turkish version of the Menopause Symptom Rating Scale. Nurse Forum 2005; May–June: 30–35.
  • Spanier GB. Measuring dyadic adjustment: a new scale for assessing the quality of marriage and the similar dyads. J Marriage Fam 1976; 38: 15–28.
  • Fışıloğlu H, Demir A. Applicability of the dyadic adjustment scale for measurement of marital quality with Turkish couples. Eur J Psychol Assess 2000; 16: 214–218.
  • Erdem Ö. Menopoz dönemindeki kadınların yaşadıkları sorunlar ve baş etme yolları. MSc, Hacettepe Universityi, Ankara, 2006 (in Turkish).
  • Ünsaldı R. Evlilik uyumunun çeşitli demografik değişkenlerin menopoza ilişkin belirtilerle ilişkisinin incelenmesi. MSc, Hacettepe University, Ankara, 2004 (in Turkish).
  • Bulut S. Histerektomi olan kadınlarda eşler arası uyumun incelenmesi. MSc, Ege University, İzmir, 2006 (in Turkish).
  • Mustafa SS, Looper KJ, Purden M, Zelkowitz P, Baron M. Better marital adjustment is associated with lower disease activity in early inflammatory arthritis. Turk J Med Sci 2012; 42: 1180– 1185.
  • Yeşilmurat N. Menopoz dönemindeki kadınların menopoz ve hormone replesman tedavisine ilişkin bilgilerinin ve yakınmalarının değerlendirilmesi. MSc, Cumhuriyet University, Sivas, 2001 (in Turkish).
  • Özgür N. Klimakteriyum dönemindeki kadınların yaşadıkları menopoz semptomları ve başa çıkma yolları. MSc, Marmara University, İstanbul, 2007 (in Turkish).
  • Olaolorun FM, Lawoyin TO. Experience of menopausal symptoms by women in an urban community in Ibadan, Nigeria. Menopause 2009; 16: 822–830.
  • Chim H, Tan BH, Ang CC, Chew EMD, Chong YS, Mei S. The prevalence of menopausal symptoms in a community in Singapore. Maturitas 2002; 41: 275–282.
  • Pan HA, Wu MH, Hsu CC, Yao BL, Huang KE. The perception of menopause among women in Taiwan. Maturitas 2002; 41: 269–274.
  • Bardel A, Wallender MA, Svardsudd K. Hormone replacement therapy and symptom reporting in menopausal women. Maturitas 2002; 41: 7–15.
  • Bloch A. Self-awareness during the menopause. Maturitas 2002; 30: 61–68.
  • Tortumluoğlu G, Erci B. Klimakterik dönemdeki kadınların sağlık davranışları ve menopoza ilişkin tutumlarının menopozal yakınmalar üzerine etkisi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Derg 2003; 6: 77–90 (article in
  • Shea JL. Chinese women’s symptoms: relation to menopause, age and related attitudes. Climacteric 2006; 9: 30–39.
  • Ayers B, Forshaw M, Hunter MS. The impact of attitudes towards the menopause on women’s symptom experience: a systematic review. Maturitas 2010; 65: 28–36.
  • Bayraktar R, Uçanok Z. Menopoza ilişkin yaklaşımların ve kültürlerarası çalışmaların gözden geçirilmesi. Aile ve Toplum, Eğitim, Kültür ve Araştırma Derg 2002; 5: 5–12 (article in Turkish).
  • Akkuzu G, Örsal O, Keçialan R. Women’s attitudes towards menopause and influencing factors. Turk J Med Sci 2009; 29: 666–674.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Effect of mental stress on cardiovascular function at rest and after ingestion of fructose or sucralose in healthy, white European males

Muhammad MEMON, Ian MACDONALD, Terence BENNETT

How do we safely treat pneumopericardium in a severely ill baby?

Osman BAŞPINAR, Mehmet BOŞNAK

Left atrial dilatation in undetermined group according to TOAST classification: echocardiographic assessment of stroke patients

Ahu TAKOĞLU, Ufuk CAN

The correlation between cardiovascular risk and functional disability and disease activity in patients with rheumatoid arthritis

Emine POYRAZ, Saadet UMUT YAZGAN, Mustafa GÜLER, Aylin REZVANİ, Teoman AYDIN

Parathyroid hormone and optimal vitamin D status in postmenopausal women

Hülya YIKILKAN, Cenk AYPAK, Süleyman GÖRPELİOĞLU, Murat DİCLE, Özde ÖNDER

Headache in multiple sclerosis

Mine Hayriye SORGUN, Canan YÜCESAN, Yasemin GENÇ

Investigation of the frequency of the mutant CCR5-&#916;32 allele related to HIV resistance in Turkey

Gamze KARAKAYA, Fatma Azize BUDAK YILDIRAN, Şükran ÇAKIR ARICA

Determining the association between Turkish women's menopausal symptoms and their marital adjustment

Aslı SİS, Türkan PASİNLİOĞLU

Characteristics of nonsyndromic supernumerary teeth in children and adolescents

Hüseyin KARAYILMAZ, Zuhal KIRZIOĞLU, Ayşegül SARITEKİN

The correlation between cardiovascular risk and functional disability and disease activity in the patients with rheumatoid arthritis

Mustafa GÜLER, Saadet YAZGAN UMUT, Teoman AYDIN, Aylin REZVANİ, Emine POYRAZ