| The influence of menopause status and postmenopausal use of hormone therapy on presentation of major depression in women. | |
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MedLine Citation:
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PMID: 20616669 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study was to determine whether there are differences in depression characteristics among premenopausal, perimenopausal, and postmenopausal women with major depressive disorder. This study also evaluated these differences between postmenopausal women with major depressive disorder who are taking and not taking hormone therapy. METHODS: Analyses conducted with data from the Sequenced Treatment Alternatives to Relieve Depression study focused on female outpatients with nonpsychotic major depressive disorder seeking treatment in 41 primary or psychiatric care settings across the United States. Baseline demographic and clinical characteristics were compared among women not taking hormone therapy who were premenopausal (n = 950), perimenopausal (n = 380), or postmenopausal (n = 562). These comparisons were also made between postmenopausal women (n = 768) taking (n = 171) or not taking (n = 562) hormone therapy. RESULTS: After adjusting for sociodemographic and clinical baseline differences, premenopausal women were more likely to present with irritability than were either perimenopausal or postmenopausal women and were more likely to have decreased appetite and less likely to have early-morning insomnia than were perimenopausal women. Postmenopausal women were more likely to have suicidal ideation and poorer physical functioning than were either of the other groups and were more likely to have sympathetic arousal and gastrointestinal symptoms than were premenopausal women. After adjusting for baseline differences, postmenopausal women taking hormone therapy had better physical functioning, fewer melancholic features, less sympathetic arousal, and more lack of involvement in activities than did women not taking hormone therapy. CONCLUSIONS: Menopause status and postmenopausal use of hormone therapy may influence the clinical presentation of major depressive episodes in women. |
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Authors:
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Susan G Kornstein; Elizabeth A Young; Annie T Harvey; Stephen R Wisniewski; Jennifer L Barkin; Michael E Thase; Madhukar H Trivedi; Andrew A Nierenberg; A John Rush |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Menopause (New York, N.Y.) Volume: 17 ISSN: 1530-0374 ISO Abbreviation: Menopause Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-09 Completed Date: 2010-11-01 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 9433353 Medline TA: Menopause Country: United States |
Other Details:
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Languages: eng Pagination: 828-39 Citation Subset: IM |
Affiliation:
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Department of Psychiatry and Institute for Women's Health, Virginia Commonwealth University, Richmond, VA, USA. skornste@vcu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Appetite / physiology Arousal / physiology Depressive Disorder, Major / epidemiology, physiopathology, psychology* Female Gastrointestinal Diseases / epidemiology, physiopathology Health Status Hormone Replacement Therapy* Humans Irritable Mood / physiology Menopause / psychology* Middle Aged Postmenopause / psychology* Prospective Studies Severity of Illness Index Sleep Initiation and Maintenance Disorders / epidemiology, physiopathology Suicide / psychology |
| Grant Support | |
ID/Acronym/Agency:
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N01 MH090003/MH/NIMH NIH HHS; N01MH90003/MH/NIMH NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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