The relationship between menopause, climacteric symptoms and Autonomic Nervous System in Taiwan

• Main Authors: Tzu-Han Huang, 黃姿菡
• Other Authors: Chai-Jan Chang
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/89032409308630076265

碩士 === 高雄醫學大學 === 心理學系碩士班 === 103 === Estrogen decrement leads to climacteric symptoms including mood swings; sleep disorders, and vasomotor symptoms （hot flush and night sweats）. Estrogen Replacement Therapy（ERT）not only can be used to improve mood swings and vasomotor symptoms, but also weakening sympathetic nerve and strengthening parasympathetic nerve to maintain the balance of autonomic nervous system（ANS）. So far, only few studies reach the correlation between menstrual status, climacteric symptoms, and ANS. So the purpose of this thesis is to figure out the relationship between menopause, climacteric symptoms and ANS. Sixty-one healthy subjects were assigned into three groups – pre-menopause, peri-menopause, and post-menopause. All subjects were asked to fill out self-report questionnaires including GCS, PSQI, ISI. Their heart rate（HR）were measured with EKG. The result shows that status of menstrual period is not significantly related to ANS. Women in peri-menopause or the first two years of menopause which has climacteric symptoms including rapid HR and dysphoria shows strengthening parasympathetic response. Which indicates that ANS still remained dynamic balance. Subjects were normal or with symptoms between none and mild level might be a possible reason. Scoring the symptoms of women in peri-menopause or the first two years of menopause in descending sequence are tired feeling, difficulty of falling asleep, muscle and joint pain, interest lost, and inability to concentrate. The more symptoms expressed, the worse quality of sleeping; The more physical and psychological symptoms, the worse subjective quality of sleeping and more interrupt of sleeping; the more vasomotor factors, the less hours of sleeping. This research depicts that climacteric symptoms are negatively related to sleeping quality. Different symptoms affect different factors of sleeping quality. Despite the above, psychological symptoms of women in menopause is related with ANS, which can be an assessment and research basis for menopause-related therapy in the future.