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Titolo:
Psychotic and mood disorders associated with the perimenopausal period - Epidemiology, aetiology and management
Autore:
Robinson, GE;
Indirizzi:
Univ Toronto Hlth Network, Womens Mental Hlth Program, Toronto, ON, CanadaUniv Toronto Hlth Network Toronto ON Canada Program, Toronto, ON, Canada Univ Toronto, Dept Psychiat, Toronto, ON, Canada Univ Toronto Toronto ON Canada ronto, Dept Psychiat, Toronto, ON, Canada Univ Toronto, Dept Obstet Gynecol, Toronto, ON, Canada Univ Toronto Toronto ON Canada Dept Obstet Gynecol, Toronto, ON, Canada
Titolo Testata:
CNS DRUGS
fascicolo: 3, volume: 15, anno: 2001,
pagine: 175 - 184
SICI:
1172-7047(2001)15:3<175:PAMDAW>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
REPLACEMENT THERAPY; MENOPAUSAL WOMEN; ESTROGEN REPLACEMENT; POSTMENOPAUSAL WOMEN; DEPRESSED MOOD; FLUOXETINE; EFFICACY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Robinson, GE Toronto Gen Hosp, 8th Floor,Eaton Wing,Room 231,200 ElizabethSt, Toronto,ON M5G 2C4, Canada Toronto Gen Hosp 8th Floor,Eaton Wing,Room 231,200 Elizabeth St Toronto ON Canada M5G 2C4
Citazione:
G.E. Robinson, "Psychotic and mood disorders associated with the perimenopausal period - Epidemiology, aetiology and management", CNS DRUGS, 15(3), 2001, pp. 175-184

Abstract

Contrary to widely held beliefs, menopause is not associated with an increase in psychiatric illness. Although just prior to menopause there is a slight increase in minor psychological symptoms, prevalence rates of depression fall post menopause. Hypotheses for the occurrence of depression in some perimenopausal women include: a pre-existing sensitivity to the change in the gonadal hormones leading to decreases in neural transmitters; reactions to the physiological changes associated with menopause such as night sweats; or the influence of a multitude of negative attitudes and expectations concerning menopause. The loss of the protective effects of estrogen may be related to the slight increase in the incidence of schizophrenia in women atmenopause. The role of hormone replacement therapy (HRT) in treating psychiatric symptoms remains poorly understood. In nondepressed women, HRT may improve well-being either as a direct effect or as a consequence of reduced physical symptoms and fear of aging. In women with moderate to severe depressions, HRTalone does not appear to be beneficial. HRT may have some beneficial effects on short term memory. More research is needed to assess the possible role of HRT in augmenting the effects of antidepressant and antipsychotic medications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 04:42:29