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Korean J Women Health Nurs > Volume 19(4); 2013 > Article
Korean Journal of Women Health Nursing 2013;19(4):275-284.
DOI: https://doi.org/10.4069/kjwhn.2013.19.4.275    Published online December 31, 2013.
Factors Influencing Self-Identity and Menopausal Symptoms on Level of Depression in Middle Aged Women
Mi Jeong Han, Ji Hyun Lee
1Ilsin Christian Hospital, Busan, Korea.
2College of Nursing, Kosin University, Busan, Korea. jihyunlee@kosin.ac.kr
The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman.
Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson Correlation Coefficients, and Multiple Stepwise Regression.
Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status.
Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.
Key Words: Middle-aged women; Depression; Gender identity; Menopause

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