A Lifespan Biological Model of Menopause

This paper continues the author's theoretical reconsideration of the biology of menopause (Derry, 2002). The author's broader-biological theoretical model of menopause, the Lifespan Biological Model, asserts that menopause is best understood by considering the biology of healthy systems. The biological subfield of life history theory combined with the psychological subfield of lifespan development provides a useful starting point to understand the biology of menopause. When compared with other mammals, humans have unusual life stages, one of which is a post-reproductive stage of relatively healthy, competent adulthood. Implications of the model are discussed with regard to conceptualizing: menopause as normal versus pathological; the arc of development as childhood growth/adult stability/aging senescence versus lifespan developmental; and the relation of menopause to chronic disease, especially osteoporosis.     

Normalisation Versus Medicalisation of Sexual Disturbances During Menopause: A Qualitative Research in the Italian Context

Past research has found consistent correlations between menopause and increase in sexual disturbances, but very little research has inquired into the attribution of meanings to this change from the womens’ own perspectives and the role of the negotiating between sexes in the social-construction of the problem. This study aims to investigate how professionals, women diagnosed with hypoactive sexual desire disorder and ordinary people, both men and women, signify this phenomenon in the Italian context. Interviews were conducted by asking participants whether or not they considered the decrease in sexual desire to be a problem, and what this was dependent on. The analysis of the 146 participants’ answers revealed that women with sexual deficit emphasized the need for treating the biological changes of menopause; specialists considered both the gynecological and the psychological components, while ordinary people seemed to ‘normalise’ the problem, encoding it as the effect of menopause; they did not seem to be inclined to turn the situation into a call for help, suggesting the importance of sharing the problem within the relationship and underestimating the organic level of the question. The negotiation between sexes seems to transform a sexual problem into normality.     

MEDICAL PERCEPTIONS OF MENOPAUSAL SYMPTOMS

Thirty-five physicians in family practice or gynecology, 43 practicing nurses, and 35 menopausal or postmenopausal women rated the frequency, severity, and causality of 15 menopausal symptoms commonly reported in the literature. Subjects also rated their degree of preference for four possible menopause treatments (counseling, estrogen therapy, mood-altering medication, and no treatment) and answered an open-ended question asking them what they saw as the major factor in determining whether a woman would experience difficulty at menopause. The results overall suggest that medical persons see menopausal symptoms as more pathological than women who have experienced or are experiencing menopause and that physicians, relative to menopausal women, adhere to a more psychogenic model in which psychological causality and symptoms are given greater emphasis than menopausal women give them.     

(Un)Changing Menopausal Bodies: How Women Think and Act in the Face of a Reproductive Transition and Gendered Beauty Ideals

Biomedical literature suggests that menopause primarily represents negative change in women’s lives. Feminist literature on menopause proposes that it can represent positive change or is a neutral experience for individual women. Conflicting characterizations result from different empirical emphases; biomedical research has focused on bodily change, and feminist research has highlighted social contexts for menopause. Results from interviews with a snowball sample of 61 women in 2001 illustrate how a change discourse on menopause and gendered beauty ideals combine to create a context within which some women believe that changes in their physical appearances can be attributed to menopause and that bodily change is problematic. In addition, during focus groups and in-depth interviews, women suggested that, in the face of these discourses or ideologies and changing external bodies, they face a “category crisis.’’ Interviewees also discussed how they attempt to prevent/mask bodily change in order to remain attractive, visibly feminine, and desirable in the eyes of men. Findings from this qualitative study illustrate that we must continue to explore women’s perceptions and experiences of bodily change during menopause, as we lack a full understanding of this developmental transition and its biosocial contexts.     

Das Klimakterium als Herausforderung

The menopause is like puberty a period of life, which implies an interaction between hormonal changes and personal reorientation. In addition to the hormonal changes a variety of psychosocial changes occur. Complaints may indicate a lack of orientation in this phase. One third of German women experience a significant deterioration in life quality because of their complaints related to menopause. These women attribute their complaints mainly to their individual life-attitudes and the hormonal changes. The gynaecologist has, therefore, a high responsibility in counselling, since empirical studies have shown, that psychosocial factors like self-confidence, quality of partnership, job-satisfaction and family network substantially influence the occurrence of specific complaints and the life-quality during that time. Furthermore, social aspects are very important. The results of the German cohort study of women’s health, showing a generally better psychological well-being as compared to younger women, are remarkable in this context. The present generation of women perceive midlife positively as a period of life allowing a fresh start.     

Followup of psychoanalysis five to ten years after termination: I. Stability of change

Seven out of 17 patients interviewed in a long-term followup of psychoanalysis showed either improvement in psychological functioning or a retention of psychological gains they had made during the course of psychoanalysis. Six patients deteriorated in their psychological functioning, but their gains were restored with subsequent treatment. Four patients deteriorated in psychological functioning without restoration, whether or not treatment was reentered. Neither analysts' assessments at the time of termination nor patients' assessments of themselves or assessments based on psychological tests one year after termination predicted which patients would improve or retain psychological change. No causal generalizations about factors related to psychological change can be made from these data. Different factors in interaction are suggested to account for the stability and instability of psychological change.     

SEXUALITY IN PERIMENOPAUSAL AND POSTMENOPAUSAL WOMEN

This article reviews psychosocial and biological aspects of the effects of menopause on sexuality. Sexuality is conceptualized as having multiple dimensions including desire, arousal, and orgasm. Population studies have revealed that postmenopausal status is associated with decline in these components of sexual functioning. While it is probable that psychological response to menopause affects sexual functioning, little research has addressed this issue. Considerable research has addressed the possible relationship between sexuality and menopausal hormone changes. Some research shows that low estrogen levels are associated with diminished sexual response and that estrogen replacement produces enhanced sexual response. Other studies, however, do not show this. Testosterone level is more clearly related to at least some measures of sexuality. Issues for future research are discussed.     

A preliminary study of hormone replacement therapy and psychological mood states in perimenopausal women

Hormone replacement therapy (HRT) for perimenopausal women has been suggested to minimize the physical symptoms of menopause and improve mood and psychological functioning; however, the therapy remains controversial. In this study the effects of such therapy (comprising tablets, patches, and implants) on mood states was investigated within a sample of 70 perimenopausal women who were attending a family planning clinic within the Brisbane metropolitan area. On a battery of standardized questionnaires, including the General Health Questionnaire, the Profile of Mood States, the Eysenck Personality Questionnaire, and the Menstrual Distress Questionnaire, those 35 women who were using hormone replacement therapy prescribed by the clinic physician reported significantly lower scores on anxiety, insomnia, and somatic symptoms than did a comparable group of 35 untreated perimenopausal women. These findings provide some tentative support for the beneficial effects of the therapy on physical symptoms and psychological mood states related to the onset of menopause. Given increased life expectancy, there is a growing need for research into issues of aging.     

PSYCHOLOGICAL CAPITAL AND EMPLOYEE PERFORMANCE: A LATENT GROWTH MODELING APPROACH

The positive core construct of psychological capital (consisting of efficacy, hope, optimism, and resilience) has been conceptually and empirically demonstrated to be related to employee performance. However, much of this work has relied on cross‐sectional designs to examine these relationships. This study utilizes longitudinal data from a large financial service organization (N= 179 financial advisory‐type employees) to examine within‐individual change in psychological capital over time and if this change relates to their change in performance. Latent growth modeling analyses revealed statistically significant within‐individual change in psychological capital over time, and that this change in psychological capital was related to change in 2 types of performance outcomes (supervisor‐rated performance and financial performance, i.e., individual sales revenue). Moreover, results of an exploratory cross‐lagged panel analysis suggested a causal relationship such that prior psychological capital leads to subsequent performance rather than vice versa. Taken together, these results highlight the impact employees’ psychological capital may have on their subjectively and objectively measured performance over time and offer evidence‐based practical guidelines for human resource selection, development, and performance management.     

Is menopause depressing? An investigation of three perspectives

This study examines three perspectives in the literature about menopausal depression. According to one, the physiological changes of menopause result in increased psychological distress. Another approach proposes that menopause is most depressing for women who occupy traditional female gender roles. The third asserts that menopause is not especially depressing for most women. This study empirically examines three perspectives using data from two community surveys. These analyses suggest menopausal status may not be associated with depressive symptomatology, either directly or indirectly through traditional gender roles.This research was supported in part by PHS grant numbers 5T32MH13043, 5T32MH16373, and 5T32MH15774. I appreciate the helpful comments I received from Janet Berkeley, Bruce Link, and an anonymous reviewer on earlier versions of this paper. I also am grateful to Lenore Radloff and NIMH for providing the CMHA data and to Harold Dupuy and NCHS for the HANES data.     

The power of "we": effects of psychological collectivism on team performance over time

We examined the influences of different facets of psychological collectivism (Preference, Reliance, Concern, Norm Acceptance, and Goal Priority) on team functioning at 3 different performance depictions: initial team performance, end-state team performance, and team performance change over time. We also tested the extent to which team-member exchange moderated the relationships between facets of psychological collectivism and performance change over time. Results from multilevel growth modeling of 66 teams (N = 264) engaged in a business simulation revealed differential effects across facets of psychological collectivism and across different performance measurements. Whereas facets concerned with affiliation (Preference and Concern) were positively related to initial team performance, reliance was negatively related to initial team performance. Goal Priority was a strong predictor of end-state performance. Team-member exchange moderated the relationship between performance change and 3 of the 5 facets of psychological collectivism (Preference, Reliance, Norm Acceptance). Implications for team composition and team training are discussed.     

Pattern of psychological fitness as related to pattern of physical fitness among older adults

The purpose of the present study was to investigate psychological fitness as well as physical fitness among late middle-aged normal men and women before, during, and after a 12-wk. physical activity program. Heart-rate of each subject was measured on a graded treadmill four times, and four psychological measures were taken: self-esteem, body-image, trait-anxiety, and well-being. Improvement of fitness was gradual and significant for both sexes, whereas no effects of time or sex were found on the first three psychological measures. Significant differences in pattern of change between women and men on well-being confirm previous findings that women report more depression and less satisfaction than men and thus are more sensitive to change.     

Job experiences over time, multiple roles, and women's mental health: a longitudinal study.

Are changes over time in the quality of a woman's job associated with changes in her psychological distress? Do family roles moderate these relationships? We addressed these questions using longitudinal data from a 2-year 3-wave study of a stratified random sample of 403 employed women who varied in occupation, race, partnership, and parental status. After estimating individual rates of change for each woman on each of the predictors and the outcome, we modeled the relationships between family role occupancy and change in job-role quality on the one hand, and change in psychological distress on the other. Among single women and women without children, as job-role quality declined, levels of psychological distress increased. Among partnered women and women with children, change in job-role quality was unrelated to change in psychological distress.     

Accounting for the Theory of Planned Behaviour in departure time choice

Motivating people to change their departure time could play a key role in reducing peak-hour congestion, which remains one of the most prevalent transport problems in large urban areas. To achieve this behavioural change, it is necessary to better understand the factors that influence departure time choice. So far departure time choice modelling focussed mainly on objective factors, such as time and costs as main behavioural determinants. In this study, we derived psychological factors based on the Theory of Planned Behaviour, estimated them based on structural equation modelling, and included them into a discrete choice model. The psychological factors were measured based on an online questionnaire addressed to car commuters to the city centre of Copenhagen (N = 286). The questionnaire additionally included a travel diary and a stated preference experiment with nine departure time choice scenarios. All psychological factors had a significant effect on departure time choice and could improve the model as compared to a basic discrete choice model without latent constructs. As expected, the effects of the psychological factors were different depending on framework conditions: for people with fixed starting times at work, the intention to arrive at work on time (as estimated by subjective norm, attitude, perceived behavioural control) had the strongest effect; for people with flexible working hours, the attitude towards short travel time was most relevant. Limitations, the inclusion of additional psychological factors and their possible interactions are discussed.     

MENOPAUSE RESEARCH AND THE DOMINANCE OF THE BIOMEDICAL MODEL 1984–1994

Popular images and stereotypes of women in the menopausal age range are overwhelmingly negative. Because these stereotypes are likely both to influence and to be influenced by published scholarship, it is particularly important to examine conventional knowledge as it has been represented in science-based journals. In an effort to examine the extent and nature of the accepted knowledge base regarding menopause, a survey of both medical and psychological journal articles was conducted for the years 1984–1994. Publication trends revealed a predominance of articles based on a biomedical paradigm and the virtual absence of articles presenting alternative perspectives on midlife. Ten serious methodological problems common to this literature are delineated, including such fundamental errors as failure to acquire baseline data, lack of control groups, vague operational definitions, and blatantly pejorative language. We also discuss conceptual flaws implicit in the predominant paradigm, including the messages that women are different, sicker, and weaker than a normal, male, ideal. Finally, we consider the implications of these social constructions for the political, social, and psychological status of women.     

A latent markov model for the analysis of longitudinal data collected in continuous time: states, durations, and transitions

Markov models provide a general framework for analyzing and interpreting time dependencies in psychological applications. Recent work extended Markov models to the case of latent states because frequently psychological states are not directly observable and subject to measurement error. This article presents a further generalization of latent Markov models to allow for the analysis of rating data that are collected at arbitrary points in time. This extension offers new ways of investigating change processes by focusing explicitly on the durations that are spent in latent states. In an experience sampling application the author shows that such duration analyses can provide valuable insights about chronometric features of emotions.     

Longitudinal relations between psychological distress and moderate-to-vigorous physical activity: A latent change score approach

ObjectivesThe effect of physical inactivity on mental health risk is well established; however, less is known about about how psychological distress might deter participation in physical activity. Guided by advancements in the treatment of longitudinal data, the aim of this study was to examine patterns and predictors of change in moderate-to-vigorous physical activity (MVPA) and psychological distress (e.g., feeling nervous, worthless).Design methodAustralian adults (4944 females, M_age = 34.63 years ±5.34; 4322 males, M_age = 37.51 years ±6.14) provided baseline data as part of the Longitudinal Study of Australian Children (LSAC) and were followed for measurements every two years for 10 years.ResultsLatent change score analyses revealed support for a reciprocal effects model, whereby change in MVPA and psychological distress occurred as a function of individuals’ prior levels of, and/or prior change in these variables.ConclusionsThis investigation is the first to document that changes in MVPA and psychological distress are coupled temporally. Notably, we observed that individuals’ distress levels at a given time point predicted subsequent change on both MVPA and distress; a finding which provides novel and important insight into how adults’ activity levels and psychological distress fluctuate relative to one another.     

The influence of social interaction on the dynamics of employees’ psychological contracting in digitally transforming organizations

ABSTRACT

This paper takes a process perspective in exploring the influence of social interaction on the dynamics of psychological contracting throughout organizational change. Although social interaction is a key focus in social exchange theory, this aspect is largely overlooked in the current psychological contract literature. In this qualitative study, we adopt a retrospective design, asking change recipients to recollect events over time in the context of digital transformation in Dutch travel organizations. Our data reveal a sequence of different kinds of social interactions over the course of a change process, from collective-focused interactions (i.e., kindness and sharing) in stable contracts to transactional interactions (i.e., “what is in it for me”) following psychological contract disruption, to relational interactions (i.e., vigilance about equity in social exchange) in psychological contract repair, and to a final return to resonance and alignment with others and a return to psychological contract maintenance. Our results suggest that social interactions play a more potent role in the dynamics of psychological contracting than is currently recognized in the literature. Finally, we discuss a number of implications for dynamic models of psychological contracting.     

Spirituality and Severity of Menopausal Symptoms in a Sample of Religious Women

Menopause represents an important life change, particularly for religious women whose identity is significantly related to family. Two competing hypotheses are examined: one, because religious women have their identity focused on family and child rearing, spirituality will be related to increased menopausal symptoms because menopause represents a loss of identity and purpose; and two, because spirituality can provide strength and comfort during difficult times, it will, therefore, be related to decreased menopausal symptoms. To test these competing hypotheses, questionnaires were administered to 218 women (average age 55, 35% premenopausal, 26% peri-menopausal, 39% postmenopausal) who were members of the Church of Jesus Christ of Latter Day Saints. Regression analyses indicated that higher levels of spiritual strength were related to decreased levels of reported menopausal symptoms. Spiritual strength was also related to increased benefit finding during menopause, decreased concern with body appearance, and increased use of adaptive coping strategies. We conclude that finding strength in spirituality may help religious women cope better with the life changes associated with menopause.     

‘It's not supposed to be this way’: Psychological aspects of a premature menopause

Background: Premature menopause (menopause diagnosed at 40 years or under) is a challenging condition with no prevention or cure. Causes can be the result of surgical intervention or spontaneous and largely unknown. It affects 1–6% of women aged 14–40. Aim: This study investigated women's experience of diagnosis, perception of cause, treatment received, main concerns, perceived long‐term consequences and impact on psychological wellbeing. Method: A cross‐sectional single group design questionnaire study that included both quantitative and qualitative measures was used. It was distributed to women on the database of two specialist London clinics and an internet‐based patient support group. A thematic analysis was undertaken. Findings: The response rate was 62%. Women's experiences varied but showed common themes regardless of timing of diagnosis and services accessed. Improved understanding by health professionals could help this group accept and adjust to the condition more effectively as could psychological support. Fertility was a primary concern regardless of parity and there were several secondary impacts both physiological and psychological. Discussion: A clear need for the offer of emotional support was indicated for all, but particularly for teenage girls and single women who tended not to access support from their own social network. Conclusion: Young women with this diagnosis could benefit from the offer of counselling, though uptake may be influenced by individual factors and vary according to age and circumstances. A good understanding of the physical aspects of this condition is important in the counselling of this group.