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9 - Spiritual and psychological aspects of menopause

from Part II - Hormonal changes

Published online by Cambridge University Press:  21 August 2009

Melissa H. Hunter
Affiliation:
Department of Family Medicine, University Family Medicine, Charleston, SC, USA
Dana E. King
Affiliation:
Department of Family Medicine, University Family Medicine, Charleston, SC, USA
Jo Ann Rosenfeld
Affiliation:
The Johns Hopkins University
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Summary

Introduction

Case: Anne was 48 when she found out that she had breast cancer. She had been having frequent hot flushes, having stopped having periods one year ago, and she was still dealing with the fact that her children were no longer living at home. One child was in college and one was getting married, and now she was faced with the news that she had breast cancer. Cancer! It was almost too much to bear. She wrestled with thoughts of her changed body image, the upcoming loss of her breast, and the thought of “not being a woman any more.”

Her doctor was asking her to make decisions that she did not feel ready to make, no matter how many times he explained the choices. How extensive did the surgery need to be? Should she get a complete mastectomy or a more breast-sparing procedure? Should she proceed with plastic surgery to reconstruct her breast, or was she being selfish? Where could she turn for help with these decisions? In addition to talking with her husband and reading as much as she could, she turned to spiritual resources for strength. She found great comfort in returning to religious practices that formerly she had not considered so important, like prayer and attendance at religious services. While she considered medical knowledge and skill most important in a physician, she sought a doctor who would understand her need to consult with God throughout the decision-making process.

Type
Chapter
Information
Women's Health in Mid-Life
A Primary Care Guide
, pp. 137 - 150
Publisher: Cambridge University Press
Print publication year: 2004

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References

Northrup, C.Menopause. Prim. Care 1997; 24:921–48CrossRefGoogle ScholarPubMed
Nijs, P.Counseling of the climacteric woman: diagnostic difficulties and therapeutic possibilities. Eur. J. Obstet. Gynecol. Reprod. Biol. 1998; 81:273–6CrossRefGoogle ScholarPubMed
Cobb, J. O.Reassuring the woman facing menopause: strategies and resources. Patient Educ. Couns. 1998; 33:281–8CrossRefGoogle ScholarPubMed
Puchalski, C. M., and Larson, D. B.Developing curricula in spirituality and medicine. Acad. Med. 1998; 73:970–74CrossRefGoogle Scholar
King, D. E. Faith, Spirituality, and Medicine: Toward the Making of a Healing Practitioner. New York: Haworth Press; 2000
King, D. E. Spirituality and medicine. In Mengel, M. G., Holleman, W. L. and Fields, S. (eds.). Fundamentals of Clinical Practice: A Textbook on the Patient, Doctor, and Society, 2nd edition. New York: Kluwer, Academic/Plenum; 2002
Koenig, H. G., McCullough, M. and Larson, D. B. Handbook of Religion and Health. New York: Oxford University Press; 2001
Gallup, G. Religion in America 1990. Princeton: The Princeton Religion Research Center; 1990
King, D. E. and Bushwick, B.Beliefs and attitudes of hospital in-patients about faith healing and prayer. J. Fam. Pract. 1994; 39:349–52Google Scholar
Koenig, H. G., George, L. K. and Peterson, B. L.Religiosity and remission from depression in medically ill older patients. Am. J. Psychiatry 1998; 155:536–42CrossRefGoogle ScholarPubMed
Matthews, D. A., McCullough, M. E., Larson, D. B., et al.Religious commitment and health status. Arch. Fam. Med. 1998; 7:118–24CrossRefGoogle ScholarPubMed
Koenig, H. G., Cohen, H. J., Blazer, D. G., et al.Religious coping and depression among elderly, hospitalized, medically ill men. Am. J. Psychiatry 1992; 149:1693–700Google ScholarPubMed
Anandarajah, G. and Hight, E.Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am. Fam. Phys. 2000; 63:81–8Google Scholar
Roberts, J. A., Brown, D., Elkins, T. and Larson, D. B.Factors influencing views of patients with gynecological cancer about end-of-life decisions. Am. J. Obstet. Gynecol. 1997; 176:166–72CrossRefGoogle ScholarPubMed
Johnson, S. C. and Spilka, B.Coping with breast cancer: the roles of clergy and faith. J. Relig. Health 1991; 30:21–33CrossRefGoogle ScholarPubMed
Rahman, F. and Marty, M. Health and Medicine in the Islamic Tradition: Change and Identity (Health/Medicine and the Faith Traditions). Chicago: Kazi Publications; 1998
Breuilly, E., O'Brien, J., Marty, M. E. and Palmer, M. Religions of the World: The Illustrated Guide to Origins, Beliefs, Traditions and Festivals. Chicago: Checkmark; 1997
Sloan, R. P., Bagiella, E. and Powell, T.Religion, spirituality, and medicine. Lancet 1999; 353:664–7CrossRefGoogle Scholar
Sloan, R. P., Bagiella, E., VandeCreek, L., Hasan, Y. and Puolos, P.Should physicians prescribe religious activities?N. Engl. J. Med. 2000; 342:1913–16CrossRefGoogle ScholarPubMed
Martin, E. The Woman in the Body: A Cultural Analysis of Reproduction. Boston: Beacon Press; 1987
Jones, J.Embodied meaning: menopause and the change of life. Soc. Work Health Care 1994; 19:43–65CrossRefGoogle ScholarPubMed
Woods, F. W. and Mitchell, E. S.Anticipating menopause: observations from the Seattle Midlife Women's Health Study. Menopause 1999; 6:167–73CrossRefGoogle ScholarPubMed
Utian, W. H. and Boggs, P. P.The North American Menopause Society 1998 Menopause Survey, part 1: postmenopausal women's perceptions about menopause and midlife. Menopause 1999; 6:122–8CrossRefGoogle Scholar
Uphold, C. R. and Susman, E. J.Self-reported climacteric symptoms as a function of the relationships between marital adjustment and childrearing stage. Nurs. Res. 1981; 30:84–8CrossRefGoogle ScholarPubMed
Dosey, M. F. and Dosey, M. A.The climacteric woman. Patient Couns. Health Educ. 1980; 2:14–21CrossRefGoogle Scholar
Costello, E. J.Married with children: predictors of mental and physical health in middle-aged women. Psychiatry 1991; 54:292–305CrossRefGoogle ScholarPubMed
Weissman, M. M., Bland, R. C. and Canino, G. J.Cross-national epidemiology of major depression and bipolar disorder. J. Am. Med. Assoc. 1996; 276:293–9CrossRefGoogle ScholarPubMed
Kessler, R. C., McGonagle, K. A., Zhao, S., et al.Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch. Gen. Psychiatry 1994; 51:8–19CrossRefGoogle ScholarPubMed
McCormick, L. H.Depression in mothers of children with attention deficit hyperactivity disorder. Fam. Med. 1995; 27:176–9Google ScholarPubMed
Yonkers, K. A. and Austin, L. S.Mood disorders: women and affective disorders. Prim. Psychiatry 1996; 3:27–8Google Scholar
Leibenluft, E.Women with bipolar illness: clinical and research issues. Am. J. Psychiatry 1996; 153:163–73Google ScholarPubMed
Hallstrom, T. and Samuelson, S.Mental health in the climacteric: the longitudinal study of women in Gothenburg. Acta Obstet. Gynecol. Scand. Suppl. 1985; 130:13–18CrossRefGoogle ScholarPubMed
Holte, A. and Mikkelsen, A.Psychosocial determinants of climacteric complaints. Maturitas 1991; 13:205–15CrossRefGoogle ScholarPubMed
Cawood, E. H. H. and Bancroft, J.Steroid hormones, the menopause, sexuality and well being of women. Psychol. Med. 1996; 26:925–36CrossRefGoogle Scholar
DeAngelis, T.Menopause symptoms vary among ethnic groups. Am. Psychiatr. Assoc. Monit. 1997; 17:16Google Scholar
Garnett, T., Studd, J. W. W., Henderson, A., et al.Hormone implants and tachyphylaxis. Br. J. Obstet. Gynaecol, 1990; 97:917–21CrossRefGoogle ScholarPubMed
Hay, A. G., Bancroft, J. and Johnstone, E. C.Affective symptoms in women attending a menopause clinic. Br. J. Psychiatry 1994; 164:513–16CrossRefGoogle ScholarPubMed
Sarrel, P. M. and Whitehead, M. I.Sex and menopause: defining the issues. Maturitas 1985; 7:217–24CrossRefGoogle ScholarPubMed
Osborn, M., Hawton, K. and Gath, D.Sexual function among middle aged women in the community. Br. Med. J. 1985; 296:959–62CrossRefGoogle Scholar
Hawton, K., Gath, D. and Day, A.Sexual function in a community sample of middle-aged women with partners: effects of age, marital, socio-economic, psychiatric, gynaecological and menopausal factors. Arch. Sex. Behav. 1994; 23:375–95CrossRefGoogle Scholar
Hunter, M. S.Emotional well being, sexual behavior and hormone replacement therapy. Maturitas 1990; 12:299–314CrossRefGoogle ScholarPubMed
Fishbein, E. G.Women at midlife: the transition to menopause. Nurs. Clin. North. Am. 1992; 27:951–7Google ScholarPubMed
Carolan, M.Beyond deficiency: broadening the view of menopause. J. Appl. Gerontol. 1994; 13:193–205CrossRefGoogle Scholar
Berkun, C.On behalf of women over 40: understanding the importance of menopause. Soc. Work 1986; 31:378–84CrossRefGoogle Scholar
Lock, M.Ambiguities of aging: Japanese experience and perceptions of the menopause. Cult. Med. Psychiatry 1980; 10:23–46CrossRefGoogle Scholar
Beyenne, Y.Cultural significance and physiological manifestations of menopause, a biocultural analysis. Cult. Med. Soc. 1986; 10:47–71Google Scholar
Voda, A. M.Climacteric hot flush. Maturitas 1981; 3:73–90xsCrossRefGoogle Scholar
Gannon, L., Hansel, S. and Goodwin, J.Correlates of menopausal hot flushes. J. Behav. Med. 1987; 10:277–85CrossRefGoogle Scholar
Vliet, E.Menopause and perimenopause: the role of ovarian hormones in common neuroendocrine syndromes in primary care. Prim. Care 2002; 29:43–67CrossRefGoogle ScholarPubMed
Bhatia, S.Depression in women: diagnostic and treatment considerations. Am. Fam. Physician 1999; 60:225–40Google ScholarPubMed
Miszko, T. A. and Cress, M. E.A lifetime of fitness: exercise in the perimenopausal and postmenopausal woman. Clin. Sports Med. 2000; 19:215–32CrossRefGoogle ScholarPubMed
Lane, N. A., Bloch, D. A., Hubert, H. B., et al.Running, osteoarthritis, and bone density: initial 2 year longitudinal study. Am. J. Med. 1990; 88:452CrossRefGoogle ScholarPubMed
Manber, R.Alternative treatments for depression: empirical support and relevance to women. J. Clin. Psychiatry 2002; 63:628–40CrossRefGoogle ScholarPubMed
Dunn, A. L., Marcus, B. H. and Kampert, J. B.Comparison of the lifestyle and structured intervention to increase physical activity and cardiorespiratory fitness: a randomized trial. J. Am. Med. Assoc. 1999; 281:327CrossRefGoogle ScholarPubMed
Manson, J. E., Hu, F. B., Rich-Edwards, J. W., et al.A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. N. Engl. J. Med. 1999; 341:651CrossRefGoogle ScholarPubMed

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