The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome

Abstract

The purpose of this study was to test the feasibility of utilizing the established perimenopausal fatigue self-management scale (P-MFSMS) to evaluate perimenopausal Taiwanese women’s vulnerability to fatigue syndrome. A cross-sectional study design was adopted to survey 220 perimenopausal Taiwanese women with a mean age of 51.8 ± 4.64 years and a mean body mass index of 23.07 ± 3.04 kg/m2, 75.9% of whom were married, 52.3% had a college education or above, 80.4% had salaries, 81.3% had small families, and 96.4% were not using hormone therapy. The P-MFSMS consists of 25 questions based on six categories: (1) strive to maintain work energy and efficiency; (2) seek self-help from medical resources (doctor shopping); (3) strive to maintain the normal operation of the family (seeking help and support from family or significant other); (4) make time for activities or exercise in busy life; (5) slow down or adjust lifestyle; (6) frustration. For all of these six categories, the minimum loading of each question on the factor was calculated to be over 0.50, with a Cronbach’s α of 0.78 and a corrected total-item correlation of >0.50. The goodness of fit of the model was determined to be acceptable, with a chi-square/df value of <3.0 (χ2 = 503.45 and df = 260), a root mean square error of approximation (RMSEA) value of 0.065 (<0.08), as well as a Kaiser–Meyer–Olkin (KMO) value of 0.892. The Tucker–Lewis index (TLI = 0.91), Comparative Fit index (CFI = 0.92), and Incremental Fit index (IFI = 0.92) were all >0.90. There was no statistically significant difference in the difficulty between perimenopausal and postmenopausal women utilizing differential item function (DIF) analysis. Taken together, the 25-question P-MFSMS may be a potentially valid and reliable instrument for suitably evaluating perimenopausal Taiwanese women’s vulnerability to fatigue syndrome. Future studies will be conducted to test the effectiveness of the P-MFSMS for evaluating perimenopausal Taiwanese women’s vulnerability to fatigue syndrome in clinical practice.

The impact of foot massage given to postmenopausal women on anxiety, fatigue, and sleep: a randomized-controlled trial

“…Vasomotor changes that occur during menopause (eg, hot flashes, night sweats) can affect women's activities of daily living and cause fatigue 44 . Fatigue can affect many organs and bodily functions in terms of physical and psychological aspects 43 . Currently, the use of complementary and alternative medicine for the relief of symptoms related to physical and mental health is important 41 .…”

“…It has been noted that fatigue is more common in women than in men, and the prevalence of fatigue is especially higher in women during menopause. 42,43 Vasomotor changes that occur during menopause (eg, hot flashes, night sweats) can affect women's activities of daily living and cause fatigue. 44 Fatigue can affect many organs and bodily functions in terms of physical and psychological aspects.…”

“…44 Fatigue can affect many organs and bodily functions in terms of physical and psychological aspects. 43 Currently, the use of complementary and alternative medicine for the relief of symptoms related to physical and mental health is important. 41 It was reported that reflexology can be effective in reducing vasomotor problems and improving the quality of life in the premenopause, perimenopause or postmenopause period.…”

To do one and to get more: Part I. Diabetes and bone

“…[21][22][23][24]27,28,[30][31][32]36 The major strength of lifestyle modification is based on its safety and potential effectiveness, which are considered as overt benefits to harms. [37][38][39] However, DM patients have a tendency to lower total adherence to healthy eating patterns or poorer consumption of major food groups (grains, fruits, vegetables, proteins, seeds, nuts, and dairy) 17,18,30,31 ; therefore, many DM patients still need further pharmacologic agent therapy (antidiabetic agents [ADAs], glucose-lowering drugs) to overcome the underlying pathophysiological mechanisms of DM, such as inadequate and inappropriate secretion of insulin, defect and deficiency of insulin receptor, and malfunction about interaction of insulin and insulin receptor. 9,10,[40][41][42] Since pharmacological therapy is not avoidable, physicians should be familiar with different pharmacologic options to target DM, since as shown above and below, DM is frequently associated with major morbidities or concomitant comorbidities.…”

Selective feticide in late trimester: Misinterpretation

“…Additionally, morbidity should not be limited to the physical injuries. With the aid of questionnaire, 8,9 psychological, social, economic, and even relationship with family traumas/harms should be included. Research indicates several challenges, including moral conflict and negative emotions, regret, guilt, self-blame, judgment, and physical pain may be followed after feticide, although many researchers who are in favor of feticide seem to downplay the consequences of feticide, whereas those who oppose feticide tend to emphasize the consequences of feticide.…”