The relationship between menopausal symptoms and burnout. A cross-sectional study among nurses

Converso, Daniela; Viotti, Sara; Sottimano, Ilaria; Loera, Barbara; Molinengo, Giorgia; Guidetti, Gloria

doi:10.1186/s12905-019-0847-6

Cited by 27 publications

(34 citation statements)

References 66 publications

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“…Menopausal symptoms such as lack of energy and fatigue, experienced by 43.9-64.7% of menopausal women, are strongly associated with exhaustion and burnout, which may seriously compromise quality of life of affected women [22][23][24]. Fatigue is described as a feeling of lack of energy, weariness, loss of drive, decrease or loss of ability to sustain even routine activities, overwhelming feeling of tiredness, exhaustion, and physical or mental strain that occurs even without conspicuous effort.…”

Section: Introductionmentioning

confidence: 99%

“…Pathological fatigue is an intensified level of the common "physiological" fatigue, and it may be evoked by pervasive pathologies [24][25][26]. The relation between fatigue and stress is dynamic, and it drastically changes during menopausal transition [22]. In fact, chronic fatigue in humans is described as a stress-related condition that involves numerous systemic dysfunctions, which alter homeostasis and hinder women's ability to bounce back from either fatigue or distress [5,22].…”

Section: Introductionmentioning

confidence: 99%

“…The relation between fatigue and stress is dynamic, and it drastically changes during menopausal transition [22]. In fact, chronic fatigue in humans is described as a stress-related condition that involves numerous systemic dysfunctions, which alter homeostasis and hinder women's ability to bounce back from either fatigue or distress [5,22]. For instance, dysregulation of the hypothalamic-pituitary-adrenal axis and persistent activation of the sympathetic nervous system are common in people with chronic fatigue syndrome, and they trigger a wide range of symptoms that can induce excessive suffering [5,26].…”

Section: Introductionmentioning

confidence: 99%

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Psychological Climacteric Symptoms and Attitudes toward Menopause among Emirati Women

Ali

Ahmed

Smail

2020

IJERPH

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Menopause is an inevitable developmental event that women encounter at an age of 42–54 years. The drop of estrogen levels that accompanies cessation of menstruation is associated with multiple vasomotor, physical, neuropsychological, and sexual symptoms, which may hamper quality of life. This study aimed to examine the severity of psychological symptoms and their correlates among peri- and postmenopausal Emirati women (N = 60, mean age = 54.88 ± 6 years). Participants were interviewed using the Menopause-Specific Quality of Life (MENQOL) and attitudes toward menopause scale (ATMS). In four path analysis models, vasomotor symptoms, weight gain, and fatigue had significant direct effects on symptoms of anxiety, depression (only weight gain and fatigue), and psychological distress. Fatigue significantly mediated the effects of vasomotor symptoms and weight gain on symptoms of anxiety, depression (only vasomotor symptoms), psychological distress, and memory problems. These models explained 47.6%, 44.5%, 56.6%, and 29.1% of the variances in anxiety, depression, psychological distress, and memory problems, respectively. Participants with more severe menopausal symptoms expressed more negative attitudes toward menopause though regression analysis revealed that only vasomotor symptoms could significantly contribute to ATMS scores. In conclusion, psychological distress is widespread among menopausal women, and it is associated with vasomotor symptoms, fatigue, and change of body composition (obesity). Psychological symptoms, along with vasomotor symptoms, express a key link to negative attitudes toward menopause. Therefore, interventional strategies that target psychological distress may promote coping with midlife transition and improve mental health among menopausal women.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychological Climacteric Symptoms and Attitudes toward Menopause among Emirati Women

Ali

Ahmed

Smail

2020

IJERPH

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“…This leads to an increased involvement of middle-age women in the workforce [13]. Various studies have revealed that menopausal symptoms predominantly affect women in the workforce than those out of the workforce [14][15][16][17]. This might be due to an increase in work stress and working environment [15].…”

Section: Introductionmentioning

confidence: 99%

Effect of health education on knowledge and attitude of menopause among middle-age teachers

et al. 2020

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Background Adequate knowledge and positive attitude toward menopause are important for women to tackle changes related to menopause. Even though all women experience menopause at some stage in their life, teachers face more difficulties more than other female employees due to the nature of their roles do. In Eritrea, menopause has been given little attention hence gaps exist concerning women’s knowledge, attitude, and the effects of health education on the same subject. This study aimed at assessing the effect of health education on knowledge and attitude of menopause among middle-aged teachers in elementary, junior, and secondary schools of Asmara, Eritrea. Method A semi-experimental design with pre-intervention, immediate post-intervention, and three-month follow up test was used in this study. The data was collected from 99 middle age teachers using stratified random sampling. The intervention was done using lectures, group discussions, brochures, and handouts. Data on socio-demographics, knowledge, and attitude was collected using a pre-designed questionnaire. The effect of educational training at the three-time points was evaluated by repeated measure ANOVA using SPSS version 22. Results The mean scores of correct knowledge at pre-intervention, immediate post-intervention, and 3-months follow-up were 12.3/22 (SD = 3.06), 17.3/22 (SD = 3.21), and 16.5/22 (SD = 2.52) respectively. A significant difference in scores of knowledge at the three-time points was observed due to the educational intervention with a statistical significance of (p < 0.0001). Post-hoc analysis revealed that knowledge score immediately after intervention was significantly greater than that of pre-intervention (p < 0.0001), and 3-months follow-up (p = 0.004). The mean scores of attitude at the three-time points were 27.9/45 (SD = 5.14), 28.3/45(SD = 5.25), 28.32/45(SD = 5.12). The educational intervention had brought a change in the mean scores of attitude at the three-time point with a statistical significance of (p < 0.0001). Post-hoc analysis revealed that attitude scores at immediate post-intervention were also significant (p = 0.001) with the 3-months follow up at (p < 0.0001) were higher than that of pre-intervention. Conclusion The structured educational intervention was beneficial to the studied women in intensifying their knowledge and tuning them toward a positive attitude. Hence, proper health education programs regarding menopause are strongly recommended.

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“…In the meantime, iron dysregulation—as indicated by exceptionally high serum ferritin levels—is common in AD patients; it contributes to oxidative stress and causes virulent reactivation of dormant blood and tissue microbiome [ 39 ]. E. coli bacterial lipoproteins act as agonists of toll-like receptor (TLR) 2 and nucleotide-binding domain and leucine-rich repeat containing protein 3 (NLRP3); they induce inflammation and increase cytokine production through their interaction with recombinant human Serum Amyloid A1 (hSAA1) [ 47 ]. In addition, various levels of bacterial LPS have been detected in blood samples and brain lysates from the superior temporal lobe neocortex and hippocampus of AD patients.…”

Section: The Mechanism Underlying Ad Developmentmentioning

confidence: 99%

Royal Jelly as an Intelligent Anti-Aging Agent—A Focus on Cognitive Aging and Alzheimer’s Disease: A Review

Ali

2020

Antioxidants

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The astronomical increase of the world’s aged population is associated with the increased prevalence of neurodegenerative diseases, heightened disability, and extremely high costs of care. Alzheimer’s Disease (AD) is a widespread, age-related, multifactorial neurodegenerative disease that has enormous social and financial drawbacks worldwide. The unsatisfactory outcomes of available AD pharmacotherapy necessitate the search for alternative natural resources that can target various the underlying mechanisms of AD pathology and reduce disease occurrence and/or progression. Royal jelly (RJ) is the main food of bee queens; it contributes to their fertility, long lifespan, and memory performance. It represents a potent nutraceutical with various pharmacological properties, and has been used in a number of preclinical studies to target AD and age-related cognitive deterioration. To understand the mechanisms through which RJ affects cognitive performance both in natural aging and AD, we reviewed the literature, elaborating on the metabolic, molecular, and cellular mechanisms that mediate its anti-AD effects. Preclinical findings revealed that RJ acts as a multidomain cognitive enhancer that can restore cognitive performance in aged and AD models. It promotes brain cell survival and function by targeting multiple adversities in the neuronal microenvironment such as inflammation, oxidative stress, mitochondrial alterations, impaired proteostasis, amyloid-β toxicity, Ca excitotoxicity, and bioenergetic challenges. Human trials using RJ in AD are limited in quantity and quality. Here, the limitations of RJ-based treatment strategies are discussed, and directions for future studies examining the effect of RJ in cognitively impaired subjects are noted.

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The relationship between menopausal symptoms and burnout. A cross-sectional study among nurses

Cited by 27 publications

References 66 publications

Psychological Climacteric Symptoms and Attitudes toward Menopause among Emirati Women

Psychological Climacteric Symptoms and Attitudes toward Menopause among Emirati Women

Effect of health education on knowledge and attitude of menopause among middle-age teachers

Royal Jelly as an Intelligent Anti-Aging Agent—A Focus on Cognitive Aging and Alzheimer’s Disease: A Review

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