title: Menopause and crisis? Fake or real: comprehensive search to the depth of crisis experienced: a mixed-method study.
abstract: BACKGROUND
  Menopause is beyond the lack of menstruation and fertility decline in estrogen. Menopause is associated with at least three types of crisis: Biological, psychological and social. The aim of this study was to investigate psychiatric problems related to menopausal stress and experiences about psychological conditions related to menopause as a developmental crisis.
  
  
  METHODS
  This mixed-method study (by triangulation approach) was done on 300 women in menopause age (44-54 years) by consensus sampling. Data gathering was from questionnaire conclude psychosomatic listed and hypochondria's criterion that has been specified by DSMIV. The severity of the disorder was also collected by self-reported question. In the qualitative part, as a phenomenology study, data were gathered with Purposive sampling by a deep semi-structured interview. Data analysis was from content analysis).
  
  
  RESULTS
  Results showed that most of the disorders from psychosomatic listed experienced by women conclude: sexual problems 101(33.7%), hypertension 39(13%), and constipation 30(10%); 2.9% had experienced hypochondrias disorder. In the qualitative part, 5 themes were driven from the results of this study which described the structures of psychological experiences of the menopause as follows: change in emotion and mood, change in attitude, change in self-concept and change in interpersonal relationships.
  
  
  CONCLUSIONS
  Menopause is a physiological process in women's life, but due to many symptoms and complications, it requires culturally appropriate education, appropriate coping with problems and mental health promotion in this sexual crisis.
authors.forename: Nehle
authors.initials: N
authors.lastname: Parand avar
authors.affiliation: Mental health Deprtment, Jahrom University of Medical Sciences. mossla_1@yahoo.com.
authors.forename: Leili
authors.initials: L
authors.lastname: Mosalanejad
authors.forename: Somaye
authors.initials: S
authors.lastname: Ramezanli
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Ghavi
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007492:Iran / Q000453:epidemiology; D008593:Menopause / Q000523:psychology*; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000453:epidemiology / Q000523:psychology*