title: Psychiatric disorders and menopause symptoms in Brazilian women.
abstract: OBJECTIVE
  This study investigated the association between minor psychiatric disorders and menopause symptoms and their associated factors.
  
  
  METHODS
  A cross-sectional study was conducted with 615 women aged 40 to 65 years treated in a public menopause and gynecological outpatient clinic in the South Region of Brazil. Minor psychiatric disorders were assessed using the Self-Reporting Questionnaire (SRQ-20) and menopause symptoms using the Menopause Rating Scale. Score for menopause symptoms was categorized into three levels of symptoms: mild, moderate, and severe. Multivariate analyses used ordinal logistic regression.
  
  
  RESULTS
  The prevalence of mild, moderate, and severe menopause symptoms was 34.1% (95% CI 30.3-37.9), 29.6% (95% CI 25.8-33.1), and 36.3% (95% CI 32.4-40.0), respectively. The overall prevalence of minor psychiatric disorders was 66.6% (95% CI 62.8-70.3). After adjustment, the odds ratio (OR) of the occurrence of menopause symptoms were approximately eight times higher in women relating minor psychiatric disorders compared with those without such disorders (OR = 7.76; 95% CI 5.27-11.44). The following factors were also associated with the menopause symptoms: women older than 50 years, living with a partner, lower educational level, smokers, larger number of pregnancies, obese, and those using psychotropic and/or postmenopause medication.
  
  
  CONCLUSIONS
  The minor psychiatric disorders exhibited strong association with the presence of menopause symptoms independently of sociodemographic, behavioral, and reproductive factors, and of use of psychotropic medication.
authors.affiliation: 1Post-Graduate Program in Collective Health, University of Vale do Rio dos Sinos, São Leopoldo, Brazil 2University of Caxias do Sul, Caxias do Sul, Brazil 3Department of Nutrition, Federal University of Health Sciences, Porto Alegre, Brazil.
authors.forename: Lidiane
authors.initials: L
authors.lastname: Barazzetti
authors.forename: Marcos Pascoal
authors.initials: MP
authors.lastname: Pattussi
authors.forename: Anderson da Silva
authors.initials: Ada S
authors.lastname: Garcez
authors.forename: Karina Giane
authors.initials: KG
authors.lastname: Mendes
authors.forename: Heloísa
authors.initials: H
authors.lastname: Theodoro
authors.forename: Vera Maria Vieira
authors.initials: VM
authors.lastname: Paniz
authors.forename: Maria Teresa Anselmo
authors.initials: MT
authors.lastname: Olinto
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D016015:Logistic Models; D008593:Menopause / Q000502:physiology* / Q000523:psychology*; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D016017:Odds Ratio; D010298:Parity; D017698:Postmenopause; D011247:Pregnancy; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires