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Psychiatry Investig > Volume 20(1); 2023 > Article
Psychiatry Investigation 2023;20(1):18-26.
DOI:    Published online January 25, 2023.
Level of Psychological and Somatic Symptoms Predict Perimenopausal Syndrome Severity Better Than Obstetric and Psychiatric History Do Among Korean Women
Soyeon Kim1  , Sun Mi Kim1  , Da Seul Kim1  , Seunga Han2  , Ji Sun Hong1  , Jeong Seok Seo1 
1Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Republic of Korea
2Department of Political Science, Vanderbilt University, Nashville, TN, USA
Correspondence: Ji Sun Hong ,Tel: +82-2-2260-6680, Fax: +82-2-813-5387, Email:
Correspondence: Jeong Seok Seo ,Tel: +82-2-2260-9004, Fax: +82-2-813-5387, Email:
Received: August 31, 2022   Revised: October 6, 2022   Accepted: October 30, 2022   Published online: January 25, 2023
Menopause symptoms can vary in type, duration, and severity. The purpose of this study was to investigate the key factors predicting severe symptoms among Korean perimenopausal women with various demographic data, obstetric and psychiatric histories, and menopausal symptoms screening scale scores.
Data were collected from 1,060 women, and 4 latent classes were identified using latent profile analysis, with 6 major categories of menopausal complaints. Among the 4 classes, we selectively used data from the “all unimpaired” and “all impaired” groups. Menopause rating scale (MRS), sociodemographic, obstetric, and psychiatric factors were assessed, and hierarchical logistic regression analyses were conducted with the “all impaired” group as a dependent variable.
Marital status and scores on the psychological and somatic subscales of the MRS were statistically related to being in the “all impaired” group. Otherwise, family history of menopausal symptoms, menarche age, and history of other psychiatric disorders were not statistically significant predictors of being in the “all impaired” group.
The psychological and somatic subscales of the MRS predict the severity of perimenopausal syndrome better than obstetric and psychiatric history do among Korean perimenopausal women. Psychological and somatic symptoms as well as genitourinary symptoms in menopausal patients should be closely evaluated.
Key words   Perimenopause; Menopause; Somatic symptoms; Psychological factor; Predictor
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