Effect of symptoms of climacteric syndrome, depression and insomnia on self-rated work ability in peri- and post-menopausal women in non-manual employment
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Department of Pathology and Rehabilitation of Speech, Medical University, Lublin, Poland
Department of Women’s Health, Institute of Rural Health, Lublin, Poland
Department of Prevention of Environmental Hazards and Allergology, Medical University, Warsaw, Poland
Institute of Statistics and Demography, Collegium of Economic Analysis, SGH School of Economics, Warsaw, Poland
Iwona Bojar   

Department of Women’s Health, Institute of Rural Health in Lublin, Poland
The aim of the study was evaluation of the relationship between severity of symptoms of climacteric syndrome, depressive disorders and sleep problems, and the self-rated work ability of peri-menopausal and post-menopausal women in non-manual employment.

Material and methods:
The study included 287 women aged 45–60 years, employed in various institutions as non-manual workers. Work Ability Index, Greene Climacteric Scale, Beck Depression Inventory, and Athens Insomnia Scale were used.

The examined peri-menopausal and post-menopausal women in non-manual employment obtained good work ability on the Work Ability Index. The severity of menopausal syndrome, according to the Greene Climacteric Scale, was moderate, placing the examined women between results for the general population of women and the pattern for menopausal women. Depressive disorders ranked between low mood and moderate depression. No depression was observed in 59% of the women, whereas moderate depression was observed in 39%, and severe depression in only 2%. Sleep disorders were on the border of normal range. As many as 46% of the women had no sleep problems, which was on the border of normal range in 36%. Only 19% of the examined women suffered from insomnia. Work ability correlated negatively with depression and insomnia severity, as well as with psychological and vasomotor symptoms of climacteric syndrome, but not to its somatic symptoms.

Preventing the occurrence and treatment of menopausal symptoms, sleep and mood disorders may contribute to maintaining the work ability of women in peri- and post-menopausal age.

This study was conducted in the Institute of Rural Health, Lublin, Poland, on the basis of the project “Mental and Physical Health of Women in the Perimenopausal and Postmenopausal Period in Terms of Preserving their Ability to Work” within the framework of the third stage of the multiannual program “Improving the Operational Safety and Working Conditions” financed in the years 2014–2016 in the field of research and development by the Ministry of Science and Higher Education/National Center for Research and Development. Program Coordinator: Central Institute for Labour Protection – National Research Institute
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