Cultural and cognitive factors in symptom appraisal concerning menopause

Abstract

Menopause is a biological and psychological phenomenon in the lives of middle-aged women. It is important to understand how biological variation is linked to the subjective experience of menopause. In different cultures menopause is seen variously as a normal passage in life, and as a prototype of an illness, the symptoms associated with it being seen to need medical assistance. These different views are influenced by cognitions, attributions and pre-existing beliefs about menopause and their relationship with psychological and social dimensions such as changing of roles, occupation, aging, stress among others. Although there is considerable variability in symptom appraisal within cultures, the meaning of menopause is also different across cultures. As a part of life, menopause is not necessarily traumatic, does not place healthy women at risk of an affective disorder, and is considered by some to be a normal phase that may or may not be accompanied by physical discomfort (Berkun, 1986).For these reasons, in the context of human aging menopause should be viewed as a process and not an event (Lock, 1986). The weight of evidence from anthropology and sociology strongly suggest that the experience of the menopause is shaped by historical factors and environmental and cultural contexts, and by the individual’s personal history, both in the biological and in the social senses. Psychological research is needed to determine the cognitive, emotional and social mediators of these factors.RESUMO: A menopausa B um fedmeno biologico ,e psicologic0 na vida das mulheres de meia idade. E importante compreender como C que a alteraqiio biologica se relaciona com a experiencia subjectiva na menopausa. Em diferentes culturas a menopausa C vista de formas diferentes: como uma transiqlo normal da vida ou, entlo, como prototipo de uma doenqa, cujos sintomas associados justificariam assisthcia midica. Estes pontos de vista diferentes siio influenciados pelas cogniqBes, atribuiqBes e crenqas sobre a menopausa e pela sua relaqiio com dimensBes psicologicas e sociais, tais como mudanqa de papCis, profissiio, envelhecimento e stress, entre outras. Tal como ha grande variabilidade na avaliaqiio dos sintomas dentro da mesma cultura, tambCm o significado da menopausa C diferente de cultura para cultura. Como parte integrante da vida, a menopausa n%o e necessariamente traumatica, niio coloca a mulher saudavel em risco de perturbaqlo afectiva e C considerada por alguns como uma fase normal que pode ser ou n%o acompanhada por desconforto fisico (Berkun, 1986). Por estas razBes, a menopausa deve ser considerada um process0 e niio um acontecimento, no context0 do envelhecimento humano (Lock, 1986). A antropologia e a sociologia sugerem fortemente que a experiCncia da menopausa e influenciada por factores historicos e ambientais, pelos contextos culturais e pela historia individual, quer no sentido biologico quer no social. E necessaria investigaqiio psicologica com a finalidade de determinar OS mediadores cognitivos, emocionais e sociais desses factores

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