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Factors associated with resilience or vulnerability to hot flushes and night sweats during the menopausal transition

Duffy, Oonagh K. PhD1; Iversen, Lisa PhD1; Aucott, Lorna PhD2; Hannaford, Philip C. MD1

doi: 10.1097/gme.0b013e31827655cf
Original Articles
Editorial

Objective: The aim of this study was to explore factors associated with “resilience” and “vulnerability” to hot flushes and night sweats.

Methods: A total of 4,407 women aged 45 to 54 years who were recruited from family practices in northeast Scotland responded to a postal questionnaire. Among respondents reporting high-frequency hot flushes (n = 628) or night sweats (n = 628), we compared those with low levels of bother (“resilient”) with the rest. Similarly, among women reporting low-frequency hot flushes (n = 459) or night sweats (n = 459), those with high bother (“vulnerable”) were compared with the rest. Forward stepwise logistic regression examined social, psychological, and physical factors associated with resilience or vulnerability to each symptom.

Results: Women resilient to hot flushes were those who had previously not been bothered by their menstrual periods; were not experiencing somatic symptoms or night sweats; and perceived their symptoms as having low consequences on their lives. Those vulnerable to hot flushes had children; had a high body mass index; reported night sweats; and perceived their symptoms as having high life consequences. Women resilient to night sweats were nonsmokers; were not experiencing sleep difficulties; were not using psychological symptom management strategies; and perceived their menopausal symptoms as having low life consequences. Those vulnerable to night sweats had low educational attainment; had previously been bothered by their menstrual periods; had below-average physical health; reported musculoskeletal symptoms and hot flushes; and perceived their menopausal symptoms as having high life consequences.

Conclusions: Factors associated with resilience or vulnerability differ by symptom studied, although relationships with illness perceptions exist in all models. Our results suggest that a single approach to managing these symptoms is likely to be unsuccessful.

From the 1Academic Primary Care and 2Medical Statistics Team, Division of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.

Received June 19, 2012; revised and accepted August 15, 2012.

Funding/support: The postal survey was funded by the University of Aberdeen.

Financial disclosure/conflicts of interest: Academic Primary Care has received payments from Wyeth Pharmaceuticals for lectures on hormone therapy provided by P.C.H. O.K.D., L.I., and L.A. have nothing to declare.

Address correspondence to: Lisa Iversen, PhD, Academic Primary Care, Division of Applied Health Sciences, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, UK. E-mail: l.iversen@abdn.ac.uk

© 2013 by The North American Menopause Society.