Psychological well-being and the dyadic relationship of Chinese menopausal women (and their spouses) attending hormone replacement clinics

P. M. Lam, G. W.Y. Cheung, Tan Lei Shek, D. T.S. Lee, C. Haines, T. K.H. Chung

Research output: Journal article publicationReview articleAcademic researchpeer-review

6 Citations (Scopus)


This survey examined the general health and the marital relationship of 122 Chinese menopausal women and their spouses attending hormone replacement clinics. Climacteric symptoms of the participants were assessed by the modified Greene Climacteric Scale (GCS). The psychological well-being of the participants and their spouses was assessed by the 12-item Chinese General Health Questionnaire (GHQ), and their marital quality was assessed by the Chinese Dyadic Adjustment Scale (DAS). The GCS scores of our cohort were significantly higher than that of a community-based sample of menopausal Chinese women. About one-third of the participants and one-fifth of their spouses suffered from reduced psychological well-being. Although the DAS total scores of the participants and their spouses were comparable to those of the adjusted couples in a younger population, the affectional DAS subscores were significantly lower. The GCS scores of the menopausal women were significantly positively correlated with their GHQ scores but negatively correlated with their DAS scores. In summary, the menopausal women attending the hormonal replacement clinics, especially those with more climacteric symptoms, suffered from significant psychiatric morbidity and marital maladjustment. The psychological dimension of the menopause should never be neglected.
Original languageEnglish
Pages (from-to)206-211
Number of pages6
JournalGynecological Endocrinology
Issue number4
Publication statusPublished - 1 Apr 2004
Externally publishedYes


  • Chinese
  • Dyadic
  • Menopause
  • Psychological

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Obstetrics and Gynaecology

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