Stute, Petra; Spyropoulou, Areti; Karageorgiou, Vasilios; Cano, Antonio; Bitzer, Johannes; Ceausu, Iuliana; Chedraui, Peter; Durmusoglu, Fatih; Erkkola, Risto; Goulis, Dimitrios G; Lindén Hirschberg, Angelica; Kiesel, Ludwig; Lopes, Patrice; Pines, Amos; Rees, Margaret; van Trotsenburg, Mick; Zervas, Iannis; Lambrinoudaki, Irene (2020). Management of depressive symptoms in peri- and postmenopausal women: EMAS position statement. Maturitas, 131, pp. 91-101. Elsevier 10.1016/j.maturitas.2019.11.002
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INTRODUCTION
Globally, the total number of people with depression exceeds 300 million, and the incidence rate is 70 % greater in women. The perimenopause is considered to be a time of increased risk for the development of depressive symptoms and major depressive episodes.
AIM
The aim of this position statement is to provide a comprehensive model of care for the management of depressive symptoms in perimenopausal and early menopausal women, including diagnosis, treatment and follow-up. The model integrates the care provided by all those involved in the management of mild or moderate depression in midlife women.
MATERIALS AND METHODS
Literature review and consensus of expert opinion.
SUMMARY RECOMMENDATIONS
Awareness of depressive symptoms, early detection, standardized diagnostic procedures, personalized treatment and a suitable follow-up schedule need to be integrated into healthcare systems worldwide. Recommended treatment comprises antidepressants, psychosocial therapies and lifestyle changes. Alternative and complementary therapies, although widely used, may help with depression, but a stronger evidence base is needed. Although not approved for this indication, menopausal hormone therapy may improve depressive symptoms in peri- but not in postmenopausal women, especially in those with vasomotor symptoms.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology |
UniBE Contributor: |
Stute, Petra |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0378-5122 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Monika Zehr |
Date Deposited: |
30 Dec 2019 11:03 |
Last Modified: |
05 Dec 2022 15:33 |
Publisher DOI: |
10.1016/j.maturitas.2019.11.002 |
PubMed ID: |
31740049 |
Uncontrolled Keywords: |
Depression EMAS Early menopause Menopausal hormone therapy Menopausal transition Model of care Perimenopause |
BORIS DOI: |
10.7892/boris.136521 |
URI: |
https://boris.unibe.ch/id/eprint/136521 |
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