Association between depressive mood and body image and menopausal symptoms and sexual function in perimenopausal women

Table 1 Comparison of clinical data between the control and female sexual dysfunction groups [n (%), mean ± SD]

Factor	Control group (n = 52)	FSD group (n = 134)	t/χ2/Z	P value
Age (yr)	47.78 ± 4.03	48.49 ± 3.65	-1.156	0.249
Spouse age (yr)	51.14 ± 5.26	50.57 ± 4.80	0.707	0.480
BMI (kg/m2)	22.34 ± 2.75	22.86 ± 2.31	-1.304	0.194
Delivery times (time)	2.64 ± 0.79	2.75 ± 0.92	-0.760	0.448
BIS score (point)	9.33 ± 2.87	14.63 ± 4.52	-7.856	0.000
Education level, n (%)
Junior high school and below	34 (65.38)	102 (76.12)	-1.542	0.123
Senior middle school	14 (26.92)	27 (20.15)
College and above	4 (7.69)	5 (3.73)
Monthly income (yuan), n (%)
< 2000	21 (40.38)	100 (74.63)	-4.652	0.000
2000-5000	15 (28.85)	23 (17.16)
> 5000	16 (30.77)	11 (8.21)
HAMD score (point)	7.83 ± 2.32	13.44 ± 3.65	-10.296	0.000
Retirement, n (%)	24 (46.15)	66 (49.25)	0.144	0.704

BMI: Body mass index; HAMD: Hamilton Depression Scale; BIS: Body Image Scale; FSD: Female sexual dysfunction.

Table 2 Logistic regression analysis results of female sexual dysfunction-related factors in perimenopausal women

Factor		β value	Standard error	Wald	P value	Odds ratio	95% confidence interval
Monthly income	> 5000 yuan			12.820	0.002	1.000
	< 2000 yuan	3.280	0.942	12.117	0.000	26.586	4.193-168.579
	2000-5000 yuan	1.854	0.977	3.603	0.058	6.387	0.941-43.341
BIS score		0.464	0.107	18.941	0.000	1.590	1.290-1.959
HAMD score		0.633	0.124	25.981	0.000	1.884	1.477-2.403

HAMD: Hamilton Depression Scale; BIS: Body Image Scale.

Table 3 Comparison of clinical data in women with different degrees of menopausal symptoms [n (%), mean ± SD]

Factor	Mild group (n = 20)	Moderate group (n = 83)	Severe group (n = 83)	F/Z	P value
Age (yr)	48.01 ± 1.54	48.62 ± 2.56	48.92 ± 2.09	1.336	0.265
Spouse age (yr)	49.30 ± 2.26	50.25 ± 3.80	50.17 ± 3.14	0.659	0.519
Delivery times (time)	2.24 ± 0.57	2.50 ± 0.96	2.58 ± 0.78	1.301	0.275
Education level, n (%)
Junior high school and below	11 (55.00)	65 (78.31)	60 (71.29)	4.484	0.106
Senior middle school	7 (35.00)	14 (16.87)	20 (24.10)
College and above	2 (10.00)	4 (4.82)	3 (3.61)
Monthly income (yuan), n (%)
< 2000	13 (65.00)	51 (61.45)	57 (68.67)	1.468	0.480
2000-5000	5 (25.00)	16 (19.28)	17 (20.48)
> 5000	2 (10.00)	16 (19.28)	9 (10.84)
Retirement, n (%)	9 (45.00)	42 (50.60)	48 (57.83)	0.200	0.654
BMI (kg/m2)	22.06 ± 1.45	22.52 ± 2.23	22.73 ± 2.30	0.781	0.459

BMI: Body mass index.

Table 4 Comparison of Menopause Rating Scale, Body Image Scale, Hamilton Depression Scale, and female sexual function index scores in women with different degrees of menopausal symptoms (mean ± SD, point)

Group	BIS score	HAMD score	FSFI score
Mild (n = 20)	10.25 ± 3.18b	10.49 ± 3.13b	26.21 ± 3.97b
Moderate (n = 83)	12.13 ± 4.02b	11.08 ± 3.06b	24.38 ± 5.55b
Severe (n = 83)	15.39 ± 4.82a	13.23 ± 4.02a	20.83 ± 3.65a
F	17.671	9.688	17.633
P value	0.000	0.000	0.000

^aP < 0.05 vs the moderate group.

^bP < 0.05 vs the severe group.

HAMD: Hamilton Depression Scale; BIS: Body Image Scale; FSFI: Female sexual function index.

Table 5 Mediating effect test of body image and depressive mood

Effect		Effect	Standard error	t	P value	LLCI	ULCI
Total effect		-0.416	0.064	-6.524	0.000	-0.542	-0.290
Direct effect		-0.250	0.060	-4.159	0.000	-0.369	-0.132
Mediating effect	HAMD score	-0.087	0.028	-6.155	0.000	-0.150	-0.039
	BIS score	-0.079	0.025	-3.623	0.000	-0.138	-0.036

HAMD: Hamilton Depression Scale; BIS: Body Image Scale; LLCI: Lower limit of 95% confidence interval; ULCI: Upper limit of 95% confidence interval.