Valdeilma Maria Moraes^*, Luc Vandenberghe, & Nusa de Almeida Silveira

Universidade Católica de Goiás, Goiânia, Brasil

RESUMO: As mulheres possuem atualmente uma expectativa de passar um terço de suas vidas no climatério. Neste período, a mulher apresenta vários sinais e sintomas característicos que comprometem a sua qualidade de vida como: alterações vasomotoras, atrofia geniturinária, distúrbios do humor e do sono, osteoporose. Há aproximadamente quarenta anos, os sinais e sintomas do climatério têm sido tratados com a reposição hormonal. Esta terapêutica tem sido motivo de discussão, com alguns estudos apresentando resultados favoráveis no que diz respeito à saúde, humor e funcionamento cognitivo e outros apresentando resultados desfavoráveis. Este estudo avaliou um grupo que fez uso da terapêutica hormonal e o outro que não fez. Os dois grupos foram avaliados e reavaliados em um intervalo de seis meses, quanto ao humor e atenção concentrada e ambos foram avaliados ao final do estudo quanto às atividades da vida diária, com o intuito de verificar aspectos que influenciam na qualidade de vida. As mulheres com a terapêutica hormonal referiram uma melhoria dos sintomas climatéricos, principalmente dos sintomas vaso motores, da libido, do estado de ânimo e do humor. As participantes que não fizeram uso da terapêutica hormonal, pioraram os escores do humor no intervalo do estudo e ambos os grupos não apresentaram modificações nos escores do teste de atenção aplicado. A realização de atividades diárias sugere que o trabalho é uma atividade de inclusão social importante e que deve ser valorizado como instrumento de manutenção da auto-estima das pessoas que envelhecem.

Palavras chave: Atenção, Climatério, Humor, Qualidade de vida, Terapêutica hormonal.

Mood, concentrated attention and quality of life in the climacteric: A Central Brazilian study

ABSTRACT: Women at present are estimated to pass one third of their lives in climacter ic. In this period, women present various characteristic signs and symptoms that compromise quality of life, like for example vascular-motor changes, genital-urinary atrophy, and disturbance of humor and sleep and on the long-term osteoporosis. Since approximately forty years, the signs and symptoms of climacteric have been treated with reposition of estrogen and progesterone. The results of hormonal therapy have been subject to discussion throughout the world, with certain studies showing favorable results and others showing unfavorable ones concerning health, humor and cognitive functioning. The present study evaluated two groups of eight menopausal women. The experimental group had hormonal therapy while the control group had no treatment. Both were evaluated on mood and concentration before and after a six-month interval, and participated in an interview on daily life activities, with the intention to verify factors that in interaction may influence the quality of life of women in this phase of life. The women that had hormonal therapy reported an improvement in climacteric symptoms, principally the vasomotor symptoms, libido, disposition and mood. The participants that did not have hormonal therapy worsened on scores of mood during the studied interval and neither group presented changes on test-scores of attention. The information on the daily life activities, suggests that work is an important factor of social inclusion that should be recognized as an instrument in the maintenance of self-esteem of aging persons.

Key words: Attention, Climacteric, Hormonal therapy, Humor, Quality of life.

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Recebido em 4 de Junho de 2007 / aceite em 12 de Outubro de 2007