Skip to main content
Top
Published in: BMC Psychiatry 1/2020

Open Access 01-12-2020 | Mood Disorders | Research article

Is body image a predictor of women’s depression and anxiety in postmenopausal women?

Authors: Masoumeh Simbar, Soheila Nazarpour, Hamid Alavi Majd, Khadijeh Dodel Andarvar, Zahra Jafari Torkamani, Fatemeh Alsadat Rahnemaei

Published in: BMC Psychiatry | Issue 1/2020

Login to get access

Abstract

Background

Women in perimenopausal and postmenopausal period are at increased risk of depression and anxiety. Physiologic changes in menopause can change body’s appearance and function that may disturb body and then lead to anxiety and depression. This study aims to assess the relationship between body image with anxiety and depression among postmenopausal women.

Methods

This descriptive study was performed on 307 women attending to the health centers in Tehran- Iran. Sampling was performed by a multi-staged randomized method. Data were collected by using Beck Depression questionnaire, Spielberger Anxiety Questionnaire, Fisher Body Image Questionnaire and Socio-demographic questionnaires. Data were analyzed by SPSS 21 and using t-test, Pearson and Spearman correlation tests and multiple linear regression methods.

Results

The average age of the participants was 55.19 ± 4.034 years. Mean scores for body image, anxiety and depression were 163.26 ± 20.38, 12.00 ± 7.71 and 42.70 ± 8.40 respectively. Fifty five percent of women had mild to severe depression and 83.7% of them had mild to severe anxiety. Total score and all domains of body image had a negative correlation with depression and anxiety scores (P < 0.001). Multiple linear correlation showed that body image is a predictor for depression and anxiety (P < 0.001).

Conclusions

Body image of women can be effective on occurrence of depression and anxiety in menopause. Therefore, women’s health policies should consider body image to control cognitive problems including depression and anxiety in menopause.
Literature
1.
go back to reference Hale GE, Robertson DM, Burger HG. The perimenopausal woman: endocrinology and management. J Steroid Biochem Mol Biol. 2014;142:121–31.PubMedCrossRef Hale GE, Robertson DM, Burger HG. The perimenopausal woman: endocrinology and management. J Steroid Biochem Mol Biol. 2014;142:121–31.PubMedCrossRef
2.
go back to reference Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the stages of reproductive aging workshop+ 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab. 2012;97(4):1159–68.PubMedPubMedCentralCrossRef Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the stages of reproductive aging workshop+ 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab. 2012;97(4):1159–68.PubMedPubMedCentralCrossRef
3.
go back to reference Monteleone P, Mascagni G, Giannini A, Genazzani AR, Simoncini T. Symptoms of menopause—global prevalence, physiology and implications. Nat Rev Endocrinol. 2018;14(4):199–215.PubMedCrossRef Monteleone P, Mascagni G, Giannini A, Genazzani AR, Simoncini T. Symptoms of menopause—global prevalence, physiology and implications. Nat Rev Endocrinol. 2018;14(4):199–215.PubMedCrossRef
4.
go back to reference Séjourné N, Got F, Solans C, Raynal P. Body image, satisfaction with sexual life, self-esteem, and anxiodepressive symptoms: a comparative study between premenopausal, perimenopausal, and postmenopausal women. J Women Aging. 2019;31(1):18–29.PubMedCrossRef Séjourné N, Got F, Solans C, Raynal P. Body image, satisfaction with sexual life, self-esteem, and anxiodepressive symptoms: a comparative study between premenopausal, perimenopausal, and postmenopausal women. J Women Aging. 2019;31(1):18–29.PubMedCrossRef
5.
go back to reference Berek JS. Berek & Novak's gynecology. 16th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2019. Berek JS. Berek & Novak's gynecology. 16th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2019.
6.
go back to reference Gümüşay M, Erbil N. Alternative methods in the management of menopausal symptoms. Middle Black Sea J Health Sci. 2016;2(2):20–5.CrossRef Gümüşay M, Erbil N. Alternative methods in the management of menopausal symptoms. Middle Black Sea J Health Sci. 2016;2(2):20–5.CrossRef
7.
go back to reference Kim Y, Austin SB, Subramanian S, Kawachi I. Body weight perception, disordered weight control behaviors, and depressive symptoms among Korean adults: the Korea National Health and nutrition examination survey 2014. PLoS One. 2018;13(6):e0198841.PubMedPubMedCentralCrossRef Kim Y, Austin SB, Subramanian S, Kawachi I. Body weight perception, disordered weight control behaviors, and depressive symptoms among Korean adults: the Korea National Health and nutrition examination survey 2014. PLoS One. 2018;13(6):e0198841.PubMedPubMedCentralCrossRef
8.
go back to reference Llaneza P, García-Portilla MP, Llaneza-Suárez D, Armott B, Pérez-López FR. Depressive disorders and the menopause transition. Maturitas. 2012;71(2):120–30.PubMedCrossRef Llaneza P, García-Portilla MP, Llaneza-Suárez D, Armott B, Pérez-López FR. Depressive disorders and the menopause transition. Maturitas. 2012;71(2):120–30.PubMedCrossRef
9.
go back to reference Mulhall S, Andel R, Anstey KJ. Variation in symptoms of depression and anxiety in midlife women by menopausal status. Maturitas. 2018;108:7–12.PubMedCrossRef Mulhall S, Andel R, Anstey KJ. Variation in symptoms of depression and anxiety in midlife women by menopausal status. Maturitas. 2018;108:7–12.PubMedCrossRef
10.
go back to reference Lobo RA. Menopause and Aging. In: Jerome S, Robert B, Antonio G, editors. Yen and Jaffe's Reproductive Endocrinology. 8th ed. Amsterdam: Elsevier; 2019. p. 322–56. e329. Lobo RA. Menopause and Aging. In: Jerome S, Robert B, Antonio G, editors. Yen and Jaffe's Reproductive Endocrinology. 8th ed. Amsterdam: Elsevier; 2019. p. 322–56. e329.
11.
go back to reference Santoro N, Epperson CN, Mathews SB. Menopausal symptoms and their management. Endocrinol Metab Clin. 2015;44(3):497–515.CrossRef Santoro N, Epperson CN, Mathews SB. Menopausal symptoms and their management. Endocrinol Metab Clin. 2015;44(3):497–515.CrossRef
12.
go back to reference Deeks AA. Psychological aspects of menopause management. Best Pract Res Clin Endocrinol Metab. 2003;17(1):17–31.PubMedCrossRef Deeks AA. Psychological aspects of menopause management. Best Pract Res Clin Endocrinol Metab. 2003;17(1):17–31.PubMedCrossRef
13.
go back to reference McKinley NM, Lyon LA. Menopausal attitudes, objectified body consciousness, aging anxiety, and body esteem: European American women's body experiences in midlife. Body Image. 2008;5(4):375–80.PubMedCrossRef McKinley NM, Lyon LA. Menopausal attitudes, objectified body consciousness, aging anxiety, and body esteem: European American women's body experiences in midlife. Body Image. 2008;5(4):375–80.PubMedCrossRef
14.
go back to reference Slevec JH, Tiggemann M. Predictors of body dissatisfaction and disordered eating in middle-aged women. Clin Psycho Rev. 2011;31(4):515–24.CrossRef Slevec JH, Tiggemann M. Predictors of body dissatisfaction and disordered eating in middle-aged women. Clin Psycho Rev. 2011;31(4):515–24.CrossRef
15.
go back to reference Vanis N, Horozić D, Sokolović E, Valjevac A. Increased bone turnover in obese postmenopausal females. Biological Markers Fundamental Clin Med. 2018;2(2):64 4. Vanis N, Horozić D, Sokolović E, Valjevac A. Increased bone turnover in obese postmenopausal females. Biological Markers Fundamental Clin Med. 2018;2(2):64 4.
16.
go back to reference Kapoor E, Collazo-Clavell ML, Faubion SS. Weight gain in women at midlife: a concise review of the pathophysiology and strategies for management. Mayo Clin Proc. 2017;92(10):1552–8.PubMedCrossRef Kapoor E, Collazo-Clavell ML, Faubion SS. Weight gain in women at midlife: a concise review of the pathophysiology and strategies for management. Mayo Clin Proc. 2017;92(10):1552–8.PubMedCrossRef
17.
go back to reference de Morais MSM, do Nascimento RA, MCA V, Moreira MA, da Câmara SMA, ÁCC M, et al. Does body image perception relate to quality of life in middle-aged women? PloS one. 2017;12(9):e0184031.CrossRef de Morais MSM, do Nascimento RA, MCA V, Moreira MA, da Câmara SMA, ÁCC M, et al. Does body image perception relate to quality of life in middle-aged women? PloS one. 2017;12(9):e0184031.CrossRef
18.
go back to reference Erbil N. Attitudes towards menopause and depression, body image of women during menopause. Alexandria J Med. 2018;54(3):241–6.CrossRef Erbil N. Attitudes towards menopause and depression, body image of women during menopause. Alexandria J Med. 2018;54(3):241–6.CrossRef
19.
go back to reference Thomas HN, Hamm M, Borrero S, Hess R, Thurston RC. Body image, attractiveness, and sexual satisfaction among midlife women: a qualitative study. J Women's Health. 2019;28(1):100–6.CrossRef Thomas HN, Hamm M, Borrero S, Hess R, Thurston RC. Body image, attractiveness, and sexual satisfaction among midlife women: a qualitative study. J Women's Health. 2019;28(1):100–6.CrossRef
20.
go back to reference Rubinstein HR, Foster JL. ‘I don’t know whether it is to do with age or to do with hormones and whether it is do with a stage in your life’: making sense of menopause and the body. J Health Psychol. 2013;18(2):292–307.PubMedCrossRef Rubinstein HR, Foster JL. ‘I don’t know whether it is to do with age or to do with hormones and whether it is do with a stage in your life’: making sense of menopause and the body. J Health Psychol. 2013;18(2):292–307.PubMedCrossRef
21.
go back to reference Pearce G, Thøgersen-Ntoumani C, Duda J. Body image during the menopausal transition: a systematic scoping review. Health Psychol Rev. 2014;8(4):473–89.PubMedCrossRef Pearce G, Thøgersen-Ntoumani C, Duda J. Body image during the menopausal transition: a systematic scoping review. Health Psychol Rev. 2014;8(4):473–89.PubMedCrossRef
22.
go back to reference Cameron E, Ward P, Mandville-Anstey SA, Coombs A. The female aging body: a systematic review of female perspectives on aging, health, and body image. J Women Aging. 2019;31(1):3–17.PubMedCrossRef Cameron E, Ward P, Mandville-Anstey SA, Coombs A. The female aging body: a systematic review of female perspectives on aging, health, and body image. J Women Aging. 2019;31(1):3–17.PubMedCrossRef
23.
go back to reference Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Karavolos K, Dugan SA, et al. Body image satisfaction and depression in midlife women: the study of Women’s health across the nation (SWAN). Arch Womens Ment Health. 2014;17(3):177–87.PubMedPubMedCentralCrossRef Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Karavolos K, Dugan SA, et al. Body image satisfaction and depression in midlife women: the study of Women’s health across the nation (SWAN). Arch Womens Ment Health. 2014;17(3):177–87.PubMedPubMedCentralCrossRef
24.
go back to reference Lewis-Smith H. Ageing, anxiety and appearance: exploring the body image of women in midlife. J Aesthetic Nurs. 2014;3(3):134–5.CrossRef Lewis-Smith H. Ageing, anxiety and appearance: exploring the body image of women in midlife. J Aesthetic Nurs. 2014;3(3):134–5.CrossRef
25.
go back to reference Jankowski GS, Diedrichs PC, Williamson H, Christopher G, Harcourt D. Looking age-appropriate while growing old gracefully: a qualitative study of ageing and body image among older adults. J Health Psychol. 2016;21(4):550–61.PubMedCrossRef Jankowski GS, Diedrichs PC, Williamson H, Christopher G, Harcourt D. Looking age-appropriate while growing old gracefully: a qualitative study of ageing and body image among older adults. J Health Psychol. 2016;21(4):550–61.PubMedCrossRef
26.
go back to reference Garrusi B, Baneshi MR. Body dissatisfaction among Iranian youth and adults. Cadernos de Saude Publica. 2017;33:e00024516.PubMedCrossRef Garrusi B, Baneshi MR. Body dissatisfaction among Iranian youth and adults. Cadernos de Saude Publica. 2017;33:e00024516.PubMedCrossRef
27.
go back to reference Arnau RC, Meagher MW, Norris MP, Bramson R. Psychometric evaluation of the Beck depression inventory-II with primary care medical patients. Health Psychol. 2001;20(2):112.PubMedCrossRef Arnau RC, Meagher MW, Norris MP, Bramson R. Psychometric evaluation of the Beck depression inventory-II with primary care medical patients. Health Psychol. 2001;20(2):112.PubMedCrossRef
28.
go back to reference Jo SA, Park MH, Jo I, Ryu SH, Han C. Usefulness of Beck depression inventory (BDI) in the Korean elderly population. Int J Geriatr Psychiatry. 2007;22(3):218–23.PubMedCrossRef Jo SA, Park MH, Jo I, Ryu SH, Han C. Usefulness of Beck depression inventory (BDI) in the Korean elderly population. Int J Geriatr Psychiatry. 2007;22(3):218–23.PubMedCrossRef
29.
go back to reference Scogin F, Beutler L, Corbishley A, Hamblin D. Reliability and validity of the short form Beck depression inventory with older adults. J Clin Psychol. 1988;44(6):853–7.PubMedCrossRef Scogin F, Beutler L, Corbishley A, Hamblin D. Reliability and validity of the short form Beck depression inventory with older adults. J Clin Psychol. 1988;44(6):853–7.PubMedCrossRef
30.
go back to reference Forkmann T, Vehren T, Boecker M, Norra C, Wirtz M, Gauggel S. Sensitivity and specificity of the Beck depression inventory in cardiologic inpatients: how useful is the conventional cut-off score? J Psychosom Res. 2009;67(4):347–52.PubMedCrossRef Forkmann T, Vehren T, Boecker M, Norra C, Wirtz M, Gauggel S. Sensitivity and specificity of the Beck depression inventory in cardiologic inpatients: how useful is the conventional cut-off score? J Psychosom Res. 2009;67(4):347–52.PubMedCrossRef
31.
go back to reference Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77–100.CrossRef Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77–100.CrossRef
32.
go back to reference Taheri Tanjani P, Gh G, Azadbakht M, Fekrizadeh Z, Hamidi R, Sh F. Validity and reliability Beck depression inventory-II among the Iranian elderly population. J Sabzevar Univ Med Sci. 2015;22(1):189–98. Taheri Tanjani P, Gh G, Azadbakht M, Fekrizadeh Z, Hamidi R, Sh F. Validity and reliability Beck depression inventory-II among the Iranian elderly population. J Sabzevar Univ Med Sci. 2015;22(1):189–98.
33.
go back to reference Spielberger CD. Manual for the state-trait anxiety inventory STAI (form Y)(" self-evaluation questionnaire"); 1983. Spielberger CD. Manual for the state-trait anxiety inventory STAI (form Y)(" self-evaluation questionnaire"); 1983.
34.
go back to reference Baloğlu M. Psychometric properties of the statistics anxiety rating scale. Psychol Rep. 2002;90(1):315–25.PubMedCrossRef Baloğlu M. Psychometric properties of the statistics anxiety rating scale. Psychol Rep. 2002;90(1):315–25.PubMedCrossRef
35.
go back to reference Kanani M, Mazloum S, Emami A, Mokhber N. The effect of aromatherapy with orange essential oils on anxiety in patients undergoing hemodialysis. J Sabzevar Univ Med Sci. 2012;19(3):249–57. Kanani M, Mazloum S, Emami A, Mokhber N. The effect of aromatherapy with orange essential oils on anxiety in patients undergoing hemodialysis. J Sabzevar Univ Med Sci. 2012;19(3):249–57.
36.
go back to reference Mahram B. The guideline for state and trait anexiety test of Spielberger and the instruction for its explanation based on normality test research in Mashahad. Master's Thesis][Tehran]: Allameh Tabatabaiee University 1993. Mahram B. The guideline for state and trait anexiety test of Spielberger and the instruction for its explanation based on normality test research in Mashahad. Master's Thesis][Tehran]: Allameh Tabatabaiee University 1993.
37.
go back to reference Panahi SM. The validity and reliability of Spielberger anxiety questionnaire in Farsi. Tarbiat Modarress Univ J. 1991:120–6. Panahi SM. The validity and reliability of Spielberger anxiety questionnaire in Farsi. Tarbiat Modarress Univ J. 1991:120–6.
38.
go back to reference Simbar M, Hashemi S, Shams J, Alavimajd H. Association between infertile Women’s anxiety with ART success rates. J Reprod Infertil. 2010;10(4):279–86. Simbar M, Hashemi S, Shams J, Alavimajd H. Association between infertile Women’s anxiety with ART success rates. J Reprod Infertil. 2010;10(4):279–86.
39.
go back to reference Fisher S. Body experience in fantasy and behavior. New York: Appleton Century Croftsm, Meredith Corporation; 1970. Fisher S. Body experience in fantasy and behavior. New York: Appleton Century Croftsm, Meredith Corporation; 1970.
40.
go back to reference Fisher body image test, 1st ed. Tehran: Testing company of Yar Puya; 2010. Fisher body image test, 1st ed. Tehran: Testing company of Yar Puya; 2010.
41.
go back to reference Asgari P, Pasha GR, Aminiyan M. Relationship between emotion regulation, mental stresses and body image with eating disorders of women. Andisheh va Raftar (Applied Psychology). 2009;4(13):65–78. Asgari P, Pasha GR, Aminiyan M. Relationship between emotion regulation, mental stresses and body image with eating disorders of women. Andisheh va Raftar (Applied Psychology). 2009;4(13):65–78.
42.
go back to reference Nazarpour S, Khazai K. Correlation between body image and coping styles with severity of primary dysmenorrhea. J Fundamentals Mental Health. 2012;14(56):344–55. Nazarpour S, Khazai K. Correlation between body image and coping styles with severity of primary dysmenorrhea. J Fundamentals Mental Health. 2012;14(56):344–55.
43.
go back to reference Hong JH, Kim HY, Kim JY, Kim HK. Do psychosocial variables mediate the relationship between menopause symptoms and sexual function in middle-aged perimenopausal women? J Obstet Gynaecol Res. 2019;45(5):1058–65.PubMedCrossRef Hong JH, Kim HY, Kim JY, Kim HK. Do psychosocial variables mediate the relationship between menopause symptoms and sexual function in middle-aged perimenopausal women? J Obstet Gynaecol Res. 2019;45(5):1058–65.PubMedCrossRef
44.
go back to reference Hong GW, Hong SM. Relationships among body mass index, body image, and depression in Korean adults: Korea National Health and nutrition examination survey 2014 and 2016. J Obes Metab Syndr. 2019;28(1):61–8.PubMedPubMedCentralCrossRef Hong GW, Hong SM. Relationships among body mass index, body image, and depression in Korean adults: Korea National Health and nutrition examination survey 2014 and 2016. J Obes Metab Syndr. 2019;28(1):61–8.PubMedPubMedCentralCrossRef
45.
go back to reference Silva D, Ferriani L, Viana MC. Depression, anthropometric parameters, and body image in adults: a systematic review. Revista da Associação Médica Brasileira. 2019;65(5):731–8.PubMedCrossRef Silva D, Ferriani L, Viana MC. Depression, anthropometric parameters, and body image in adults: a systematic review. Revista da Associação Médica Brasileira. 2019;65(5):731–8.PubMedCrossRef
46.
go back to reference Carrard I, Argyrides M, Ioannou X, Kvalem IL, Waldherr K, Harcourt D, et al. Associations between body dissatisfaction, importance of appearance, and aging anxiety with depression, and appearance-related behaviors in women in mid-life. J Women Aging. 2019:1–14. Carrard I, Argyrides M, Ioannou X, Kvalem IL, Waldherr K, Harcourt D, et al. Associations between body dissatisfaction, importance of appearance, and aging anxiety with depression, and appearance-related behaviors in women in mid-life. J Women Aging. 2019:1–14.
47.
go back to reference Sujoldžić A, De Lucia A. A cross-cultural study of adolescents–BMI, body image and psychological well-being. Coll Antropol. 2007;31(1):123–30.PubMed Sujoldžić A, De Lucia A. A cross-cultural study of adolescents–BMI, body image and psychological well-being. Coll Antropol. 2007;31(1):123–30.PubMed
48.
go back to reference Begovic-Juhant A, Chmielewski A, Iwuagwu S, Chapman LA. Impact of body image on depression and quality of life among women with breast cancer. J Psychosoc Oncol. 2012;30(4):446–60.PubMedCrossRef Begovic-Juhant A, Chmielewski A, Iwuagwu S, Chapman LA. Impact of body image on depression and quality of life among women with breast cancer. J Psychosoc Oncol. 2012;30(4):446–60.PubMedCrossRef
49.
go back to reference Kogure GS, Ribeiro VB, Lopes IP, Furtado CLM, Kodato S, de Sá MFS, et al. Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. J Affect Disord. 2019;253:385–93.PubMedCrossRef Kogure GS, Ribeiro VB, Lopes IP, Furtado CLM, Kodato S, de Sá MFS, et al. Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. J Affect Disord. 2019;253:385–93.PubMedCrossRef
51.
go back to reference Chen C, Cao J, Wang L, Zhang R, Li H, Peng J. Body image and its associated factors among Chinese head and neck cancer patients undergoing surgical treatment: a cross-sectional survey. Support Care Cancer. 2020;28(3):1233–9.PubMedCrossRef Chen C, Cao J, Wang L, Zhang R, Li H, Peng J. Body image and its associated factors among Chinese head and neck cancer patients undergoing surgical treatment: a cross-sectional survey. Support Care Cancer. 2020;28(3):1233–9.PubMedCrossRef
52.
go back to reference Chang YL, Huang BS, Hung TM, Lin CY, Chen SC. Factors influencing body image in posttreatment oral cavity cancer patients. Psycho-Oncology. 2019;28(5):1127–33.PubMed Chang YL, Huang BS, Hung TM, Lin CY, Chen SC. Factors influencing body image in posttreatment oral cavity cancer patients. Psycho-Oncology. 2019;28(5):1127–33.PubMed
53.
go back to reference Carr ER, Szymanski DM, Taha F, West LM. Kaslow NJ understanding the link between multiple oppressions and depression among African American women: the role of internalization. Psychol Women Q. 2014;38(2):233–45.CrossRef Carr ER, Szymanski DM, Taha F, West LM. Kaslow NJ understanding the link between multiple oppressions and depression among African American women: the role of internalization. Psychol Women Q. 2014;38(2):233–45.CrossRef
54.
go back to reference Dehghani M, Chehrzad M, Jafari Asl M, Soleimani R. Evaluate the relationship between body image satisfaction with the socio-cultural patterns teenage girls in Rasht. J Hamadan Nurs Midwifery. 2013;20(3):26–34. Dehghani M, Chehrzad M, Jafari Asl M, Soleimani R. Evaluate the relationship between body image satisfaction with the socio-cultural patterns teenage girls in Rasht. J Hamadan Nurs Midwifery. 2013;20(3):26–34.
55.
go back to reference Lee SY. Relationships among body mass index, body image, and depression in Korean adults: Korea National Health and nutrition examination survey 2014 and 2016 (J Obes Metab Syndr. 2019;28: 61–8). J Obes Metab Syndr. 2019;28(3):208–9.PubMedPubMedCentralCrossRef Lee SY. Relationships among body mass index, body image, and depression in Korean adults: Korea National Health and nutrition examination survey 2014 and 2016 (J Obes Metab Syndr. 2019;28: 61–8). J Obes Metab Syndr. 2019;28(3):208–9.PubMedPubMedCentralCrossRef
56.
go back to reference Barrett AE, Robbins C. The multiple sources of women's aging anxiety and their relationship with psychological distress. J Aging Health. 2008;20(1):32–65.PubMedCrossRef Barrett AE, Robbins C. The multiple sources of women's aging anxiety and their relationship with psychological distress. J Aging Health. 2008;20(1):32–65.PubMedCrossRef
57.
go back to reference Kilpela LS, Becker CB, Wesley N, Stewart T. Body image in adult women: moving beyond the younger years. Adv Eat Disord Theory Res Pract. 2015;3(2):144–64.CrossRef Kilpela LS, Becker CB, Wesley N, Stewart T. Body image in adult women: moving beyond the younger years. Adv Eat Disord Theory Res Pract. 2015;3(2):144–64.CrossRef
59.
go back to reference Hakimi S, Nazarpour S, Ramezani TF, Simbar M, Zaiery F. Women's experiences about menopause and related factors. Iranian J Endocrinol Metabol. 2017;9(3):185–93. Hakimi S, Nazarpour S, Ramezani TF, Simbar M, Zaiery F. Women's experiences about menopause and related factors. Iranian J Endocrinol Metabol. 2017;9(3):185–93.
60.
go back to reference Azizi M, Fooladi E, Abdollahi F, Elyasi F. Biopsychosocial risk factors of depression in the menopausal transition: a narrative review. Iran J Psychiatry Behav Sci. 2018;2(4):S. Azizi M, Fooladi E, Abdollahi F, Elyasi F. Biopsychosocial risk factors of depression in the menopausal transition: a narrative review. Iran J Psychiatry Behav Sci. 2018;2(4):S.
61.
go back to reference Nazarpour S, Simbar M, Tehrani FR. Factors affecting sexual function in menopause: a review article. Taiwan J Obstet Gynecol. 2016;55(4):480–7.PubMedCrossRef Nazarpour S, Simbar M, Tehrani FR. Factors affecting sexual function in menopause: a review article. Taiwan J Obstet Gynecol. 2016;55(4):480–7.PubMedCrossRef
62.
63.
go back to reference Radwan H, Hasan HA, Ismat H, Hakim H, Khalid H, Al-Fityani L, et al. Body mass index perception, body image dissatisfaction and their relations with weight-related behaviors among university students. Int J Environ Res Public Health. 2019;16(9):1541.PubMedCentralCrossRef Radwan H, Hasan HA, Ismat H, Hakim H, Khalid H, Al-Fityani L, et al. Body mass index perception, body image dissatisfaction and their relations with weight-related behaviors among university students. Int J Environ Res Public Health. 2019;16(9):1541.PubMedCentralCrossRef
Metadata
Title
Is body image a predictor of women’s depression and anxiety in postmenopausal women?
Authors
Masoumeh Simbar
Soheila Nazarpour
Hamid Alavi Majd
Khadijeh Dodel Andarvar
Zahra Jafari Torkamani
Fatemeh Alsadat Rahnemaei
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2020
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-020-02617-w

Other articles of this Issue 1/2020

BMC Psychiatry 1/2020 Go to the issue