Energy, cognitive and physical complaints are more generally problematic than clinical depression during perimenopause and at menopause, and may contribute to depressed mood. Central nervous system pathways that mediate mood, cognition, and energy are influenced by fluctuations of circulating estrogen, and different pathways mediate these symptoms. Severity of symptoms is also influenced by other factors, including psychosocial and environmental stressors. Treatment approaches that target mood often leave other symptoms unabated. Healthcare for women during the climacteric (the time that begins at perimenopause and ends after menopause) should include an accurate assessment of energy, cognition, physical and emotional symptoms. All areas of symptoms should be identified and followed until remission.

A mind/body program for menopause is presented as an example of a comprehensive treatment approach for assessment and management of women during the climacteric.

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)