REFERENCES:
1. Mandelli L, Serretti A, Souery D, et al. High occupational level is associated with poor response to treatment of depression. Eur Neuropsychopharmacol. 2016;26:1320-1326.
2. Li QS, Tian C, Seabrook GR, et al. Analysis of 23andMe antidepressant efficacy survey data: implication of circadian rhythm and neuroplasticity in bupropion response. Transl Psychiatry. 2016;6:e889. doi:10.1038/tp.2016.171
3. Joffe H, Crawford SL, Freeman MP, et al. Independent contributions of nocturnal hot flashes and sleep disturbance to depression in estrogen-deprived women. J Clin Endocrinol Metab. 2016 Sep 28:jc20162348. [Epub ahead of print] doi.org/10.1210/jc.2016-2348
2. Li QS, Tian C, Seabrook GR, et al. Analysis of 23andMe antidepressant efficacy survey data: implication of circadian rhythm and neuroplasticity in bupropion response. Transl Psychiatry. 2016;6:e889. doi:10.1038/tp.2016.171
3. Joffe H, Crawford SL, Freeman MP, et al. Independent contributions of nocturnal hot flashes and sleep disturbance to depression in estrogen-deprived women. J Clin Endocrinol Metab. 2016 Sep 28:jc20162348. [Epub ahead of print] doi.org/10.1210/jc.2016-2348
One needs to keep in mind these women's relationships Their use of alcohol and how acceptable this has become along with the high use of anxiolytics that may contribute to depression. Menopausal women may be living alone. They may have aging parents and children or grandchildren that need her help. They carry a great deal of stress and it's not menopause alone. It's one more thing to contend with and often without understanding or support. The stigma of being a woman with menopause suggests that the diagnosis is already there