Prevalence and incidence of depressive, anxiety, and insomnia symptoms in perimenopausal and postmenopausal women: Systematic review and meta-analysis - PubMed
4 hours ago
- #menopausal mental health
- #depression anxiety insomnia
- #systematic review meta-analysis
- Systematic review and meta-analysis of 102 studies (N=1,141,955) synthesizes prevalence and incidence of depressive, anxiety, and insomnia symptoms in perimenopausal and postmenopausal women.
- Pooled point prevalence of depressive symptoms is 32% in perimenopausal and 30% in postmenopausal women; period prevalence is lower at 24% and 19%, respectively.
- Incidence rates for depressive symptoms are 13% in perimenopausal and 5% in postmenopausal women.
- Anxiety point prevalence is 29% in perimenopausal and 39% in postmenopausal women.
- Insomnia point prevalence is higher in postmenopausal women (42%) compared to perimenopausal women (27%).
- Subgroup analyses show higher symptom rates when using screening instruments and during early menopause stages.
- Most studies had low or moderate risk of bias, supporting the reliability of the pooled estimates.
- Conclusions highlight that nearly one in three women experiences these symptoms during menopausal transition, advocating for routine mental health screening and integrated care.