Research Article| Volume 27, ISSUE 3, P215-221, July 1997

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Perceived control over menopausal hot flushes: exploring the correlates of a standardised measure

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      Objectives: A substantial minority of women report considerable distress during hot flushes. Coping with various chronic health problems has been related to perceived control in previous studies. Hence this study developed a standardised measure to investigate whether perceived control is associated with less distress during menopausal hot flushes. Method: The study presented a suitably re-worded 15-item scale (the Arthritis Helplessness Index, originally developed by Nicassio et al., J Rheumatol 1985;12:462–467. Scoring was reversed so that high scores signified greater perceived control. A volunteer sample of 43 women (mean age 51 years) completed the scale together with several further measures. A total of 35 women returned 12 month follow-up questionnaires. Results: The Perceived Control Index (PCI) scores correlated with standardised measures of self-esteem and simple self-ratings (0–100) of perceived control, and remained very stable over 12 months. Self-rated distress during flush episodes was more closely related to perceived control than to more objective factors such as flush frequency and chronicity. Conclusion: These findings support further investigation into whether subjective coping with flushes may be improved by psychological interventions that enhance perceived control and self-esteem.


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        • Nicassio PM
        • Wallston KA
        • Callahan LF
        • Herbert M
        • Pincus T
        The measurement of the helplessness in rheumatoid arthritis: the development of the arthritis helplessness index.
        J Rheumatol. 1985; 12: 462-467
        • Hunter MS
        The SE England longitudinal study of the climacteric and postmenopause.
        Maturitas. 1992; 14: 117-126
        • Kronenberg F
        Hot flashes: epidemiology and physiology.
        Ann New York Acad Sci. 1990; 592: 52-86
        • Ussher JM
        2nd ed. The Psychology of the Female Body. Routledge, London1989
        • Voda AM
        Climacteric hot flush.
        Maturitas. 1981; 3: 73-79
        • Hunter MS
        • Liao KL
        A psychological analysis of menopausal hot flushes.
        Br J Clin Psychol. 1995; 34: 589-599
        • Hunter MS
        Emotional well-being, sexual behaviour and hormone replacement therapy.
        Maturitas. 1990; 7: 299-314
        • Hammond CB
        Women's concerns with hormone replacement therapy: compliance issues.
        Fertil Steril. 1994; 62: 157S-160S
        • Utian WH
        The menopause in perspective: from potions to patches.
        Ann New York Acad Sci. 1990; 592: 1-7
        • Hunter MS
        in: 2nd ed. Ch 16 in Health Psychology: Processes and Applications, edited A. Broome. Chapman and Hall, London1989
        • Coles RRA
        • Hallam RS
        Tinnitus and its management.
        Br Med Bull. 1987; 43: 983-998
        • DeVellis BM
        • Blalock RS
        Illness attributions and hopelessness depression: the role of hopelessness expectancy.
        J. Abnorm Psychol. 1992; 101: 257-264
        • Keefe FJ
        • Brown GK
        • Wallston KA
        • Caldwell D
        Coping with rheumatoid arthritis pain: catastrophising as a maladaptive strategy.
        Pain. 1989; 37: 51-56
        • Smith TW
        • Christensen AJ
        • Peck JR
        • Ward JR
        Cognitive distortion, helplessness, and depressed mood in rheumatoid arthritis: a four-year longitudinal analysis.
        Health Psychol. 1994; 13: 213-217
        • Tayer WG
        • Nicassio PM
        • Radojevic V
        • Krall T
        Pain and helplessness as correlates of systemic lupus erythematosus.
        Br J Health Psychol. 1996; 1: 253-262
        • Skinner EA
        2nd ed. Perceived Control, Motivation and Coping. Sage, London1995
        • Ballinger SE
        Psychosocial stress and symptoms of menopause: a comparative study of menopause clinic patients and non-patients.
        Maturitas. 1985; 7: 315-327
        • Morse CA
        • Smith A
        • Dennerstein L
        • Green A
        • Hopper J
        • Burger H
        The treatment-seeking woman at menopause.
        Maturitas. 1994; 18: 161-173
        • Mansfield PK
        • Theisen SC
        • Boyer B
        Midlife women and menopause: a challenge for the mental health counsellor.
        J Ment Health Counsel. 1992; 14: 73-83
        • Rosenberg M
        2nd ed. Society and the Adolescent Self-Image. Princeton University Press, Princeton1965
        • Huskisson EC
        Measurement of pain.
        Lancet. 1974; ii: 1127-1131
        • Fisher K
        • Johnston M
        Emotional distress as a mediator of the relationship between pain and disability: an experimental study.
        Br J Health Psychol. 1996; 1: 207-218
        • Gannon L
        • Hansel S
        • Goodwin J
        Correlates of menopausal hot flushes.
        J Behav Med. 1987; 10: 277-285
        • Matthews KA
        Myths and realities of the menopause.
        Psychosom Med. 1992; 54: 1-9