Advertisement
Research Article| Volume 27, ISSUE 1, P13-23, May 1997

Climacteric symptoms do not impair cognitive performances in postmenopause

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Objective: To investigate whether information processing and attention performances are affected by climacteric vasomotor symptoms. Methods: The study group comprised 66 healthy hysterectomized postmenopausal women. The subjects were divided into two subgroups (high symptomatic and low symptomatic) according to the quantity of climacteric vasomotor symptoms. Information processing was examined using CogniSpeed, a reaction time software that separates, for example, pure controlled processing and working memory from perceptual and motor components. Attention was examined by using visual and auditory tasks. The role of climacteric depression as a determinant of cognitive performance was evaluated by the Beck Depression Inventory and dividing subjects according to self-reported climacteric mood symptoms. The effects of serum oestrogen level and ageing on cognitive performances were also studied. Results: Cognitive performances were similar in high symptomatic and low symptomatic women. On the Verification test younger women had shorter reaction times (P = 0.002) and on the Subtraction test they had fewer errors (P = 0.015) than older women. These tests required working memory and decision making. Accuracy in the tests of sustained and auditory attention worsened slightly with age. Cognitive performances neither correlated with scores on the Beck Depression scale nor with serum oestrogen level. Climacteric mood symptoms did not impair cognitive performance. Conclusions: Despite subjective complaints of memory impairment in association with climacteric vasomotor symptoms, our results did not support a direct cause-and-effect relationship. Thus, the minor deficits found in cognitive processing efficiency seem to be related rather to age than climacteric symptoms.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Maturitas
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Oldenhave A
        • Jaszmann LJ
        • Haspels AA
        • Everaerd WT
        Impact of climacteric on well-being. A survey based on 5213 women 39 to 60 years old.
        Am J Obstet Gynecol. 1993; 168: 772-780
        • Anderson E
        • Hamburger S
        • Liu JH
        • Rebar RW
        Characteristics of menopausal women seeking assistance.
        Am J Obstet Gynecol. 1987; 156: 428-433
        • Bashore TR
        • Osman A
        • Heffley AE
        Mental slowing in elderly persons: a cognitive psychophysiological analysis.
        Psychol Aging. 1989; 4: 235-244
        • Utian WH
        Menopause, hormone therapy, and quality of life.
        in: Hammond CB Haseltine FP Schiff I Menopause. Progress in clinical and biological research. AR Liss, New York1989: 193-209
        • Sherwin BB
        Hormones, mood and cognitive functioning in postmenopausal women.
        Obstet Gynecol. 1996; 87 (Suppl): 20-26
        • Ditkoff EC
        • Crary WR
        • Cristo M
        • Lobo RA
        Estrogen improves psychological function in asymptomatic postmenopausal women.
        Obstet Gynecol. 1991; 78: 991-995
        • Barrett-Connor E
        • Kritz-Silverstein D
        Estrogen replacement therapy and cognitive function in older women.
        J Am Med Assoc. 1993; 269: 2637-2641
        • RT Bartus
        • Dean RL
        • Beer B
        • Lippa AS
        The cholinergic hypothesis of memory dysfunction.
        Science. 1982; 17: 408-417
        • Di Paolo T
        Modulation of brain dopamine transmission by sex steroids.
        Rev Neurosci. 1994; 5: 27-41
        • Mendels J
        • Reimherr F
        • Marcus RN
        • Roberts DL
        • Francis RJ
        • Anton SF
        A double-blind, placebo-controlled trial of two dose ranges of nefazodone in the treatment of depressed outpatients.
        J Clin Psychiatry. 1995; 56 (Suppl): 30-36
        • Lyness SA
        • Eaton EM
        • Schneider LS
        Cognitive performance in older and middle-aged depressed outpatients and controls.
        J Gerontol. 1994; 49: 129-136
        • Arnsten AF
        • Cai JX
        • Murphy BL
        • Goldman-Rakic PS
        Dopamine D1 receptor mechanisms in the cognitive performance of young adult and aged monkeys.
        Psychopharmacol Berl. 1994; 116: 143-151
        • Zichella L
        • Falaschi P
        • Fioretti P
        • Melis GB
        • Cagnacci A
        • Gambacciani M
        • Mancini S
        Effects of different dopamine agonists and antagonists on postmenopausal hot flushes.
        Maturitas. 1986; 8: 229-237
        • Kujala P
        • Portin R
        • Ruutiainen J
        Memory deficits and early cognitive deterioration in MS.
        Acta Neurol Scand. 1996; 93: 329-335
        • Wechsler D
        4th edn. Manual for the Wechsler Adult Intelligence Scale. Psychological Corporation, New York1955
        • Benton AL
        4th edn. Revised Visual Retention Test. Psychological Corporation, New York1963
        • Portin R
        • Rinne UK
        Neuropsychological responses of parkinsonian patients to long-term levodopa treatment.
        in: Rinne UK Klingler M Stamm G Parkinson's disease-current progress, problems and management. Elsevier Biomedical Press, Amsterdam1980: 271-304
        • Folstein MF
        • Folstein SE
        • McHugh PR
        ‘Mini-Mental State’: a practical method for grading the cognitive state of patients for clinician.
        J Psychiatry Res. 1975; 12: 189-198
        • Beck AT
        • Ward CH
        • Mendelson M
        • Mock J
        • Erbaugh J
        An inventory for measuring depression.
        Arch Gen Psychiatry. 1961; 4: 561-571
        • Revonsuo A
        • Portin R
        4th edn. CogniSpeed: The Computer Based Measurement of Cognitive Processing. AboaTech Ltd, Turku, Finland1995 (University of Turku)
        • Kujala P
        • Portin R
        • Revonsuo A
        • Ruutiainen J
        Automatic and controlled information processing in multiple sclerosis.
        Brain. 1994; 117: 1115-1126
        • Stroop JR
        Studies of interference in serial verbal reactions.
        J Exp Psychol. 1835; 18: 643-662
        • Kujala P
        • Portin R
        • Revonsuo A
        • Ruutiainen J
        Attention related performance in two cognitively different subgroups of patients with multiple sclerosis.
        J Neurol. Neurosurg, Psychiatry. 1995; 59: 77-82
        • Gronwall DMA
        Paced auditory serial addition task: a measure of recovery from concussion.
        Percept Mot Skills. 1977; 44: 367-373
        • SAS Institute Inc
        4th edn. SAS/STAT User's Guide. Vols. 1 and 2. SAS, Gary, NC1990
        • Rauramo L
        • Lagerspetz K
        • Engblom P
        • Punnonen R
        The effect of castration and peroral estrogen therapy on some psychological functions.
        Front Horm Res. 1975; 8: 133-151
        • Sherwin BB
        Estrogen and/or androgen replacement therapy and cognitive functioning in surgically menopausal women.
        Psychoneuroendocrinology. 1988; 13: 345-357
        • Kampen DL
        • Sherwin BB
        Estrogen use and verbal memory in healthy postmenopausal women.
        Obstet Gynecol. 1994; 83: 979-983
        • Swirsky-Sacchetti T
        • Field HL
        • Mitchell DR
        • Seward J
        • Lublin FD
        • Knobler RL
        • et al.
        The sensitivity of the Mini-Mental State Exam in the white matter dementia of multiple sclerosis.
        J Clin Psychol. 1992; 48: 779-786
        • Fodor J
        The modularity of mind.
        The MIT Press, Cambridge, MA1983
        • Baars B
        A cognitive theory of consciousness.
        Cambridge University Press, Cambridge, UK1988
        • Revonsuo A
        • Portin R
        • Koivikko L
        • Rinne JO
        • Rinne UK
        Slowing of Information Processing in Parkinson's Disease.
        Brain Cognition. 1993; 21: 87-110
        • Wiklund I
        • Berg G
        • Hammar M
        • Karlberg J
        • Lindgren R
        • Sandin K
        Long-term effect of transdermal hormonal therapy on aspects of quality of life in postmenopausal women.
        Maturitas. 1992; 14: 225-236
        • Cerella J
        Information processing rates in the elderly.
        Psychol Bull. 1985; 98: 67-83
        • Salthouse TA
        • Babcock RL
        • Shaw RJ
        Effects of adult age on structural and operational capacities in working memory.
        Psychol Aging. 1991; 6: 118-127