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Aging Clin Exp Res. 2015 Dec;27(6):813-20. doi: 10.1007/s40520-015-0341-4. Epub 2015 Mar 12.

Are andropause symptoms related to depression?

Author information

1
Department of Community Medicine, Faculty Member of Medicine, Tehran School of Nursing and Midwifery, Tehran University of Medical Sciences, Poorsina Avenue, Ghods Avenue, Enghelab St., Tehran, Iran. khosravi785@yahoo.com.
2
Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3
Department of Endocrinology and Metabolism, Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran.
4
Department of Epidemiology and Biostatistics, School of Public Health, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
5
Department of Medical-Surgical Nursing, Tehran School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
6
Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
7
Department of Community Medicine, Faculty Member of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
8
Department of Pathology, Aja University of Medical Sciences, Tehran, Iran.

Abstract

BACKGROUND:

Andropause is a middle-age condition in which men experience changes in their physical, spiritual and emotional health. The association between andropause and psychological symptoms such as depression are not very clear yet.

AIMS:

The objective of this study was therefore to determine the association between the 'Aging Males Symptoms Scale' (AMS) and depression.

METHODS:

A cross sectional study was conducted among 521 old men. To collect data, the AMS and the Patient Health Questionnaires 2 and 9 were used to screen depression, in addition to questions on background and fertility. Multiple linear regression analysis was used to assess the association between andropause symptoms and depression.

RESULTS:

Based on our results and the AMS score, 51.5% of the study population had clinical symptoms of androgen disorder, 3.7% of which had severe symptoms. There was a strong correlation between the AMS score and depression. Depression, diabetes, cigarette smoking and spousal age retained their significant associations even after entering the relevant demographic, anthropometric, smoking and disease variables in the multivariable model. As a positive predictive factor, depression had the strongest association with AMS.

CONCLUSIONS:

Based on our results, there is a direct association between andropause symptoms and depression, where the increasing AMS score corresponds with the severity of depression.

DISCUSSION:

Our results show the need of screening for depression when evaluating andropause symptoms.

KEYWORDS:

Aging; Andropause; Depression; Men’s health

PMID:
25762159
DOI:
10.1007/s40520-015-0341-4
[Indexed for MEDLINE]

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