Evidence map›Paper›PMID 36806931›Full record

ArticleMaturitas2023

Natural vs. surgical postmenopause and psychological symptoms confound the effect of menopause on executive functioning domains of cognitive experience.

Chloe E Page, Brianna Soreth, Christina A Metcalf, Rachel L Johnson, Korrina A Duffy, Mary D Sammel, James Loughead, C Neill Epperson

Abstract read
In one paragraph

Article in Maturitas, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Perimenopausal symptoms in women with and without ADHD: A population-based cohort study.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Hormones as Psychotropic Interventions in Females.Focus (American Psychiatric Publishing) · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Chloe E PageDepartment of Psychiatry, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, United States.
Brianna SorethDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Christina A MetcalfDepartment of Psychiatry, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, United States.
Rachel L JohnsonDepartment of Biostatistics and Informatics, Anschutz Medical Campus, University of Colorado School of Public Health, Aurora, CO, United States.
Korrina A DuffyDepartment of Psychiatry, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, United States.
Mary D SammelDepartment of Psychiatry, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, United States; Department of Biostatistics and Informatics, Anschutz Medical Campus, University of Colorado School of Public Health, Aurora, CO, United States.
James LougheadDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
C Neill EppersonDepartment of Psychiatry, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, United States; Department of Family Medicine, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, United States. Electronic address: neill.epperson@cuanschutz.edu.

Funding

Multi-Modal Imaging of Psychostimulant Effects on Executive Function Post-RRSOR01CA215587 · NCI · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL, LOUGHEAD, JAMES W · 2017 to 2021
$2.6M
NCI NIH HHS R01 CA215587
6 · The paper itself

Abstract

objectiveThe menopause transition is associated with difficulties in executive function. However, it is unclear whether these difficulties persist past perimenopause. This study investigated whether potential confounders, including natural vs. surgical postmenopause and menopause-related psychological symptoms, influence whether executive dysfunction persists into postmenopause. STUDY

designA cross-sectional sample of women aged 35-65 years (N = 1971) in one of four groups, premenopause, perimenopause, natural postmenopause, and surgical postmenopause, were surveyed. Participants self-reported executive functioning with the Brown Attention Deficit Disorder Scale (BADDS), anxiety symptom severity with the Generalized Anxiety Disorder Questionnaire (GAD-7), and depression symptom severity with the Center for Epidemiologic Studies Depression Scale (CESD).

main outcome measuresWe analyzed the association between group and BADDS scores using linear regression models - first, by controlling for age, education, and self-reported attention deficit hyperactivity disorder (ADHD) diagnosis (Model #1) and, second, by further controlling for current difficulty sleeping, anxiety, and depression (Model #2).

resultsIn both models, BADDS scores were significantly elevated (indicating more difficulties in executive function) among women in the perimenopausal and surgical postmenopausal groups compared with those in the premenopausal group. Likewise, the perimenopausal and surgical postmenopausal groups had the highest proportions of participants who reported difficulty sleeping and clinical levels of anxiety and depression. BADDS scores were significantly higher in natural postmenopausal vs. premenopausal women without controlling for difficulty sleeping, anxiety, and depression (Model #1), but not when adjusting for these variables (Model #2).

conclusionsThe type of menopause and psychological symptoms are important confounders of the relationship between the menopause transition and executive dysfunction, and help explain whether executive dysfunction persists or recovers in postmenopause.

Indexed as

Sleep Initiation and Maintenance DisordersSleep Wake DisordersCognitionCross-Sectional StudiesExecutive FunctionFemaleHumansMenopausePerimenopausePostmenopausePremenopauseAnxietyBADDSDepressionExecutive functionMenopause transitionSleep

Identifiers

PMID36806931
PMCPMC11636615

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.