Evidence map›Paper›PMID 40034973›Full record

ReviewInternational journal of women's health2025

A Systematic Review of Anxiety and Depressive Symptoms Among Women Experiencing Vasomotor Symptoms Across Reproductive Stages in the US.

Carolyn J Gibson, Mayank Ajmera, Fiona O'Sullivan, Aki Shiozawa, Greta Lozano-Ortega, Elizabeth C Badillo, Maanasa Venkataraman, Shayna Mancuso

Abstract readReview
In one paragraph

Review in International journal of women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Association Between Vasomotor Symptoms of Menopause and Retirement: A Prospective Longitudinal Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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.

Carolyn J GibsonDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA.
Mayank AjmeraAstellas Pharma Inc., Northbrook, IL, USA.
Fiona O'SullivanBroadstreet HEOR, Vancouver, BC, Canada.
Aki ShiozawaAstellas Pharma Inc., Northbrook, IL, USA.ORCID 0000-0001-9757-6337
Greta Lozano-OrtegaBroadstreet HEOR, Vancouver, BC, Canada.ORCID 0000-0002-5378-0544
Elizabeth C BadilloBroadstreet HEOR, Vancouver, BC, Canada.
Maanasa VenkataramanBroadstreet HEOR, Vancouver, BC, Canada.
Shayna MancusoAstellas Pharma Inc., Northbrook, IL, USA.ORCID 0009-0003-0660-1579

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Vasomotor symptoms (VMS) due to menopause affect up to 80% of women and are associated with fatigue, depressive symptoms, and anxiety although the exact nature of these associations is not fully understood. This systematic review aimed to examine the existing evidence on the relationship between VMS, fatigue, depressive symptoms, and anxiety among women in any stage of reproductive aging in the United States. Methods: A comprehensive search of MEDLINE and Embase databases was performed to identify observational studies (2010-2022) that reported on the target population. Exposure of interest was VMS; data related to the outcomes of interest (measures of fatigue, depressive symptoms, and/or anxiety) were extracted and analyzed descriptively. Results: Twenty-six studies met the inclusion criteria, with 19 reporting on depressive symptom outcomes, 16 on anxiety outcomes, and none on fatigue. The mean age of women with VMS ranged from 41.3 to 62.0 years; 34.8% to 91.1% of women were premenopausal or in the late stage of reproductive aging, 0.6% to 61% were perimenopausal or in menopause transition, and 0% to 49% were postmenopausal. The most frequent comorbidities were hypertension and diabetes. Baseline depressive symptom rates ranged from 1.4% to 58%, with higher rates and more severe symptoms among women with more frequent and severe VMS. Anxiety rates at baseline ranged from 2.2% to 52%, with higher rates reported among women with frequent VMS. Anxiety levels varied, with the highest levels observed among women with sleep disturbances and severe hot flashes. In regression model analyses, VMS were associated with increased risk, duration, frequency, and severity of both depressive symptoms and anxiety. Conclusion: VMS are strongly and consistently associated with depressive symptoms and anxiety, negatively affecting a woman's health beyond physical discomfort. There is a need to reduce this burden and improve quality of life for women with VMS.

Indexed as

depressive symptomshot flashesmenopause transitionnight sweatsperimenopausal womenquality of life

Identifiers

PMID40034973
PMCPMC11874770

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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.