WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Wasnaa Aqeel Salih* and Prof. Dr. Faris Al-Lami

ABSTRACT

Background: Mental disorders are frequent in postmenopausal women and have deleterious effects on their physical and mental health. No published studies were conducted to measure the prevalence of mental disorders in postmenopausal women in Iraq, which is why this study estimate the prevalence of depression, generalized anxiety disorders, and insomnia among a sample of postmenopausal women in Baghdad, Iraq, 2023, and to explore the association between depression, anxiety, and insomnia with sociodemographic status. Methodology: A cross-sectional study was conducted, involving a total of 300 women aged 50–65 years, collected by using a convenience sampling technique to select postmenopausal women participating in sports, present in supermarkets, restaurants, cultural, educational, and religious classes, or members of women’s clubs in Baghdad, Iraq. Depression symptoms were assessed using the Patient Health Questionnaire scale (PHQ-9), anxiety symptoms were evaluated using the Generalized Anxiety Disorder Scale (GAD-7), and insomnia was assessed using the Insomnia Severity Index (ISI), the data collection was conducted from 1 February 2023 to 30 June 2023. Results: The study included 300 menopausal women with an average age of 57.4 (± 5.1) years, the prevalence of depression was 36.7%, GAD was 39.3%, and insomnia was 18%. Depression was found to increase 7.47 times among women with insomnia, and about 10.98 times among women with anxiety, The odds of depression also increase by 1.08 times for each year women get older, and the odds of depression decrease among women who have been exercising as well as diabetic women. Women with insomnia have about 7.96 times odds of anxiety, while it was lower among depressed women, Single women have 4.5 times for anxiety compared to married. Anxiety increased 2.64 times among women who reported that monthly income was not enough, while less among women who reported more than enough income, women who are doing sports have 5.12 times odds for anxiety. logistic model for women with insomnia showed that; the odds is higher (OR=3.4, OR=5.71) among those who were also diagnosed with depression and GAD, respectively, diabetic women were 3.09 times more prone to suffer from insomnia compared to nondiabetic women. Conclusion: This study found a high prevalence of depression, GAD, and insomnia in postmenopausal women in Baghdad, Iraq. The key predictors for depression are GAD, insomnia, age, and low physical activity. The key predictors for GAD are insomnia, single postmenopausal women, and not enough income. The predictors for insomnia are depression, GAD, and diabetes mellitus.