THE ROLE OF SPOUSAL SUPPORT IN MITIGATION OF MENOPAUSAL SYMPTOMATOLOGY AND FOSTERING PSYCHOSOCIAL WELL-BEING AMONG MIDDLE-AGED WOMEN

Authors

  • Jannat Salman Bahria University, Islamabad, Pakistan. Author
  • Ayesha Rizwan Bahria University, Islamabad, Pakistan. Author
  • Afreen Komal Bahria University, Islamabad, Pakistan. Author

DOI:

https://doi.org/10.71000/cn0b1e06

Keywords:

Spousal Support, Aging, Menopause, , Mental Health, Psychosocial Well-Being, Women’s Health, , Women’s Rights

Abstract

Background: Menopause is a major biopsychosocial milestone in a woman’s life, marked by physiological, emotional, and social changes that can impair quality of life. In patriarchal and culturally conservative societies such as Pakistan, menopause remains a stigmatized and often neglected topic, resulting in inadequate awareness and limited social support. The absence of empathetic spousal involvement may aggravate depressive symptoms and psychological distress, underscoring the critical need to understand the role of spousal support in promoting psychosocial well-being during this transition.

Objective: The study aimed to examine the association between menopausal symptomatology, spousal support, and psychosocial well-being among middle-aged women, emphasizing how spousal support mitigates menopausal distress and enhances mental health outcomes.

Methods: A quantitative, cross-sectional research design was adopted, involving 250 married women aged 45–60 years (M = 51.70, SD = 4.54) recruited from public and private healthcare institutions and gynecology clinics in Islamabad and Rawalpindi through non-probability purposive sampling. Data were collected using standardized tools: the Menopause Rating Scale (MRS) (1), the Menopausal Spousal Support Questionnaire (MSSQ) (2), and the Mental Health Continuum–Short Form (MHC-SF) (3). Descriptive and inferential analyses, including Pearson correlations and multiple regression, were performed using SPSS version 16.

Results: Findings revealed that 63.6% of participants were postmenopausal, while 36.4% were perimenopausal. A significant positive relationship was observed between spousal support and psychosocial well-being (r = .74, p < .001), whereas menopausal symptomatology showed a negative correlation (r = –.25, p < .001). Regression analysis indicated that spousal support strongly predicted psychosocial well-being (β = .61, p < .001) and menopausal symptoms were significant negative predictors (β = –.28, p < .001), accounting for 35.7% of variance in well-being (R² = .357). Women with higher education reported better adaptation and emotional balance, while those with more children experienced lower psychological well-being.

Conclusion: The study highlights that empathetic spousal support substantially improves psychosocial well-being and mitigates the adverse effects of menopausal symptoms. These findings emphasize the necessity for culturally sensitive, family-centered interventions integrating spousal education to enhance women’s midlife mental health and quality of life in Pakistani settings.

Author Biographies

  • Jannat Salman, Bahria University, Islamabad, Pakistan.

    Bahria University, Islamabad, Pakistan.

  • Ayesha Rizwan, Bahria University, Islamabad, Pakistan.

    Bahria University, Islamabad, Pakistan.

  • Afreen Komal, Bahria University, Islamabad, Pakistan.

    Bahria University, Islamabad, Pakistan.

References

Harper J, Keay N, Rowe F, Alstyne PV, Tariq S. The time has come for a UK-wide menopause education and support programme: InTune. Womens Health (Lond). 2024;20:17455057241277535.

Wang F, Simon MS, Kroenke CH, Krok-Schoen J, Jung SY, Chlebowski R, et al. Social Support, Social Strain, Stressful Life Events and Mortality Among Postmenopausal Women With Breast Cancer. Psychooncology. 2024;33(11):e70013.

Arnot M, Emmott EH, Mace R. The relationship between social support, stressful events, and menopause symptoms. PLoS One. 2021;16(1):e0245444.

Cybulska AM, Głębicka K, Stanisławska M, Cymbaluk-Płoska A, Grochans E, Rachubińska K. The Relationship between Social Support and Mental Health Problems of Peri- and Postmenopausal Women during the SARS-CoV-2 Pandemic. Int J Environ Res Public Health. 2023;20(3).

McElhany K, Aggarwal S, Wood G, Beauchamp J. Protective and harmful social and psychological factors associated with mood and anxiety disorders in perimenopausal women: A narrative review. Maturitas. 2024;190:108118.

Brady MJ, Jenkins CA, Gamble-Turner JM, Moseley RL, Janse van Rensburg M, Matthews RJ. "A perfect storm": Autistic experiences of menopause and midlife. Autism. 2024;28(6):1405-18.

Lockwood K, Wood T. Menopause and the prison: A Systematic review exploring the experiences and support needs of women in prison in relation to the menopause. Womens Health (Lond). 2025;21:17455057251367843.

Khalesi ZB, Jafarzadeh-Kenarsari F, Mobarrez YD, Abedinzade M. The impact of menopause on sexual function in women and their spouses. Afr Health Sci. 2020;20(4):1979-84.

Wong LP, Cora C, Andrew LL, Faisal A, Hasbi AS, Puujaa E, et al. Factors influencing sexual interest in postmenopausal Asian women. J Sex Med. 2024;21(11):1011-9.

Golaszewski NM, LaCroix AZ, Godino JG, Allison MA, Manson JE, King JJ, et al. Evaluation of Social Isolation, Loneliness, and Cardiovascular Disease Among Older Women in the US. JAMA Netw Open. 2022;5(2):e2146461.

Çalişkan Pala S, Ünsal A, Arslantaş D, Öcal EE, Dağtekin G. Evaluation of depression, social support and quality of life in perimenopausal and postmenopausal women in semi-rural Turkey. Psychogeriatrics. 2022;22(5):679-87.

Yarelahi M, Karimi M, Asadollahi A. Dose spouses' coping skills promote qol and dyadic coping of menopausal women? Women Health. 2021;61(5):431-9.

Polat F, Orhan I, Şimşek Küçükkelepçe D. Does social support affect menopausal symptoms in menopausal women? Perspect Psychiatr Care. 2022;58(3):1062-70.

Idiana HI, Nik Hazlina NH, Zaharah S, Azidah AK, Mohd Zarawi MN. Developing and validating the Menopausal Spousal Support Questionnaire (MSSQ) for menopausal women. Maturitas. 2022;158:1–9.

Ambikairajah A, Walsh E, Cherbuin N. A review of menopause nomenclature. Reprod Health. 2022;19(1):1–9.

Statista. Life expectancy at birth in Pakistan 2021, by gender [Internet]. Statista; 2024 Apr 8 [cited 2025 Oct 6].

Kingsberg SA, Parish SJ, Graham S, Weinberg M, Bernick B, Mirkin S. MATE 2 survey: Men’s perspectives toward aging and their partner’s menopause. J Sex Med. 2020;17(7 Suppl 1):S255–6.

Cowell AC, Gilmour A, Atkinson DE. Support mechanisms for women during menopause: Perspectives from social and professional structures. Women. 2024;4(1):53–72.

Zhang X, Wang G, Wang H, Wang X, Ji T, Hou D, et al. Spouses’ perceptions of and attitudes toward female menopause: A mixed-methods systematic review. Climacteric. 2020;23(2):148–57.

Kumar C. Psychosocial well-being of individuals. In: Leal Filho W, et al., editors. Encyclopedia of the UN Sustainable Development Goals. Cham: Springer; 2020. p. 676–86.

Eiroa-Orosa FJ. Understanding psychosocial wellbeing in the context of complex and multidimensional problems. Int J Environ Res Public Health. 2020;17(16):5937.

Ryu KJ, Park H, Kim YJ, Yi KW, Shin JH, Hur JY, et al. Comparison of various menopausal symptoms and risk factor analysis in Korean women according to stage of menopause. Maturitas. 2020;140:41–8.

Misiker B, Kashala K, Misker D. The severity of menopause and associated factors among middle-aged women residing in Arba Minch, DHSS, Ethiopia, 2022. BMC Womens Health. 2023;23:287.

De Paula Couto MCP, Wirth M. Examining the role of age stereotypes for development in context. Innov Aging. 2023;7(Suppl 1):268.

Vidia RA, Ratrikaningtyas PD, Rachman IT. Factors affecting sexual life of menopausal women: Scoping review. Eur J Public Health Stud. 2021;4(2):96.

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Published

2025-10-26

How to Cite

1.
Salman J, Ayesha Rizwan, Afreen Komal. THE ROLE OF SPOUSAL SUPPORT IN MITIGATION OF MENOPAUSAL SYMPTOMATOLOGY AND FOSTERING PSYCHOSOCIAL WELL-BEING AMONG MIDDLE-AGED WOMEN. IJHR [Internet]. 2025 Oct. 26 [cited 2025 Nov. 2];3(5 (Health and Rehabilitation):588-97. Available from: https://insightsjhr.com/index.php/home/article/view/1454