The authors studied functional secondary amenorrhea in young women. There was a high incidence of weight disturbance. Hormone assays demonstrated a diminution of hypothalamic-pituitary function in the underweight group. The findings from psychiatric interviews and psychological testing revealed the prevalence of psychopathology with disorders of self concept, confusion of body image, faulty mechanisms of defence in dealing with affects and impulses and disturbances of interpersonal relationships. The onset of amenorrhea was often related to situations of stress. The results suggested that psycholgical factors were primary in the development of functional secondary amenorrhea.
References
1.
RapaportD., GillM., SchaferR.Diagnostic psychological testing. Revised edition by R. Holt. New York: International Universities Press,1968.
2.
KwawerJ., LernerH., LernerP.,Borderline phenomenon and the Rorschach test.New York: International Universities Press,1980.
3.
MaymanM.Object representations and object relationships in Rorschach responses.Journal of Projective Techniques and Personality Assessment1967; 31: 17–24.
4.
HoltR.Manual for scoring of primary process manifestations in Rorschach responses.Research Center for Mental Health, New York University, 1970.
5.
RogersJ., MitchellG.The relation of obesity to menstrual disturbances.N Engl J Med1952; 53: 247–50.
6.
HolmbergN., NylanderI.Weight loss in secondary amenorrhea.Acta Obstet Gynec Scand1971; 50: 241–6.
HancockK., ScottJ., PanigrahiN.,Significance of low body weight in ovulatory dysfunction after stopping oral contraceptives.Br Med J1976; 2: 399–401.
9.
LeslieR., IsaacsA., GomesJ.,Hypothalamic-pituitary-thyroid function in anorexia nervosa: influence of weight gain.Br Med J1978; 2: 526–8.
10.
O'NeillD.Psychological aspects of gynecology and obstetrics in Recent Developments in Psychosomatic Medicine. In: WhittkowerE., CleghornA. eds. Philadelphia: Lippincott, 1954.
11.
ChezR., PasnauR.J., LeickenS.,Psychiatric aspects of acquired amenorrhea.Obstet and Gynec1954; 24: 549–53.
12.
JohnstoneJ.W.Psychogenic amenorrhea.Obstet Gynec Brit Emp1959; 66: 774–81.
13.
ShananJ., BryezenskiA., SulmanF.,Active coping behaviour, anxiety and cortical steroid excretion in the production of transient amenorrhea.Behav Sci1965; 10: 461–5.
14.
OsofskyH.J., FisherS.Psychological correlates of the development of amenorrhea in a stress situation.Psychosom Med1967; 29: 15–23.
15.
DrewF.L., SeifelE.N.Secondary amenorrhea among young women entering religious life.Obstet Gynec1968; 32: 47–51.
16.
FisherS., ClevelandS.Body image and personality.Princeton: Van Nostrand,1958.
17.
FisherS.A further appraisal of the body boundary concept.J Consult Psychol1963; 27: 62–74.
