Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing


depressive symptoms, menopause, screening, rural


Objectives: This DNP project aimed to evaluate if using screening tools helped providers detect depressive and menopausal symptoms, guided treatment plans, and reduced the severity of symptoms in a two month time period. Methods: A retrospective chart review was conducted on if clinic providers had addressed the presence of depressive and menopausal symptoms in women aged 45-65. For two months, all women aged 45-65 who presented for yearly physicals or menopausal complaints were screened for depressive and menopause symptoms using the Beck Depression Inventory and Menopause Rating Scale. Those who screened positive on both were rescreened after two months.
Results: In the chart review, without use of screening tools, 42.6% percent were asked about menopausal symptoms, 51.5% were asked about depressive symptoms. Twenty-five total women were screened during the two month time period with 11 of them screening positive for at least one moderate severity or higher symptom on each screening tool. These women were offered treatment such as counseling, medication, or hormone therapy. Of the 11, six returned the rescreens after two months of treatment. Both screening tools had clinically significant differences in the total scores at α = 0.05.
Conclusions: This study suggests that the use of screening tools for depression and menopause symptom severity helps providers identify these symptoms, guides treatment plans, and can reduce overall symptom severity over two months.

Library of Congress Subject Headings

Menopause -- Psychological aspects
Depression in women
Medical screening
Rural women


Includes bibliographical references (pages 68-76)



Number of Pages



South Dakota State University


In Copyright - Non-Commercial Use Permitted