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====== Menopause symptoms (GCS) ======

The Green Climacteric Scale is a 21-item validated instrument to measure menopausal symptoms((Greene JG (1998), Constructing a standard climacteric scale, Maturitas 29(1): 25-31))([[sections|section]]: [[diseases & symptoms]] and [[reproduction & development]]). The scale is also validated in the Dutch population ((Barentsen R et al. (2001) Climacteric symptoms in a representative Dutch population sample as measured with the Greene Climacteric Scale), Maturitas 38(2): 123-128)).\\ 
In [[start|Lifelines]], the scale was used in an [[additional assessments|additional assessment]] on Menopause & Work ([[MAWQ]]).

===== Scoring =====

The GCS generates a total score and 4 domain scores (psychological, somatic, vasomotor and sexual functioning). The GCS total score is the sum of the scores obtained for each domain and ranges from 0 to 63 points; higher scores on all scales indicate more bothersome symptoms. 

===== Variables =====

| **Questions English**                                                                                                                                                                                                                    | **Questions Dutch**                                                                                                                            | **Code**                      | **Variable**  | **Assessment**  | **Age**  |
| Heart beating quickly or strongly / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                           | Aanvallen van hartkloppingen / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                        | gcs_palpitations_adu_q_01     | OVERGANG14A   | [[MAWQ]]        | 40-67    |
| Feeling tense or nervous / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                    | Gespannen, gejaagd of nerveus gevoel / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                | gcs_nervous_adu_q_02          | OVERGANG14B   | [[MAWQ]]        | 40-67    |
| Difficulty in sleeping / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                      | Slaapstoornissen / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                    | gcs_sleepdisorders_adu_q_03   | OVERGANG14C   | [[MAWQ]]        | 40-67    |
| Excitable / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                                   | Opgewonden gevoel / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                   | gcs_excited_adu_q_04          | OVERGANG14D   | [[MAWQ]]        | 40-67    |
| Attacks of panic and/or feelings of anxiety / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                 | Paniekaanvallen en/of angstig gevoel / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                | gcs_anxiety_adu_q_05          | OVERGANG14E   | [[MAWQ]]        | 40-67    |
| Difficulty in concentrating / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                 | Concentratieproblemen / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                               | gcs_concentration_adu_q_06    | OVERGANG14F   | [[MAWQ]]        | 40-67    |
| Feeling tired and/or lacking in energy / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                      | Vermoeidheid en/of lusteloosheid / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                    | gcs_fatigue_adu_q_07          | OVERGANG14G   | [[MAWQ]]        | 40-67    |
| Loss of interest in most things / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                             | Ongeïnteresseerdheid / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                | gcs_disinterest_adu_q_08      | OVERGANG14H   | [[MAWQ]]        | 40-67    |
| Feeling unhappy and/or depressed / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                            | Neerslachtig en/of niet gelukkig voelen / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                             | gcs_unhappy_adu_q_09          | OVERGANG14I   | [[MAWQ]]        | 40-67    |
| Crying spells / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                               | Huilbuien / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                           | gcs_crying_adu_q_10           | OVERGANG14J   | [[MAWQ]]        | 40-67    |
| Irritability / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                                | Snel geïrriteerd / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                    | gcs_irritated_adu_q_11        | OVERGANG14K   | [[MAWQ]]        | 40-67    |
| Feeling dizzy and/or fainting / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                               | Gevoel van duizeligheid en/of flauwvallen / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                           | gcs_dizziness_adu_q_12        | OVERGANG14L   | [[MAWQ]]        | 40-67    |
| Pressure or tightness in head or body / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                       | Gespannen gevoel in hoofd of lichaam / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                | gcs_tense_adu_q_13            | OVERGANG14M   | [[MAWQ]]        | 40-67    |
| Parts of body and/or skin feel numb or tingling / Indicate to what extent you suffered from these symptoms in the last month                                                                                                             | Tintelingen of doof gevoel in huid en/of lichaam / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                    | gcs_tingling_adu_q_14         | OVERGANG14N   | [[MAWQ]]        | 40-67    |
| Headaches / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                                   | Hoofdpijn / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                           | gcs_headache_adu_q_15         | OVERGANG14O   | [[MAWQ]]        | 40-67    |
| Muscle and/or joint pains / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                   | Spier- en/of gewrichtspijn / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                          | gcs_musculoskeletal_adu_q_16  | OVERGANG14P   | [[MAWQ]]        | 40-67    |
| Loss of feeling in hands or feet / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                            | Minder gevoel in handen en/of voeten / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                | gcs_sensitivity_adu_q_17      | OVERGANG14Q   | [[MAWQ]]        | 40-67    |
| Breathing difficulties / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                      | Ademhalingsproblemen / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                | gcs_breathing_adu_q_18        | OVERGANG14R   | [[MAWQ]]        | 40-67    |
| Hot flushes / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                                 | Opvliegers / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                          | gcs_hotflushes_adu_q_19       | OVERGANG14S   | [[MAWQ]]        | 40-67    |
| Sweating at night / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                           | Nachtelijk zweten / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                                   | gcs_nightsweats_adu_q_20      | OVERGANG14T   | [[MAWQ]]        | 40-67    |
| Loss of interest in sex / Indicate to what extent you suffered from these symptoms in the last month                                                                                                                                     | Geen zin meer in seks / Geef aan in hoeverre u in de afgelopen maand last had van deze symptomen                                               | gcs_libido_adu_q_21           | OVERGANG14U   | [[MAWQ]]        | 40-67    |
| To what extent have you been bothered in the past month by the above symptoms while performing your daily activities (including work)?                                                                                                   | In hoeverre hebben bovenstaande symptomen u beperkt bij uw dagelijkse activiteiten (inclusief uw werk) in de afgelopen maand?                  | gcs_limitations_adu_q_22      | OVERGANG15    | [[MAWQ]]        | 40-67    |
| If the above symptoms hinder you in your performance at work and/or your interaction with colleagues, have you discussed this at work? For example with your manager, an occupational health & safety expert or a confidential adviser.  | Indien bovenstaande symptomen u beperkt hebben in uw functioneren op het werk en/of uw omgang met collega`s, hebt u dit besproken op uw werk?  | gcs_workfunctioning_adu_q_23  | OVERGANG16    | [[MAWQ]]        | 40-67    |