The Study for Usefulness of Mandala Art Therapy in Primary Dysmenorrhea

Ohnishi St
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Abstract

Primary dysmenorrhea is painful menstruation due to uterine functional origin without any other gynecologic diseases such as endometriosis or adenomyosis. The pain of primary dysmenorrhea is from hyper contraction or high sensitivity to pain. The primary dysmenorrhea has been treated by NSAIDs (nonsteroidal anti-inflammatory drugs) or oral contraceptives from the past. However, primary dysmenorrhea is not controlled in all patients by these treatments. Some patients need more supportive treatment. The many supportive treatment have tried to this condition. The art therapy can also tried for this supportive treatment, so we studied mandala art therapy for primary dysmenorrhea. The purpose of this study is observing the usefulness of art therapy for supportive therapy of primary dysmenorrhea.We estimate the degree of pain by VAS (Visual Analog Scale), and statistically compares the change of pain before and after mandala therapy by χ-square with Fisher’s exact test. We did mandala therapy 2 times/week from menstruation to next menstruation, and we compare the change of pain before and after mandala therapy by VAS score. The result of this study is as follows. We observed the pain change in 10 patients. The four of 10 patients felt no change in pain after therapy, but the 2 of 10 patients felt no pain after therapy. The four of 10 patients felt decreased pain after therapy although not disappear completely. Therefore, the six of 10 patients can be felt decreased pain after mandala therapy (P<0.05). The mandala art therapy can be useful for supportive therapy of primary dysmenorrhea. However, a study of the bigger population is needed to confirm this effect for primary dysmenorrhea
曼荼罗艺术治疗原发性痛经的有效性研究
原发性痛经是指在无子宫内膜异位症、子宫腺肌症等其他妇科疾病的情况下,由于子宫功能原因引起的痛经。原发性痛经的疼痛是由过度收缩或对疼痛高度敏感引起的。从过去开始,原发性痛经一直用非甾体抗炎药(NSAIDs)或口服避孕药治疗。然而,并不是所有患者的原发性痛经都能通过这些治疗得到控制。一些患者需要更多的支持性治疗。许多支持性治疗都试图改善这种状况。艺术疗法也可以作为这种辅助治疗的尝试,因此我们研究了曼陀罗艺术疗法对原发性痛经的治疗。本研究的目的是观察艺术疗法对原发性痛经的辅助治疗的有效性。采用视觉模拟量表(VAS)评估疼痛程度,采用χ 2和Fisher精确检验比较曼荼罗治疗前后疼痛变化情况。从月经到下次月经,我们每周进行2次曼荼罗治疗,通过VAS评分比较曼荼罗治疗前后疼痛的变化。本研究的结果如下:我们观察了10例患者的疼痛变化。10例患者中4例治疗后疼痛无变化,2例治疗后疼痛无变化。10名患者中有4名在治疗后感到疼痛减轻,但没有完全消失。因此,10例患者中有6例经曼荼罗治疗后疼痛减轻(P<0.05)。曼荼罗艺术疗法可用于原发性痛经的辅助治疗。然而,需要对更大的人群进行研究来证实原发性痛经的效果
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