Menstrual Disorders Are Associated With Depressive Symptoms Among Women of Reproductive Age: Findings From the Korean Women's Health Survey for Sexual and Reproductive Health.

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Kyunghee Han, Sihan Song, Bo Mi Song, Eunja Park, Joong-Yeon Lim, Hyun-Young Park
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Abstract

Background: Menstrual disorders and depressive symptoms are common health concerns for women. This study examined the association between menstrual disorders and depressive symptoms in women of reproductive age.

Methods: A total of 3,088 premenopausal women aged 13-55 years were included in the current analysis from a nationwide survey conducted in 2022 to assess the reproductive health of Korean women. The severity of menstrual disorders, including dysmenorrhea, premenstrual syndrome, and abnormal uterine bleeding, was assessed using a visual analog scale. Depressive symptoms were evaluated using the Center for Epidemiologic Studies Depression Scale. Modified Poisson regression was used to estimate the prevalence ratios (PRs) of probable and definite depressive symptoms according to menstrual disorder levels.

Results: More than half of women experienced at least one severe menstrual disorder. The prevalence of probable and definite depressive symptoms was 19.4% and 21.2%, respectively. The PRs for definite depressive symptoms in women with severe menstrual disorders compared to those without were 1.61 (95% confidence interval [CI], 1.38-1.88) for dysmenorrhea, 2.00 (1.71-2.34) for premenstrual syndrome, and 1.40 (1.17-1.67) for abnormal uterine bleeding. Women with all three severe menstrual disorders had higher prevalence of probable (PR, 1.80; 95% CI, 1.22-2.66) and definite depressive symptoms (PR, 2.14; 95% CI, 1.69-2.70) compared to women without any severe menstrual disorders (P for trend < 0.001 for each).

Conclusion: These results suggest that menstrual disorders are closely associated with depressive symptoms in women of reproductive age in Korea and warrant further investigation.

月经紊乱与育龄妇女抑郁症状相关:韩国妇女性健康和生殖健康健康调查结果
背景:月经紊乱和抑郁症状是女性常见的健康问题。本研究探讨了育龄妇女月经紊乱与抑郁症状之间的关系。方法:共有3088名年龄在13-55岁的绝经前妇女被纳入目前的分析,这些妇女来自2022年进行的一项全国调查,以评估韩国妇女的生殖健康。月经紊乱的严重程度,包括痛经、经前综合征和子宫异常出血,使用视觉模拟量表进行评估。使用流行病学研究中心抑郁量表评估抑郁症状。修正泊松回归根据月经紊乱程度估计可能和确定抑郁症状的患病率比(pr)。结果:超过一半的女性至少经历过一次严重的月经紊乱。可能和明确抑郁症状的患病率分别为19.4%和21.2%。有严重月经紊乱的女性与无月经紊乱的女性相比,痛经患者出现明确抑郁症状的pr为1.61(95%可信区间[CI], 1.38-1.88),经前综合征患者为2.00(1.71-2.34),子宫异常出血患者为1.40(1.17-1.67)。所有三种严重月经紊乱的妇女可能有更高的患病率(PR, 1.80;95% CI, 1.22-2.66)和明确的抑郁症状(PR, 2.14;95% CI, 1.69-2.70),与没有任何严重月经失调的女性相比(P < 0.001)。结论:这些结果提示月经紊乱与韩国育龄妇女抑郁症状密切相关,值得进一步调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Korean Medical Science
Journal of Korean Medical Science 医学-医学:内科
CiteScore
7.80
自引率
8.90%
发文量
320
审稿时长
3-6 weeks
期刊介绍: The Journal of Korean Medical Science (JKMS) is an international, peer-reviewed Open Access journal of medicine published weekly in English. The Journal’s publisher is the Korean Academy of Medical Sciences (KAMS), Korean Medical Association (KMA). JKMS aims to publish evidence-based, scientific research articles from various disciplines of the medical sciences. The Journal welcomes articles of general interest to medical researchers especially when they contain original information. Articles on the clinical evaluation of drugs and other therapies, epidemiologic studies of the general population, studies on pathogenic organisms and toxic materials, and the toxicities and adverse effects of therapeutics are welcome.
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