Association of Psychological Distress with Primary Dysmenorrhea among Adolescents Living in West Bengal, India

IF 0.1 4区 医学 Q4 INFECTIOUS DISEASES
Payel Pramanik, Purushottam Pramanik
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引用次数: 1

Abstract

Background: Primary dysmenorrhea, a painful uterine cramp without any pelvic pathology that occur before or during menstruation among reproductive women. Objective: The objective of this study was to compare the psychological distress between adolescent female students with dysmenorrhea and without dysmenorrhea and also to examine relationship between psychological distress and dysmenorrhea. Methods: This is a cross sectional questionnaire based study conducted among 1646 adolescent female having age limit 14-19 years. Only unmarried adolescent females were included in the study however, females with gynecological, psychological or other medical problems were excluded from the study. It used validated and reliable questionnaire such as VAS for pain rating scale and DASS-21 for assessment of depression, anxiety, stress. Then, the descriptive data analysis and chi-square test were used to explore the relationship between psychological distress and dysmenorrhea. t-test was used to compare psychological distress between dysmenorrhea and non-dysmenorrhea. P<0.05 was considered as significant. Results: Mean age of the adolescent female was 15.91+ 1.27 years. Prevalence of dysmenorrhea was 88.94%. Among dysmenorrhea 22.40% was severe, 28.89% was under moderate and   48.71% was under mild dysmenorrhea. There was significant difference of psychological distress indices scores between dysmenorrhea and non-dysmenorrhea (p<0.001). Majority of dysmenorrheic females had severe to extreme severe levels of anxiety, depression and stress in contrast to non-dysmenorrheic females who have mild to moderate level. Significant association was noted between depression, anxiety, mental irritability and mood swing with primary dysmenorrhea (p<0.001). Conclusion: The present study suggested that dysmenorrhea is associated with psychological distress including anxiety, depression, mental irritation and mood swing. Psychological interventions and counselling are important for young women with primary dysmenorrhea to lessen the severity of menstrual pain.
印度西孟加拉邦青少年心理困扰与原发性痛经的关系
背景:原发性痛经是一种疼痛性子宫痉挛,无盆腔病变,发生在育龄妇女月经前或月经期间。目的:比较有痛经和无痛经的青春期女大学生的心理困扰情况,探讨心理困扰与痛经的关系。方法:采用横断面问卷调查法,对1646名年龄在14 ~ 19岁的青少年女性进行调查。只有未婚的青春期女性被纳入研究,但有妇科、心理或其他医学问题的女性被排除在研究之外。采用经验证可靠的问卷,如疼痛评定量表VAS和抑郁、焦虑、压力量表das -21。然后采用描述性资料分析和卡方检验探讨心理困扰与痛经的关系。采用t检验比较痛经与非痛经患者的心理困扰程度。P<0.05为差异有统计学意义。结果:青少年女性平均年龄15.91+ 1.27岁。痛经发生率为88.94%。重度痛经占22.40%,中度痛经占28.89%,轻度痛经占48.71%。痛经组与非痛经组的心理困扰指数评分差异有统计学意义(p<0.001)。大多数痛经女性有严重到极严重程度的焦虑、抑郁和压力,而非痛经女性只有轻度到中度的焦虑、抑郁和压力。抑郁、焦虑、精神烦躁和情绪波动与原发性痛经有显著相关性(p<0.001)。结论:痛经与焦虑、抑郁、精神刺激、情绪波动等心理困扰有关。心理干预和咨询是重要的年轻妇女原发性痛经减轻痛经的严重程度。
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来源期刊
Southeast Asian Journal of Tropical Medicine and Public Health
Southeast Asian Journal of Tropical Medicine and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-INFECTIOUS DISEASES
CiteScore
0.40
自引率
0.00%
发文量
0
审稿时长
3-8 weeks
期刊介绍: The SEAMEO* Regional Tropical Medicine and Public Health Project was established in 1967 to help improve the health and standard of living of the peoples of Southeast Asia by pooling manpower resources of the participating SEAMEO member countries in a cooperative endeavor to develop and upgrade the research and training capabilities of the existing facilities in these countries. By promoting effective regional cooperation among the participating national centers, it is hoped to minimize waste in duplication of programs and activities. In 1992 the Project was renamed the SEAMEO Regional Tropical Medicine and Public Health Network.
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