DOI QR코드

DOI QR Code

Relationship between Menstrual Distress and Sleep Disturbance in Middle-school Girls

여자 중학생의 월경불편감과 수면장애와의 관계

  • Park, Se Yeong (Wonju Severance Christian Hospital) ;
  • Park, SoMi (Department of Nursing, Wonju College of Medicine, Yonsei University)
  • 박세영 (원주세브란스기독병원) ;
  • 박소미 (연세대학교 원주의과대학 간호학과)
  • Received : 2018.09.19
  • Accepted : 2018.12.01
  • Published : 2018.12.20

Abstract

Purpose: To identify factors associated with menstrual distress and characterize the relationship between menstrual distress and sleep disturbance in middle-school girls. Methods: Participants in this correlational study were 117 middle-school girls who were recruited through convenience sampling. Data were collected from March 2018 to April 2018 using self-reported structured questionnaires and analyzed using IBM SPSS Statistics 23.0. Factors associated with menstrual distress included physiological, psychological, and situational factors based on the theory of unpleasant symptoms. Results: Age of menarche (${\beta}=-.28$, p<.001), amount of menstruation (${\beta}=.23$, p=.004), lifestyle-related exposure to endocrine-disrupting chemicals (${\beta}=.21$, p=.027), and academic and peer-relationship stress (${\beta}=.19$, p=.025) influenced menstrual distress, explaining 47.4% of the variance in this regression model. The relationship between menstrual distress and sleep disturbance was statistically significant. Sleep disturbance was increased 1.26 folds when dysmenorrhea score increased by one unit (OR=1.26, 95% CI: 1.01~1.58). However, parental support was not a significant moderating factor of sleep disturbance. Conclusion: This study provides basis to develop an intervention strategy to alleviate menstrual discomfort in adolescents and improve their quality of sleep.

Keywords

References

  1. Marvan ML, Morales C, Cortes-Iniestra S. Emotional reactions to menarche among mexican women of different generations. Sex Roles. 2006;54(5-6):323-330. https://doi.org/10.1007/s11199-006-9002-6
  2. Sharma P, Malhotra C, Taneja DK, Saha R. Problems related to menstruation amongst adolescent girls. Indian Journal of Pediatrics. 2008;75(2):125-129. https://doi.org/10.1007/s12098-008-0018-5
  3. Rhee YM, Cho HN, Choi EJ, Choi KS, Lim JY, Park CY, et al. Korean study of women's health-related issues (K-Stori), 2016. Public Health Weekly Report. 2017;10(43):1138-1147.
  4. Kim HO, Lim SW, Woo HY, Kim KH. Premenstrual syndrome and dysmenorrhea in Korean adolescent girls. Obstetrics & Gynecology Science. 2008;51(11):1322-1329.
  5. Vichnin M, Freeman EW, Lin H, Hillman J, Bui S. Premenstrual syndrome (PMS) in adolescents: severity and impairment. Journal of Pediatric and Adolescent Gynecology. 2006;19(6): 397-402. https://doi.org/10.1016/j.jpag.2006.06.015
  6. Wie SU, Kim YM. Attitude toward menstruation, menstrual symptoms, and coping behaviors among Korean primary school student. Journal of the Korea Contents Association. 2014;14(8):297-306. https://doi.org/10.5392/JKCA.2014.14.08.297
  7. Jeon GE, Kim YI. Factors affecting dysmenorrhea of middle school girls. Journal of the Korean Society of School Health. 2011;24(1):99-109.
  8. Sohn GJ, Kim HJ, Kang SH, Lim MH, Chung HG, Choi JH, et al. Sleep patterns and predictors of daytime sleepiness in high school students. Journal of Korean Neuropsychiatry Association. 2014;53(6):426-433. https://doi.org/10.4306/jknpa.2014.53.6.426
  9. Yun HJ. Effect of stress and sleep quality on mental health of adolescents. Journal of the Korean Society of School Health. 2016;29(2):98-106. https://doi.org/10.15434/kssh.2016.29.2.98
  10. Park DH. Menstruation and sleep. Sleep Medicine and Psychophysiology. 2002;9(2):81-85.
  11. Asci O, Gokdemir F, Kahyaoglu Sut H, Payam F. The relationship of premenstrual syndrome symptoms with menstrual attitude and sleep quality in Turkish nursing student. Journal of Caring Sciences. 2015;4(3):179-187. https://doi.org/10.15171/jcs.2015.018
  12. Jeon JH, Hwang SK. A structural equation modeling on premenstrual syndrome in adolescent girls. Journal of Korean Academy of Nursing. 2014;44(6):660-671. https://doi.org/10.4040/jkan.2014.44.6.660
  13. Brand S, Hatzinger M, Beck J, Holsboer-Trachsler E. Perceived parenting styles, personality traits and sleep patterns in adolescents. Journal of Adolescence. 2009;32(5):1189-1207. https://doi.org/10.1016/j.adolescence.2009.01.010
  14. Lenz ER, Pugh LC, Milligan RA, Gift A, Suppe F. The middle- range theory of unpleasant symptoms: an update. Advances in Nursing Science. 1997;19(3):14-27. https://doi.org/10.1097/00012272-199703000-00003
  15. Han YK, Hwang SH. A study on dysmenorrhea for female students at the department of dental hygiene in some colleges. The Journal of the Korean Academy of Dental Hygiene. 2011; 13(4):451-462.
  16. Park SR. A study on middle school girls' menstrual symptoms, attitudes, and coping behaviors related menstruation [master's thesis]. Kwangju: Chonnam University; 2006. 48 p.
  17. Hwang WY. Women's menstrual discomforts and coping. Health & Nursing. 2004;16(2):41-50.
  18. Kim HK. Impact of pro-environmental behavior on dysmenorrhea. Journal of Korean Academy of Nursing. 2011;41(2): 236-244. https://doi.org/10.4040/jkan.2011.41.2.236
  19. Mendola P, Messer LC, Rappazzo K. Science linking environmental contaminant exposures with fertility and reproductive health impacts in the adult female. Fertility and Sterility. 2008; 89(2 Suppl):e81-e94. https://doi.org/10.1016/j.fertnstert.2007.12.036
  20. Yoon SJ. Influence of type D personality, dietary assessment and increase exposure toward endocrine disrupting chemicals on the dysmenorrhea. Journal of the Korean Society of Maternal and Child Health. 2018;22(1):17-24. https://doi.org/10.21896/jksmch.2018.22.1.17
  21. Kim HJ, Kim MR. Recognition, information acquisition behavior, knowledge, behaviors to decrease exposure and education need toward endocrine disruptors among middle and high school students. Journal of Korean Home Economics Education Association. 2009;21(3):123-142.
  22. Yang DO. The relationship between increased years after menarche and attitudes toward menstruation [master's thesis]. Gwangju: Chonnam University; 2002. 40 p.
  23. Park SY. A study on stress coping styles in youth [master's thesis]. Chuncheon: Kangwon National University; 1998. 86 p.
  24. Lee MR. A study on the social support system to influence on the high school students' adaptation to school life [master's thesis]. Gyungsan: Daegu University; 2001. 72 p.
  25. Johns MW. A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep. 1991;14(6):540-545. https://doi.org/10.1093/sleep/14.6.540
  26. Park MJ, Lee IS, Shin EK, Joung HJ, Cho SI. The timing of sexual maturation and secular trends of menarchial age in Korean adolescents. Korean Journal of Pediatrics. 2006;49(6):610-616. https://doi.org/10.3345/kjp.2006.49.6.610
  27. Telama R, Yang X, Viikari J, Valimaki I, Wanne O, Raitakari O. Physical activity from childhood to adulthood: a 21-year tracking study. American Journal of Preventive Medicine. 2005;28 (3):267-273. https://doi.org/10.1016/j.amepre.2004.12.003
  28. De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Soliman R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different country. Acta Bio-Medica. 2017;87(3):233-246.
  29. Cho KJ, Lee MH. Relationship between perceived parental rearing attitudes, stress, stress-coping and self-efficacy of middle school students. Journal of Korean Academy of Child Health Nursing. 2010;16(2):120-127. https://doi.org/10.4094/jkachn.2010.16.2.120
  30. Jung HJ. Effect research that parents' rearing attitudes gets in adolescents' character formation [master's thesis]. Seoul: Kyung Hee University; 2002. 91 p.

Cited by

  1. 간호사의 내분비계 교란 물질 노출, 감정 노동, 동료 지지가 월경 전 증후군에 미치는 영향 vol.26, pp.2, 2018, https://doi.org/10.4069/kjwhn.2020.06.18
  2. Determinants of Protective Behaviors Against Endocrine Disruptors in Young Korean Women vol.14, pp.3, 2018, https://doi.org/10.1016/j.anr.2020.07.002
  3. Effects of a dietary modification intervention on menstrual pain and urinary BPA levels: a single group clinical trial vol.21, pp.1, 2021, https://doi.org/10.1186/s12905-021-01199-3