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Effects of Adolescent's Menstrual Attitude and Academic Stress on Menstrual Symptoms

청소년의 월경 태도, 학업 스트레스가 월경 증상에 미치는 영향

  • Received : 2022.03.31
  • Accepted : 2022.04.20
  • Published : 2022.05.31

Abstract

This study was conducted to understand the effects of openness, positive acceptance, physical symptoms, reaction, and emotional sensitivity among adolescents' attitudes toward menstruation, and academic stress on premenstrual syndrome and dysmenorrhea. A questionnaire of 126 high school girls who agreed to participate in the study was analyzed. As a result, the subject's premenstrual syndrome score was 22.48 points and dysmenorrhea was 4.66 points, and it was found that the higher the amount of menstruation, the higher the score of premenstrual syndrome and dysmenorrhea. Factors affecting premenstrual syndrome were openness, physical symptoms, reaction, and emotional sensitivity, and the explanatory power of these variables was 49.9%. In addition, positive acceptance and physical symptoms had a significant effect on dysmenorrhea in adolescents, and explanatory power was 66.3%.

본 연구는 청소년의 월경에 대한 태도 중 폐쇄성, 정적 수용, 신체 증상, 대처 행동, 정서적 민감성의 5항목과 학업 스트레스가 월경 증상인 월경 전 증후군과 월경곤란증에 미치는 영향을 파악하기 위해 시행되었다. 연구 참여에 동의한 고등학생 여학생 126명의 설문지가 분석되었다. 그 결과 대상자의 월경 전 증후군 점수는 22.48점, 월경곤란증은 4.66점이었으며, 월경양이 많을수록 월경 전 증후군과 월경곤란증 점수는 증가함을 알 수 있었다. 월경 전 증후군에 영향을 미치는 요인은 폐쇄성과 신체 증상, 대처 행동, 정서적 민감성이었고, 이들 변수의 설명력은 49.9%이었다. 또한 정적 수용과 신체 증상은 청소년의 월경곤란증에 유의한 영향을 주었으며, 설명력은 66.3%이었다.

Keywords

References

  1. R.E. Dahl, "Adolescent brain development: a period of vulnerabilities and opportunities. Keynote address." J Annals of the New York Academy of Sciences, Vol. 1021, No. 1, pp. 1-22, 2004. https://doi.org/10.1196/annals.1308.001
  2. M.a.L. Marvan, A. Vacio, G. Espinosa-Hernandez, "Menstrual-related changes expected by premenarcheal girls living in rural and urban areas of Mexico." Social science & medicine, Vol. 56, No. 4, pp. 863-868, 2003. https://doi.org/10.1016/S0277-9536(02)00087-4
  3. A.K. Avasarala, S. Panchangam, "Dysmenorrhoea in different settings: are the rural and urban adolescent girls perceiving and managing the dysmenorrhoea problem differently?" Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, Vol. 33, No. 4, pp. 246-249, 2008. https://doi.org/10.4103/0970-0218.43231
  4. Z.y.J. Lu, "The relationship between menstrual attitudes and menstrual symptoms among Taiwanese women." Journal of advanced nursing, Vol. 33, No. 5, pp. 621-628, 2001. https://doi.org/10.1046/j.1365-2648.2001.01705.x
  5. G. Balik, I. ustuner, M. Kagitci, F.K. Sahin, "Is there a relationship between mood disorders and dysmenorrhea?" Journal of pediatric and adolescent gynecology, Vol. 27, No. 6, pp. 371-374, 2014. https://doi.org/10.1016/j.jpag.2014.01.108.
  6. N. Malhotra, J. Malhotra, R. Saxena, N.M. Bora. Jeffcoate's principles of gynaecology. New Delhi (IN): Jaypee Brothers Medical Publishers (P) Ltd; 2018.
  7. G.B. Slap, "Menstrual disorders in adolescence." J Best practice research Clinical obstetrics gynaecology, Vol. 17, No. 1, pp. 75-92, 2003. DOI : 10.1053/ybeog.2002.0342.
  8. S. Anandha Lakshmi, I. Saraswathi, A. Saravanan, C. Ramamchandran, "Prevalence of premenstrual syndrome and dysmenorrhoea among female medical students and its association with college absenteeism." J Int J Biol Med Res, Vol. 2, No. 4, pp. 1011-1016, 2011.
  9. J. Bitzer, S. Tschudin, W. Stadlmayr, "Menstruation and its impact on women's health." J Zentralblatt fur Gynakologie, Vol. 127, No. 5, pp. 282, 2005. https://doi.org/10.1055/s-2005-836862
  10. A.M. Houston, A. Abraham, Z. Huang, "Knowledge, attitudes, and consequences of menstrual health in urban adolescent females." J Journal of Pediatric Adolescent Gynecology, Vol. 19, No. 4, pp. 271-275, 2006. https://doi.org/10.1016/j.jpag.2006.05.002.
  11. S. Iacovides, I. Avidon, F.C. Baker, "What we know about primary dysmenorrhea today: a critical review." Human reproduction update, Vol. 21, No. 6, pp. 762-778, 2015. 10.1007/s00404-020-05659-3.
  12. M.Y. Dawood, "Primary dysmenorrhea: advances in pathogenesis and management." J Obstetrics & Gynecology, Vol. 108, No. 2, pp. 428-441, 2006. https://doi.org/10.1097/01.AOG.0000230214.26638.0c
  13. H.-M. Jung, Y.-S. Kim, "Factors affecting dysmenorrhea among adolescents." J Child Health Nursing Research, Vol. 10, No. 2, pp. 196-204, 2004.
  14. B. Sternfeld, R. Swindle, A. Chawla, S. Long, S. Kennedy, "Severity of premenstrual symptoms in a health maintenance organization population." Obstetrics & Gynecology, Vol. 99, No. 6, pp. 1014-1024, 2002. https://doi.org/10.1016/S0029-7844(02)01958-0
  15. A. Bahrami, A. Avan, H.R. Sadeghnia, H. Esmaeili, M. Tayefi, F. Ghasemi, et al., "High dose vitamin D supplementation can improve menstrual problems, dysmenorrhea, and premenstrual syndrome in adolescents." Gynecological Endocrinology, Vol. 34, No. 8, pp. 659-663, 2018. https://doi.org/10.1080/09513590.2017.1423466
  16. M. Yang, G. Wallenstein, M. Hagan, A. Guo, J. Chang, S. Kornstein, "Burden of premenstrual dysphoric disorder on health-related quality of life." Journal of women's health, Vol. 17, No. 1, pp. 113-121, 2008. https://doi.org/10.1089/jwh.2007.0417.
  17. A. Cerin, A. Collins, B.-M.L. And, P. Eneroth, "Hormonal and biochemical profiles of premenstrual syndrome: treatment with essential fatty acids." Acta obstetricia et gynecologica Scandinavica, Vol. 72, No. 5, pp. 337-343, 1993. https://doi.org/10.3109/00016349309021108
  18. P.J. Adams Hillard, "Consultation with the Specialist: Dysmenorrhea." Pediatrics in Review, Vol. 27, No. 2, pp. 64-71, 2006. https://doi.org/10.1542/pir.27-2-64.
  19. B. Bettendorf, S. Shay, F. Tu, "Dysmenorrhea: contemporary perspectives." Obstetrical & gynecological survey, Vol. 63, No. 9, pp. 597-603, 2008. https://doi.org/10.1097/OGX.0b013e31817f15ff.
  20. J. Johnson, "Level of knowledge among adolescent girls regarding effective treatment for dysmenorrhea." Journal of Adolescent Health Care, Vol. 9, No. 5, pp. 398-402, 1988. https://doi.org/10.1016/0197-0070(88)90036-8.
  21. K.-E. Park, S.-E. Lee, "A study on premenstrual syndrome and menstrual attitude," Korean J Women Health Nurs, Vol. 7, No. 3, pp. 359-372, 2001. https://doi.org/10.4069/kjwhn.2001.7.3.359
  22. J. Golding, D.L. Taylor, L. Menard, M. King, "Prevalence of sexual abuse history in a sample of women seeking treatment for premenstrual syndrome." Journal of Psychosomatic Obstetrics Gynecology, Vol. 21, No. 2, pp. 69-80, 2000. https://doi.org/10.3109/01674820009075612
  23. B.N. Jahromi, S. Pakmehr, H. Hagh-Shenas, "Work stress, premenstrual syndrome and dysphoric disorder: Are there any associations?" J Iranian red crescent medical journal, Vol. 13, No. 3, pp. 199, 2011.
  24. H.-Y. Kwon, I.-S. Lee, "Research on menstruation state of high school girls with questionnaires," Journal of Dong - Eui Oriental Medicine, Vol. 4, No. 1, pp. 149-160, 2000.
  25. M. Granot, D. Yarnitsky, J. Itskovitz-Eldor, Y. Granovsky, E. Peer, E.J.O. Zimmer, et al., "Pain perception in women with dysmenorrhea." Vol. 98, No. 3, pp. 407-411, 2001. https://doi.org/10.1016/S0029-7844(01)01465-X
  26. M.H. Lee, J.W. Kim, J.H. Lee, D.M. Kim, "The standardization of the shortened premenstrual assessment form and applicability on the internet." Journal of Korean Neuropsychiatric Association, Vol. 41, No. 1, pp. 159-167, 2002.
  27. Y.-K. Min, "Menstrual attitude structure of postmenarcheal girls." Journal of Social Science, Vol. 14, No., pp. 69-88, 2003.
  28. O. Derman, N.O. Kanbur, T.E. Tokur, T. Kutluk, "Premenstrual syndrome and associated symptoms in adolescent girls." European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 116, No. 2, pp. 201-206, 2004. https://doi.org/10.1016/j.ejogrb.2004.04.021.
  29. M. Steiner, M. Peer, E. Palova, E.W. Freeman, M. Macdougall, C.N. Soares, "The Premenstrual Symptoms Screening Tool revised for adolescents (PSST-A): prevalence of severe PMS and premenstrual dysphoric disorder in adolescents." Archives of women's mental health, Vol. 14, No. 1, pp. 77-81, 2011. https://doi.org/10.1007/s00737-010-0202-2.
  30. H.Y. Jang. Stress, locus of control and perimenstrual discomport of the high school girls [Thesis]. Daegu: Kyungpook National University; 2010.
  31. M.S. Park, Y.K. Min, "Validation of menstrual attitude scale and effects of menarche-related variables on mestrual attitude of early adolescent females." Korean Journal of Woman Psychology, Vol. 9, No. 3, pp. 43-67, 2004.
  32. H.J. Wang, M.S. Kang, S.M. Oh, "Influential factors on premenstrual syndrome in female college students." Korean Parent Child Health J, Vol. 21, No. 1, pp. 1-10, 2018.
  33. Z. Harel, "A contemporary approach to dysmenorrhea in adolescents." Pediatric Drugs, Vol. 4, No. 12, pp. 797-805, 2002. https://doi.org/10.2165/00148581-200204120-00004
  34. M. Marean, E.E. Fox, C.E. Cumming, D.C. Cumming, "Irritability and sociability in women with symptomatic premenstrual change." Women & health, Vol. 27, No. 3, pp. 65-71, 1998. https://doi.org/10.1300/J013v27n03_05.
  35. J.H. Kim, M.K. Park, M.R. Oh, "Meta-analysis of complementary and alternative intervention on menstrual distress." Korean J Women Health Nurs, Vol. 19, No. 1, pp. 23-35, 2013. https://doi.org/10.4069/kjwhn.2013.19.1.23.
  36. J.H. Han, S. Kim, S.H. Kim, S.K. Lee, "Relationships among menstrual attitude, premenstrual distress, and premenstrual coping in korean college women." Korean J Women Health Nurs, Vol. 23, No. 1, pp. 11-20, 2017. http://dx.doi.org/10.4069/kjwhn.2017.23.1.11.
  37. I.S. Lee, "A study on the menstrual patterns and menstrual discomforts in women university students." Korean Society of Public Health Nursing, Vol. 12, No. 1, pp. 116-131, 1998.
  38. E.M. Lim, S.S. Chung, "The changes of youths' stress and depression and the long-term effects of stress on the depression." Korean J of Youth Studies, Vol. 16, No. 3, pp. 99-121, 2009.
  39. G.E. Jeon, Y. Im Kim, "Factors affecting dysmenorrhea of middle school girls." J Korean Soc Sch Health, Vol. 24, No. 1, pp. 99-109, 2011.
  40. S.-J. Yoon, "Influence of type D personality, dietary assessment and increase exposure toward endocrine disrupting chemicals on the dysmenorrhea." J Korean Soc Matern Child Health, Vol. 22, No. 1, pp. 17-24, 2018. https://doi.org/10.21896/jksmch.2018.22.1.17.