Assessment of anxiety, stress and depression in primary dysmenorrhic females

Background: Dysmenorrhea is the most common gynecological complaint, adversely affects the quality life and work productivity in females of reproductive age. Risk factors for primary dysmenorrhea include age, early menarche, low body mass index (BMI), menorrhagia, family history, smoking, nulliparit...

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Main Authors: Uzma Firdous, Noaima Fatima, Ghazala Yasmeen
Format: Article
Language:English
Published: Advance Educational Institute & Research Centre 2019-09-01
Series:International Journal of Endorsing Health Science Research
Subjects:
Online Access:http://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/420/534
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author Uzma Firdous
Noaima Fatima
Ghazala Yasmeen
author_facet Uzma Firdous
Noaima Fatima
Ghazala Yasmeen
author_sort Uzma Firdous
collection DOAJ
description Background: Dysmenorrhea is the most common gynecological complaint, adversely affects the quality life and work productivity in females of reproductive age. Risk factors for primary dysmenorrhea include age, early menarche, low body mass index (BMI), menorrhagia, family history, smoking, nulliparity, depression and stress. This study was carried to find out the pattern of dysmenorrhea in young Pakistani females, and to determine its association with stress, depression and anxiety. Methodology: This was a cross sectional questionnaire based study conducted on 300 female participants of age 20-30 years studying at the local university. Healthy, nulliparous females with the occurrence of dysmenorrhea were included in the study whereas those females who had gynecological, psychological or other medical problems were excluded from the study. Students were asked to provide the information about their socioeconomic status, dysmenorrheal symptoms, mental health status, their habits and other medical characteristics. To evaluate the effect of stress, depression and anxiety, Depression, Anxiety Stress Scale (DASS) was used. All statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 16. Results: Of the total dysmenorrhic females 31% were married, 57% had positive family history of dysmenorrhea, 18% of the subjects had BMI<18Kg/m2 while 39% reported high waist hip ratio (WHR). The incidence of menstrual irregularity and menorrhagia was identified in 67% and71%, respectively while passing of clots were found to be in 71% subjects. Significant differences were observed in terms of anxiety (p=0.025) and stress (p=0.028) between the two groups but there was no statistical difference in the levels of depression (p=0.11). It was found that depression is a common complaint irrespective of presence or absence of dysmenorrhea during periods. Conclusion: This study shows that high stress level and anxiety were positively associated with primary dysmenorrhea in young adolescent females. Therefore, mental health promotion and counselling measures should be taken to lessen the severity of dysmenorrhea.
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spelling doaj.art-0f6df7ce87744373a0fad9e3448cc35d2022-12-21T17:44:07ZengAdvance Educational Institute & Research CentreInternational Journal of Endorsing Health Science Research2307-37482310-38412019-09-0173147153https://doi.org/10.29052/IJEHSR.v7.i3.2019.147-153Assessment of anxiety, stress and depression in primary dysmenorrhic femalesUzma Firdous0Noaima Fatima1Ghazala Yasmeen2Department of Physiology, University of Karachi.Department of Physiology, University of Karachi.Department of Physiology, University of Karachi.Background: Dysmenorrhea is the most common gynecological complaint, adversely affects the quality life and work productivity in females of reproductive age. Risk factors for primary dysmenorrhea include age, early menarche, low body mass index (BMI), menorrhagia, family history, smoking, nulliparity, depression and stress. This study was carried to find out the pattern of dysmenorrhea in young Pakistani females, and to determine its association with stress, depression and anxiety. Methodology: This was a cross sectional questionnaire based study conducted on 300 female participants of age 20-30 years studying at the local university. Healthy, nulliparous females with the occurrence of dysmenorrhea were included in the study whereas those females who had gynecological, psychological or other medical problems were excluded from the study. Students were asked to provide the information about their socioeconomic status, dysmenorrheal symptoms, mental health status, their habits and other medical characteristics. To evaluate the effect of stress, depression and anxiety, Depression, Anxiety Stress Scale (DASS) was used. All statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 16. Results: Of the total dysmenorrhic females 31% were married, 57% had positive family history of dysmenorrhea, 18% of the subjects had BMI<18Kg/m2 while 39% reported high waist hip ratio (WHR). The incidence of menstrual irregularity and menorrhagia was identified in 67% and71%, respectively while passing of clots were found to be in 71% subjects. Significant differences were observed in terms of anxiety (p=0.025) and stress (p=0.028) between the two groups but there was no statistical difference in the levels of depression (p=0.11). It was found that depression is a common complaint irrespective of presence or absence of dysmenorrhea during periods. Conclusion: This study shows that high stress level and anxiety were positively associated with primary dysmenorrhea in young adolescent females. Therefore, mental health promotion and counselling measures should be taken to lessen the severity of dysmenorrhea.http://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/420/534dysmenorrheamenorrhagiadass scaledepressionanxiety.
spellingShingle Uzma Firdous
Noaima Fatima
Ghazala Yasmeen
Assessment of anxiety, stress and depression in primary dysmenorrhic females
International Journal of Endorsing Health Science Research
dysmenorrhea
menorrhagia
dass scale
depression
anxiety.
title Assessment of anxiety, stress and depression in primary dysmenorrhic females
title_full Assessment of anxiety, stress and depression in primary dysmenorrhic females
title_fullStr Assessment of anxiety, stress and depression in primary dysmenorrhic females
title_full_unstemmed Assessment of anxiety, stress and depression in primary dysmenorrhic females
title_short Assessment of anxiety, stress and depression in primary dysmenorrhic females
title_sort assessment of anxiety stress and depression in primary dysmenorrhic females
topic dysmenorrhea
menorrhagia
dass scale
depression
anxiety.
url http://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/420/534
work_keys_str_mv AT uzmafirdous assessmentofanxietystressanddepressioninprimarydysmenorrhicfemales
AT noaimafatima assessmentofanxietystressanddepressioninprimarydysmenorrhicfemales
AT ghazalayasmeen assessmentofanxietystressanddepressioninprimarydysmenorrhicfemales