Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis
Women with primary dysmenorrhea are vulnerable to develop a depressive disorder, which is a common form of psycho-disturbance. However, clinical findings are inconsistent across studies, and the evidence has not been previously synthesized. This study aims to investigate whether primary dysmenorrhea...
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Frontiers Media S.A.
2021-08-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686514/full |
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| author | Shankun Zhao Weizhou Wu Ran Kang Xiaolan Wang |
| author_facet | Shankun Zhao Weizhou Wu Ran Kang Xiaolan Wang |
| author_sort | Shankun Zhao |
| collection | DOAJ |
| description | Women with primary dysmenorrhea are vulnerable to develop a depressive disorder, which is a common form of psycho-disturbance. However, clinical findings are inconsistent across studies, and the evidence has not been previously synthesized. This study aims to investigate whether primary dysmenorrhea is associated with a higher risk of depression via a cumulative analysis. Four electronic databases were systematically searched for the eligible studies. The combined effect was assessed by analyzing the relative risk (RR) and standard mean differences (SMD) with a 95% confidence interval (CI). This cumulative analysis was registered on the PROSPERO (ID: CRD42020169601). Of 972 publications, a total of 10 studies involving 4,691 participants were included. Pooled results from six included studies showed that primary dysmenorrhea was associated with a significant depressive disorder (RR = 1.72, 95%CI: 1.44 to 2.0, P < 0.001; heterogeneity: I2 = 0%, P = 0.544). In addition, synthesis results from two studies provided the BDI scores suggested that dysmenorrhea had significantly higher scores when compared to non-dysmenorrhea (SMD = 0.47, 95% CI: 0.31–0.62, P < 0.001; heterogeneity: I2 = 0%, P = 0.518). However, in the two studies providing the PROMIS T-Score, the pooled result showed that there was no significant difference between women with dysmenorrhea and those without dysmenorrhea (P = 0.466). The overall quality of the evidence in our study was judged to MODERATE. The present study has confirmed the positive relationship between primary dysmenorrhea and depression. Social supports and medical help from pain management physicians or psychologists are important interventions for women with dysmenorrhea-suffering depressive disorder. |
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| format | Article |
| id | doaj.art-455275e2826047a6bc388872c8a5df31 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-17T00:02:40Z |
| publishDate | 2021-08-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-455275e2826047a6bc388872c8a5df312022-12-21T22:11:02ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-08-011210.3389/fpsyt.2021.686514686514Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative AnalysisShankun Zhao0Weizhou Wu1Ran Kang2Xiaolan Wang3Department of Urology, Taizhou Central Hospital, Taizhou University Hospital, Taizhou, ChinaDepartment of Urology, Maoming People's Hospital, Maoming, ChinaDepartment of Urology, The First Affiliated Hospital of University of South China, Hengyang, ChinaReproductive Center of Medicine, The First Affiliated Hospital of University of South China, Hengyang, ChinaWomen with primary dysmenorrhea are vulnerable to develop a depressive disorder, which is a common form of psycho-disturbance. However, clinical findings are inconsistent across studies, and the evidence has not been previously synthesized. This study aims to investigate whether primary dysmenorrhea is associated with a higher risk of depression via a cumulative analysis. Four electronic databases were systematically searched for the eligible studies. The combined effect was assessed by analyzing the relative risk (RR) and standard mean differences (SMD) with a 95% confidence interval (CI). This cumulative analysis was registered on the PROSPERO (ID: CRD42020169601). Of 972 publications, a total of 10 studies involving 4,691 participants were included. Pooled results from six included studies showed that primary dysmenorrhea was associated with a significant depressive disorder (RR = 1.72, 95%CI: 1.44 to 2.0, P < 0.001; heterogeneity: I2 = 0%, P = 0.544). In addition, synthesis results from two studies provided the BDI scores suggested that dysmenorrhea had significantly higher scores when compared to non-dysmenorrhea (SMD = 0.47, 95% CI: 0.31–0.62, P < 0.001; heterogeneity: I2 = 0%, P = 0.518). However, in the two studies providing the PROMIS T-Score, the pooled result showed that there was no significant difference between women with dysmenorrhea and those without dysmenorrhea (P = 0.466). The overall quality of the evidence in our study was judged to MODERATE. The present study has confirmed the positive relationship between primary dysmenorrhea and depression. Social supports and medical help from pain management physicians or psychologists are important interventions for women with dysmenorrhea-suffering depressive disorder.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686514/fullprimary dysmenorrheadepressionsystematic reviewcumulative analysisrisk |
| spellingShingle | Shankun Zhao Weizhou Wu Ran Kang Xiaolan Wang Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis Frontiers in Psychiatry primary dysmenorrhea depression systematic review cumulative analysis risk |
| title | Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis |
| title_full | Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis |
| title_fullStr | Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis |
| title_full_unstemmed | Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis |
| title_short | Significant Increase in Depression in Women With Primary Dysmenorrhea: A Systematic Review and Cumulative Analysis |
| title_sort | significant increase in depression in women with primary dysmenorrhea a systematic review and cumulative analysis |
| topic | primary dysmenorrhea depression systematic review cumulative analysis risk |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686514/full |
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