Gagua Tinatin, Tkeshelashvili Besarion, Gagua David, McHedlishvili Nino
Department of Obstetrics and Gynecology, David Tvildiani Medical University, Tbilisi, Georgia.
J Pediatr Adolesc Gynecol. 2013 Dec;26(6):350-4. doi: 10.1016/j.jpag.2013.06.018. Epub 2013 Sep 26.
To examine the relationship between primary dysmenorrhea and symptoms of depression and anxiety among adolescent female students in Tbilisi, Georgia.
A case-control study.
Tbilisi, Georgia.
Four hundred twenty-four postmenarcheal girls aged 14-20 years (a subset of a larger study involving 2561 girls).
The data was gathered in 2011 by the use of a questionnaire prepared for the purpose of this study, completed anonymously. Menstrual pattern, depression and anxiety level were evaluated in both groups; continuous and categorical variables were compared by Pearson chi-square test. Depressive symptoms were determined by a self-reporting scale (Beck Depression Inventory); anxiety was determined using Taylor Manifest Anxiety Scale (TMAS) and Spielberger State-Trait Anxiety Inventory (STAI).
Differences in mental health between two groups.
Patients with primary dysmenorrhea (PD) had significantly higher scores of depression than the control subjects: moderate depression, 15.9% in PD patients vs 6.2% in control subjects and severe depression, 1.8% vs 0% (P < .003, LR 0.001). High anxiety (TMAS) was also more prevalent in adolescents with primary dysmenorrhea (44% vs 9.9%; P < .001, LR < 0.001). STAI scores were also significantly higher in these patients than in healthy women (68.9% vs 25.0%; P < .001, LR < 0.001).
Primary dysmenorrhea is strongly linked with positive scores for depression and anxiety. Because of this association, attention should be given to effective mental health screening in these patients; psychological support may be necessary during their treatment and follow-up.
探讨格鲁吉亚第比利斯市青春期女学生原发性痛经与抑郁及焦虑症状之间的关系。
病例对照研究。
格鲁吉亚第比利斯市。
424名月经初潮后14 - 20岁的女孩（来自一项涉及2561名女孩的更大规模研究的一个子集）。
2011年通过为本研究专门编制的问卷收集数据，问卷采用匿名填写。对两组的月经模式、抑郁和焦虑水平进行评估；连续变量和分类变量采用Pearson卡方检验进行比较。抑郁症状通过自我报告量表（贝克抑郁量表）确定；焦虑通过泰勒显性焦虑量表（TMAS）和斯皮尔伯格状态 - 特质焦虑量表（STAI）确定。
两组之间心理健康状况的差异。
原发性痛经（PD）患者的抑郁得分显著高于对照组：中度抑郁，PD患者为15.9%，对照组为6.2%；重度抑郁，PD患者为1.8%，对照组为0%（P < 0.003，LR 0.001）。原发性痛经青少年中高焦虑（TMAS）也更为普遍（44%对9.9%；P < 0.001，LR < 0.001）。这些患者的STAI得分也显著高于健康女性（68.9%对25.0%；P < 0.001，LR < 0.001）。
原发性痛经与抑郁和焦虑的阳性得分密切相关。鉴于这种关联，应关注对这些患者进行有效的心理健康筛查；在其治疗和随访过程中可能需要心理支持。
