Balık Gülşah, Ustüner Işık, Kağıtcı Mehmet, Sahin Figen Kır
Department of Obstetrics and Gynecology, Recep Tayyip Erdoğan University School of Medicine, Turkey.
Department of Obstetrics and Gynecology, Recep Tayyip Erdoğan University School of Medicine, Turkey.
J Pediatr Adolesc Gynecol. 2014 Dec;27(6):371-4. doi: 10.1016/j.jpag.2014.01.108. Epub 2014 Sep 23.
Menstrual problems are common among adolescent females. Mood changes are related to menstrual problems (menorrhagia, dysmenorrhea, and abnormal menstrual cycle length). The aim of this study was to determine the relationship between depressive symptoms, anxiety, and premenstrual syndrome (PMS) with dysmenorrhea in adolescent girls.
A total of 159 adolescent girls (aged 13-19 y) with regular menstrual cycles presenting to the gynecology clinic with any complaints were included in the study during April-May 2013. All of the participants filled up the sociodemographic data collection form, FACES Pain Rating Scale, Beck anxiety inventory (BAI), Beck depression inventory (BDI), and a questionnaire form on criteria for PMS. Mann-Whitney U and chi-square tests were used to analyze the data.
The prevalence of dysmenorrhea was 67.9%. The mean BAI and BDI scores of the patients were 13.64 ± 12.81 and 11.88 ± 10.83, respectively. Statistically significant differences were observed between patients and control groups on the BAI and BDI scoring (P < .05). At least 1 of the symptoms of the PMS was detected in all of the participants and 29 (18.2%) of them were diagnosed as premenstrual dysphoric disorder (PMDD). The mean BAI score of the patients with PMS and PMDD were 9.65 ± 9.28 and 21.31 ± 15.75, respectively. The mean BDI score of the patients with PMS and PMDD were 8.39 ± 8.62 and 19.1 ± 11.85, respectively. Statistically significant differences were observed between PMS/PMDD and BAI/BDI scoring (P = .00).
Adolescent girls with dysmenorrhea have an increased risk of depression and anxiety. These results of our study are significant in emphasizing the importance of a multidisciplinary approach to primary dysmenorrhea follow-up and treatment.
月经问题在青春期女性中很常见。情绪变化与月经问题（月经过多、痛经和月经周期长度异常）有关。本研究的目的是确定青春期女孩抑郁症状、焦虑和经前综合征（PMS）与痛经之间的关系。
2013年4月至5月期间，共有159名月经周期规律、因任何不适症状到妇科门诊就诊的青春期女孩（年龄13 - 19岁）纳入本研究。所有参与者填写了社会人口学数据收集表、面部疼痛评分量表、贝克焦虑量表（BAI）、贝克抑郁量表（BDI）以及一份关于经前综合征标准的问卷表。采用曼 - 惠特尼U检验和卡方检验分析数据。
痛经患病率为67.9%。患者的平均BAI和BDI得分分别为13.64 ± 12.81和11.88 ± 10.83。在BAI和BDI评分上，患者组与对照组之间观察到统计学上的显著差异（P < 0.05）。所有参与者中至少检测到一种经前综合征症状，其中29人（18.2%）被诊断为经前烦躁障碍（PMDD）。患有经前综合征和经前烦躁障碍的患者的平均BAI得分分别为9.65 ± 9.28和21.31 ± 15.75。患有经前综合征和经前烦躁障碍的患者的平均BDI得分分别为8.39 ± 8.62和19.1 ± 11.85。在经前综合征/经前烦躁障碍与BAI/BDI评分之间观察到统计学上的显著差异（P = 0.00）。
患有痛经的青春期女孩抑郁和焦虑风险增加。我们研究的这些结果对于强调多学科方法在原发性痛经随访和治疗中的重要性具有重要意义。
