Clinical Physiology Institute, CNR, Via Moruzzi, 1, 56124, Pisa, Italy.
Department of Information Engineering, University of Pisa, Pisa, Italy.
Eur J Pediatr. 2020 Jun;179(6):973-978. doi: 10.1007/s00431-020-03594-8. Epub 2020 Feb 4.
Adolescence is a period characterized by rapid physical maturation, involving bodily changes that often necessitate a reorganization of self-perception. The current study investigated the impact of menarche on the determinants of quality of life in healthy female adolescents. Data were collected from 361 healthy female adolescents divided into two groups: pre- and post-menarcheal event. Participants, according the AVATAR project, completed Italian version of KIDSCREEN-52 questionnaires on health-related quality of life. Pre-menarcheal females had the higher score in psychological well-being and mood than post-menarcheal females. As concerns self-perception, post-menarcheal females exhibited lower score compared to pre-menarcheal females. In social context, pre-menarcheal females perceived a better school environment, also when we considered it in terms of social acceptance.Conclusion: Menarche event affects all the components of quality of life, from mood, self-esteem to social relationships, underlining how this hormonal variation is responsible of psychological and emotional changes, opening up the opportunity for preventive approaches aimed not only at traditional risk factors but according a more integrated perspective.What is Known:• Adolescence is a time of increasing behavioural divergence between males and females, probably due to the different hormonal development.• There is a possible link between menarche and the health-related quality of life variables.What is New:• Menarche condition affects all the components of quality of life, from mood to social relationships.• Post-menarcheal condition is associated to psychosocial and emotional changes, with possible multiple pathways to post-pubertal depressive symptoms.
青春期是一个身体迅速成熟的时期，包括身体上的变化，这些变化往往需要重新自我认知。本研究调查了初潮对健康女性青少年生活质量决定因素的影响。数据来自 361 名健康的女性青少年，分为初潮前和初潮后两组。根据 AVATAR 项目，参与者完成了意大利版的 KIDSCREEN-52 健康相关生活质量问卷。初潮前的女性在心理幸福感和情绪方面的得分高于初潮后的女性。就自我认知而言，初潮后的女性得分低于初潮前的女性。在社会环境方面，初潮前的女性感知到更好的学校环境，即使我们从社会接受的角度来考虑也是如此。结论：初潮事件影响生活质量的所有方面，从情绪、自尊到社会关系，这表明这种激素变化是导致心理和情绪变化的原因，为预防措施提供了机会，不仅针对传统的危险因素，而且还根据更综合的观点。已知：•青春期是男性和女性行为差异不断扩大的时期，可能是由于荷尔蒙发育的不同。•初潮与健康相关的生活质量变量之间可能存在联系。新内容：•初潮状况影响生活质量的所有方面，从情绪到社会关系。•初潮后状况与心理社会和情绪变化有关，可能有多种途径导致青春期后抑郁症状。
