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拉贾斯坦邦西部偏远地区患有痛经的青春期女孩的抑郁、焦虑患病率及生活质量

Prevalence of Depression, Anxiety and Quality of Life in Adolescent Girls with Dysmenorrhoea in a Remote Area of Western Rajasthan.

作者信息

Verma Kamala, Baniya Girish Chandra

机构信息

Department of Obstetrics and Gynecology, Government Medical College and Attached Hospital, Barmer, Rajasthan India.

Department of Psychiatry, Government Medical College and Attached Hospital, Barmer, Rajasthan India.

出版信息

J Obstet Gynaecol India. 2022 Aug;72(Suppl 1):281-289. doi: 10.1007/s13224-021-01603-w. Epub 2022 Jan 4.

Abstract

BACKGROUND

The aim of this study was to examine depression and anxiety in adolescent girls with dysmenorrhoea in a remote area of western Rajasthan, as well as their quality of life.

METHODS

The present research employed a cross-sectional descriptive design. A total of 492 girls between the ages of 13 and 19 years were randomly selected from two secondary schools in a remote area of western Rajasthan. The menstrual issues were studied using the semi-structured health performa. The magnitude of dysmenorrhoea was calculated using a ten-point visual analogue scale. The GAD-7 scale was used to measure anxiety, and PHQ-9 was used to measure depression.

RESULTS

Depression and anxiety were substantially more prevalent in girls with dysmenorrhoea than in girls without dysmenorrhoea, with an overall prevalence of 29.25% and 37.11%, respectively ( value 0.00). Girls with dysmenorrhoea had an average pain level of 5.14 (SD = 2.45) over the previous three menstrual cycles (p value 0.00). 186 girls (58.62%) suffered moderate pain during dysmenorrhoea. 124 girls (38.99%) reported that dysmenorrhoea interfered with their regular sleep and compelled them to skip class (50.31%) ( value < 0.05). 175 girls (55.03%) reported that dysmenorrhoea had a mild effect on their daily lives, while 88 girls (27.67%) said dysmenorrhoea made them feel stressed ( value < 0.05).

CONCLUSION

A greater prevalence of dysmenorrhoea had a negative impact on mental health. Teenage girls are particularly vulnerable to these mental health problems. It is important to have a tenuous understanding of the menstrual problems associated with disease in adolescent females, especially in rural areas.

摘要

背景

本研究的目的是调查拉贾斯坦邦西部偏远地区患有痛经的青春期女孩的抑郁和焦虑情况,以及她们的生活质量。

方法

本研究采用横断面描述性设计。从拉贾斯坦邦西部偏远地区的两所中学随机抽取了492名年龄在13至19岁之间的女孩。使用半结构化健康表格研究月经问题。使用十点视觉模拟量表计算痛经的严重程度。使用GAD - 7量表测量焦虑,使用PHQ - 9量表测量抑郁。

结果

患有痛经的女孩中抑郁和焦虑的患病率明显高于没有痛经的女孩,总体患病率分别为29.25%和37.11%(p值 = 0.00)。患有痛经的女孩在过去三个月经周期的平均疼痛水平为5.14(标准差 = 2.45)(p值 = 0.00)。186名女孩(58.62%)在痛经期间遭受中度疼痛。124名女孩(38.99%)报告说痛经干扰了她们的正常睡眠并迫使她们缺课(50.31%)(p值 < 0.05)。175名女孩(55.03%)报告说痛经对她们的日常生活有轻微影响,而88名女孩(27.67%)说痛经使她们感到压力(p值 < 0.05)。

结论

痛经患病率较高对心理健康有负面影响。十几岁的女孩特别容易受到这些心理健康问题的影响。重要的是要对青春期女性尤其是农村地区与疾病相关的月经问题有一个初步的了解。

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J Psychosom Obstet Gynaecol. 2019 Sep;40(3):185-194. doi: 10.1080/0167482X.2018.1470619. Epub 2018 May 10.
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Reasons women do not seek health care for dysmenorrhea.女性为何不为痛经寻求医疗护理。
J Clin Nurs. 2018 Jan;27(1-2):e301-e308. doi: 10.1111/jocn.13946. Epub 2017 Sep 7.

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