Adib-Rad Hajar, Kheirkhah Farzan, Faramarzi Mahbobeh, Omidvar Shabnam, Basirat Zahra, Haji Ahmadi Mahmoud
Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Int J Fertil Steril. 2022 Aug 21;16(3):224-229. doi: 10.22074/ijfs.2022.542056.1216.
Primary dysmenorrhea is the usual medical status in medical students that are defined as pain
during the menstrual period. This study was done to evaluate the psychological problems associated with dysmenorrhea.
Materials and Methods: Three hundred forty students aged 18 to 20 years participated in this cross‑sectional
study (194 with dysmenorrhea and 150 without dysmenorrhea). In this cross‑sectional study, data were collected
through the sociodemographic checklist, the verbal multidimensional scoring system (VMS), and the revised
version of the Symptom Checklist-90 (SCL-90-R) questionnaire using the convenience sampling method. This
questionnaire includes 9 Subscale and a GSI index. We considered psychological distress to be equivalent to
the Global Severity İndex (GSI), which is obtained by dividing 90 questions by 90. The significance level of the
tests was considered 0.05.
Results: The GSI of the SCL-90 score in the 194 students with dysmenorrhea and 150 students without dysmenorrhea
was 1.02 ± 0.42 and 0.34 ± 0.15 respectively (P<0.001). In the group with dysmenorrhea, the severity
of dysmenorrhea was significantly associated with a family history of dysmenorrhea and mother's education
(P=0.012 and P=0.037, respectively). The strongest predictors of GSI>1 were a family history of dysmenorrhea
and mother's education [odds ratio (OR)=2.33, 95% confidence interval (CI), 1.43-4.15 and OR=0.45, 95% CI,
0.24-0.87, respectively].
Conclusion: According to the result, dysmenorrhea is associated with psychological distress. Psychological interventions
and counseling in addition to drug treatment are suggested for treatment of primary dysmenorrhea.
Therefore, it is necessary to formulate strategies and health policies to recover psychological issues of menstrual
health.
原发性痛经是医学生中常见的医学状况，定义为经期疼痛。本研究旨在评估与痛经相关的心理问题。
340名年龄在18至20岁的学生参与了这项横断面研究（194名有痛经，150名无痛经）。在这项横断面研究中，采用便利抽样法，通过社会人口学清单、言语多维评分系统（VMS）和症状自评量表90修订版（SCL-90-R）问卷收集数据。该问卷包括9个分量表和一个GSI指数。我们将心理困扰等同于总体严重程度指数（GSI），它是通过将90个问题的得分除以90得到的。检验的显著性水平设定为0.05。
194名有痛经的学生和150名无痛经的学生的SCL-90得分的GSI分别为1.02±0.42和0.34±0.15（P<0.001）。在痛经组中，痛经的严重程度与痛经家族史和母亲的教育程度显著相关（分别为P=0.012和P=0.037）。GSI>1的最强预测因素是痛经家族史和母亲的教育程度[比值比（OR）=2.33，95%置信区间（CI），1.43 - 4.15；OR=0.45，95%CI，0.24 - 0.87]。
根据结果，痛经与心理困扰有关。建议在药物治疗的基础上，对原发性痛经进行心理干预和咨询。因此，有必要制定策略和健康政策来解决月经健康方面的心理问题。
