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Stressful Parental-Bonding Exaggerates the Functional and Emotional Disturbances of Primary Dysmenorrhea

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Abstract

Background

Some evidence suggests that women with primary dysmenorrhea (or painful period) often have traumatic experience with parental attachments, but the exact relationship is still unclear.

Purpose

This study aims to investigate associations between styles of the parental bonding and the detailed aspects of the disorder in Chinese university-student women.

Methods

From university-student women, we have invited 50 primary dysmenorrhea patients and 111 healthy volunteers, to undergo tests of the Functional and Emotional Measure of Dysmenorrhea (FEMD), the Family Relationship Questionnaire (FRQ), and the visual analogue scale for the pain intensity experienced.

Results

Besides the high scores of the FEMD Functional and Emotional scales, the dysmenorrhea patients also scored significantly higher than the healthy controls on the FRQ scales of Paternal Dominance and Maternal Abuse. In patients, the FEMD Emotional scale was negatively predicted by the Paternal Freedom Release scale, and the FEMD Functional scale was positively predicted by the Maternal Dominance scale.

Conclusions

Inappropriate parental bonding or chronic traumatic attachment styles have respective relationships with the functional and emotional disturbances experienced by the primary dysmenorrhea patients.

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References

  1. Dawood MY. Dysmenorrhea. J Reprod Med. 1985;30:154–67.

    CAS  PubMed  Google Scholar 

  2. Proctor M, Farquhar C. Diagnosis and management of dysmenorrhoea. Br Med J. 2006;332:1134–8. doi:10.1136/bmj.332.7550.1134.

    Article  Google Scholar 

  3. Zhu X, Bensoussan A, Zhu L, Qian J, Xu M, Zhou C, et al. Primary dysmenorrhea: a comparative study on Australian and Chinese women. Complement Ther Med. 2009;17:155–60. doi:10.1016/j.ctim.2008.10.001.

    Article  PubMed  Google Scholar 

  4. Durain D. Primary dysmenorrhea: assessment and management update. J Midwifery Womens Health. 2004;49:520–8. doi:10.1016/j.jmwh.2004.08.013.

    Article  PubMed  Google Scholar 

  5. Latthe P, Latthe M, Say L, Gülmezoglu M, Khan KS. WHO systematic review of prevalence of chronic pelvic pain: neglected reproductive health morbidity. BMC Public Health. 2006;6:177. doi:10.1186/1471-2458-6-177.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ju H, Jones M, Mishra G. The Prevalence and Risk Factors of Dysmenorrhea. Epidemiol Rev. 2014;36:104–13. doi:10.1093/epirev/mxt009.

    Article  PubMed  Google Scholar 

  7. Coll Capdevilla C. Dysfunctional uterine bleeding and dysmenorrhea. Eur J Contracept Reprod Health Care. 1997;2:229–37.

  8. Ogunfowokan AA, Babatunde OA. Management of primary dysmenorrhea by school adolescents in ILE-IFE. Nigeria J Sch Nurs. 2010;26:131–6. doi:10.1177/1059840509349723.

    Article  PubMed  Google Scholar 

  9. Tangchai K, Titapant V, Boriboonhirunsarn D. Dysmenorrhea in Thai adolescents: prevalence, impact and knowledge of treatment. J Med Assoc Thai. 2004;87:69–73.

    Google Scholar 

  10. Chen CH, Lin YH, Heitkemper MM, Wu KM. The self-care strategies of girls with primary dysmenorrhea: a focus group study in Taiwan. Health Care Women Int. 2006;27:418–27. doi:10.1080/07399330600629583.

    Article  PubMed  Google Scholar 

  11. Cakir M, Mungan I, Karakas T, Girisken I, Okten A. Menstrual pattern and common menstrual disorders among university students in Turkey. Pediatr Int. 2007;49:938–42. doi:10.1111/j.1442-200X.2007.02489.x.

    Article  PubMed  Google Scholar 

  12. Li L, Huangfu L, Chai H, He W, Song H, Zou XH, et al. Development of a Functional and Emotional Measure of Dysmenorrhea (FEMD) in Chinese university women. Health Care Women Int. 2012;33:97–108. doi:10.1080/07399332.2011.603863.

    Article  PubMed  Google Scholar 

  13. French L. Dysmenorrhea. Am Fam Physician. 2005;71:285–91.

    PubMed  Google Scholar 

  14. Dawood MY. Primary Dysmenorrhea Advances in Pathogenesis and Management. Obstet Gynecol. 2006;108:428–41. doi:10.1097/01.AOG.0000230214.26638.0c.

    Article  PubMed  Google Scholar 

  15. Harel Z. Dysmenorrhea in adolescents and young adults: from pathophysiology to pharmacological treatments and management strategies. Expert Opin Pharmacother. 2008;9:2661–72. doi:10.1196/annals.1429.007.

    Article  CAS  PubMed  Google Scholar 

  16. Mannix LK. Menstrual-related pain conditions: dysmenorrhea and migraine. J Womens Health (Larchmt). 2008;17:879–91.

    Article  Google Scholar 

  17. Weisberg YJ, DeYoung CG, Hirsh JB. Gender differences in personality across the ten aspects of the Big Five. Front Psychol. 2011;2:178. doi:10.3389/fpsyg.2011.00178.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Dorn LD, Negriff S, Huang B, Pabst S, Hillman J, Braverman P, et al. Menstrual symptoms in adolescent girls: association with smoking, depressive symptoms, and anxiety. J Adolesc Health. 2009;44:237–43. doi:10.1016/j.jadohealth.2008.07.018.

    Article  PubMed  Google Scholar 

  19. Gordley LB, Lemasters G, Simpson SR, Yiin JH. Menstrual disorders and occupational, stress, and racial factors among military personnel. J Occup Environ Med. 2000;42:871–81. doi:10.1097/00043764-200009000-00005.

    Article  CAS  PubMed  Google Scholar 

  20. Alonso C, Coe CL. Disruptions of social relationships accentuate the association between emotional distress and menstrual pain in young women. Health Psychol. 2001;20:411–6.

    Article  CAS  PubMed  Google Scholar 

  21. Liang W, Zhang Y, Li H, Chu J, Qin Z, He W, et al. Personality and primary dysmenorrhea: a study using a five-factor model in Chinese university women. Arch Neuropsychiatry. 2012;49:92–5. doi:10.4274/npa.y5965.

    Article  Google Scholar 

  22. Messing K, Saurel-Cubizolles MJ, Bourgine M, Kaminski M. Factors associated with dysmenorrhea among workers in French poultry slaughterhouses and canneries. J Occup Med. 1993;35:493–500.

    CAS  PubMed  Google Scholar 

  23. Parveen N, Majeed R, Rajar UDM. Familial predisposition of dysmenorrhea among the medical students. Pak J Med Sci. 2009;25:857–60.

    Google Scholar 

  24. Lung FW, Huang YL, Shu BC, Lee FY. Parental Rearing Style, Premorbid Personality, Mental Health, and Quality of Life in Chronic Regional Pain. Compr Psychiatry. 2004;45:206–12. doi:10.1016/j.comppsych.2004.02.009.

    Article  PubMed  Google Scholar 

  25. Payne B, Norfleet MA. Chronic pain and the family: a review. Pain. 1986;26:1–22.

    Article  CAS  PubMed  Google Scholar 

  26. Gittleman MG, Klein MH, Smider NA, Essex MJ. Recollections of parental behaviour, adult attachment and mental health: mediating and moderating effects. Psychol Med. 1998;28:1443–55.

    Article  CAS  PubMed  Google Scholar 

  27. van de Putte EM, van Doornen LJ, Engelbert RH, Kuis W, Kimpen JL, Uiterwaal CS. Mirrored symptoms in mother and child with chronic fatigue syndrome. Pediatrics. 2006;117:2074–9. doi:10.1542/peds.2005 07.

    Article  PubMed  Google Scholar 

  28. Wadhwa L, Sharma JB, Arora R, Malhotra M, Sharma S. Severity, affect, family and environment (safe) approach to evaluate chronic pelvic pain in adolescent girls. Indian J Med Sci. 2004;58:275–82.

    PubMed  Google Scholar 

  29. Makhlouf EMM, Abdull Hameed SM. Impact of psychosocial aspects of primary dysmenorrhea among employee female in university city Assiut Governorate. Al-Azhar Assiut Med J. 2010;8:61–79.

    Google Scholar 

  30. Chen L, Xu K, Fu L, Xu S, Gao Q, Wang W. Development of a structure-validated Family Relationship Questionnaire (FRQ) in Chinese university students. Bull Menninger Clin. 2015; in press.

  31. Parker G, Tupling H, Brown LB. A Parental Bonding Instrument. Br J Med Psychol. 1979;52:1–10.

    Article  Google Scholar 

  32. Richter A, Gilbert P, McEwan K. Development of an early memories of warmth and safeness scale and its relationship to psychopathology. Psychol Psychother. 2009;82:171–84.

    Article  CAS  PubMed  Google Scholar 

  33. Plutchik R, van Praag HM. Interconvertability of five self-reported measures of depression. Psychiatry Res. 1987;22:243–56.

    Article  CAS  PubMed  Google Scholar 

  34. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100.

    Article  Google Scholar 

  35. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed). Washington, DC: American Psychiatric Press; 2013.

    Google Scholar 

  36. Morrow C, Naumburg EH. Dysmenorrhea. Prim Care. 2009;36:19–32. doi:10.1016/j.pop.2008.10.004.

    Article  PubMed  Google Scholar 

  37. Sperber N, Hall KS, Allen K, DeVellis BM, Lewis M, Callahan LF. The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis. J Phys Act Health. 2014;11:528–35. doi:10.1123/jpah.2012-0030.

    Article  PubMed  Google Scholar 

  38. Schei B, Bakketeig LS. Gynaecological impact of sexual and physical abuse by spouse: a study of a random sample of Norwegian women. Br J Obstet Gynaecol. 1989;96:1379–83. doi:10.1111/j.1471-0528.1989.tb06298.x.

    Article  CAS  PubMed  Google Scholar 

  39. Stark E, Flitcraft AH. Women at risk: domestic violence and women’s health. Thousand Oaks, California: Sage; 1996.

    Book  Google Scholar 

  40. John R, Johnson JK, Kukreja S, Found M, Lindow SW. Domestic violence: prevalence and association with gynaecological symptoms. BJOG. 2004;111:1128–32. doi:10.1111/ j.1471-0528.2004.00290.x.

    Article  CAS  PubMed  Google Scholar 

  41. Elliott GC, Cunningham SM, Linder M, Colangelo M, Gross M. Child physical abuse and self-perceived social isolation among adolescents. J Interpers Violence. 2005;20:1663–84. doi:10.1177/0886260505281439.

    Article  PubMed  Google Scholar 

  42. Finzi-Dottan R, Manor I, Tyano S. ADHD, temperament, and parental style as predictors of the child’s attachment patterns. Child Psychiatry Hum Dev. 2006;37:103–14. doi:10.1007/s10578-006-0024-7.

    Article  PubMed  Google Scholar 

  43. Lima AR, Mello MF, Mari JJ. The role of early parental bonding in the development of psychiatric symptoms in adulthood. Curr Opin Psychiatr. 2010;23:383–7. doi:10.1097/YCO.0b013e32833a51ce.

    Article  Google Scholar 

  44. Brenning K, Soenens B, Braet C, Bal S. The role of parenting and mother-adolescent attachment in the intergenerational similarity of internalizing symptoms. J Youth Adolesc. 2012;41:802–16. doi:10.1007/s10964-011-9740-9.

    Article  PubMed  Google Scholar 

  45. van Petegem S, Vansteenkiste M, Beyers W. The jingle-jangle fallacy in adolescent autonomy in the family: in search of an underlying structure. J Youth Adolesc. 2013;42:994–1014. doi:10.1007/s10964-012-9847-7.

    Article  PubMed  Google Scholar 

  46. Wynick S, Hobson RP, Jones RB. Psychogenic disorders of vision in childhood (“visual conversion reactions”): perspectives from adolescence: a research note. J Child Psychol Psychiatry. 1997;38:375–9. doi:10.1111/j.1469-7610.1997.tb01521.x.

    Article  CAS  PubMed  Google Scholar 

  47. Mullick MS. Somatoform disorders in children and adolescents. Bangladesh Med Res Counc Bull. 2002;28:112–22.

    CAS  PubMed  Google Scholar 

  48. Sanders MR, Shepherd RW, Cleghorn G, Woolford H. The treatment of recurrent abdominal pain in children: a controlled comparison of cognitive-behavioral family intervention and standard pediatric care. J Consult Clin Psychol. 1994;62:306–14. doi:10.1037/0022-006X.62.2.306.

    Article  CAS  PubMed  Google Scholar 

  49. Janssens KA, Oldehinkel AJ, Rosmalen JG. Parental overprotection predicts the development of functional somatic symptoms in young adolescents. J Pediatr. 2009;154:918–23.e1. doi:10.1016/j.jpeds.2008.12.023.

    Article  PubMed  Google Scholar 

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Acknowledgments

The study was supported by grants from the Natural Science Foundation of China (No. 91132715) to the correspondent author (Dr W Wang) and from the 2013 Exploratory Experiments of Public Health for Undergraduates of Zhejiang University to KX. KX, LC, and LF contributed equally to the work described in the paper.

Conflict of interest

Regarding research work described in the paper, each one of our coauthors, Kai Xu, Liuxi Chen, Lingyun Fu, Shaofang Xu, Hongying Fan, Qianqian Gao, You Xu, and Wei Wang, declares that there is no conflict of interest, has conformed to the Helsinki Declaration concerning human rights and informed consent, and has followed correct procedures concerning treatment of humans in research.

Authors’ contribution

Study concept and design: WW. Acquisition of data: KX, LC, LF, SX, HF, QG, and YX. Analysis and interpretation of data: KX, LC, and LF. Writing the draft of the manuscript: KX, LC, LF, and WW.

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Correspondence to Wei Wang.

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Xu, K., Chen, L., Fu, L. et al. Stressful Parental-Bonding Exaggerates the Functional and Emotional Disturbances of Primary Dysmenorrhea. Int.J. Behav. Med. 23, 458–463 (2016). https://doi.org/10.1007/s12529-015-9504-0

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