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 (p 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%) (p 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 (p 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.
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References
Bajalan Z, Moafi F, MoradiBaglooei M, et al. Mental health and primary dysmenorrhea: a systematic review. J Psychosom Obstet Gynaeco. 2019;40(3):185–94.
Kural M, Noor NN, Pandit D, et al. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care. 2015;4(3):426–31.
Wong CL. Health-related quality of life among Chinese adolescent girls with Dysmenorrhoea. Reprod Health. 2018;15(1):80.
Balik G, Ustuner I, Kagitci M, et al. Is there a relationship between mood disorders and dysmenorrhea? J Pediatr Adolesc Gynecol. 2014;27(6):371–4.
Chandra-Mouli V, Patel SV. Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. Reprod Health. 2017;14(1):30.
Roomaney R, Lourens A. Correlates of premenstrual dysphoric disorder among female university students. Cogent Psychol. 2020;7(1):1823608.
Singh M, Rajoura OP, Honnakamble RA. Menstrual patterns and problems in association with body mass index among adolescent school girls. J Family Med Prim Care. 2019;8(9):2855–8.
Sachan B, Idris MZ, Jain S, et al. Age at menarche and menstrual problems among school-going adolescent girls of a North Indian District. J Basic Clin Reprod Sci. 2012;1(1–2):56–9.
Omidvar S, Bakouei F, Amiri FN, et al. Primary dysmenorrhea and menstrual symptoms in Indian female students: prevalence, impact and management. Glob J Health Sci. 2016;8(8):135–44.
Ade A, Patil R. Menstrual hygiene and practices of rural adolescent girls of Raichur. Int J Biol Med Res. 2013;4(2):3014–7.
Unsal A, Tozun M, Ayranci U, et al. Connection between dysmenorrhea and depression among a group of Turkish high school female students. Pak J Med Sci. 2012;28(3):424–7.
Patil S, Wasnik V, Wadke R. Health problems amongst adolescent girls in rural areas of Ratnagiri district of Maharashtra. India J Clin Diagn Res. 2009;3(5):1784–90.
Bodat S, Ghate MM, Majumdar JR. School absenteeism during menstruation among rural adolescent girls in Pune. Natl J Commun Med. 2013;4(2):212–6.
Avasarala AK, Panchangam S. Dysmenorrhoea in different settings: Are the rural and urban adolescent girls perceiving and managing the dysmenorrhoea problem differently? Indian J Commun Med. 2008;33(4):246–9.
Patil MS, Angadi M. Menstrual pattern among adolescent girls in rural area of Bijapur. Al Ameen J Med Sci. 2013;6(1):17–20.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.
Kochhar P, Rajadhyaksha S, Suvarna V. Translation and validation of brief patient health questionnaire against DSM IV as a tool to diagnose major depressive disorder in Indian patients. J Postgrad Med. 2007;53(2):102–7.
Löwe B, Decker O, Müller S, et al. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med care. 2008;46(3):266–74.
De Man J, Absetz P, Sathish T, et al. Are the PHQ-9 and GAD-7 suitable for use in India? A psychometric analysis. Front Psychol. 2021;12:676398.
Babu GR, Sharma P. Problems related to menstruation amongst adolescent girls. Indian J Pediatr. 2010;77(2):218–9.
Vlachou E, Owens DA, Lavdaniti M, et al. Prevalence, wellbeing, and symptoms of dysmenorrhea among university nursing students in Greece. Diseases. 2019;7(1):5.
Dambhare DG, Wagh SV, Dudhe JY. Age at menarche and menstrual cycle pattern among school adolescent girls in Central India. Glob J Health Sci. 2012;4(1):105–11.
Bhasin M, Nag S. Demorgaphy of the tribal groups of Rajasthan: 1 population structure. Anthropol. 2007;9(1):1–37.
Pakpour AH, Kazemi F, Alimoradi Z, et al. Depression, anxiety, stress, and dysmenorrhea: a protocol for a systematic review. Syst Rev. 2020;9(1):65.
Wong LP. Attitudes towards dysmenorrhoea, impact and treatment seeking among adolescent girls: a rural school-based survey. Aust J Rural Health. 2011;19(4):218–23.
Sarkar AP, Mandal R, Ghorai S. Premenstrual syndrome among adolescent girl students in a rural school of West Bengal, India. Int J Med Sci Public Health. 2016;5(03):5–8.
Mohite R, Mohite V, Kumbhar S, et al. Common menstrual problems among slum adolescent girls of Western Maharashtra. India J Krishna Inst Med Sci. 2013;2(1):89–97.
George NS, Priyadarshini S, Shetty S. Dysmenorrhoea among adolescent girls-characteristics and symptoms experienced during menstruation. Nitte Uni J Health Sci. 2014;4(3):45–52.
Bachloo T, Kumar R, Goyal A, et al. A study on perception and practice of menstruation among school going adolescent girls in district Ambala Haryana, India. Int J Community Med Public Health. 2016;3(4):931–7.
Konapur KS, Nagaraj C. Dysmenorrhoea and premensrtual syndrome: frequency and effect on daily activities of adolescent girls in rural areas of Bangalore. Int J Med Sci Public Health. 2014;3(10):1225–8.
Wijesiri HSMSK, Suresh TS. Knowledge and attitudes towards dysmenorrhea among adolescent girls in an urban school in Sri Lanka. Nurs Health Sci. 2013;15(1):58–64.
Chen CX, Shieh C, Draucker CB, et al. Reasons women do not seek health care for dysmenorrhea. J clin nurs. 2018;27(1–2):e301-8.
Agarwal AK, Agarwal A. A study of dysmenorrhea during menstruation in adolescent girls. Indian J Commun Med. 2010;35(1):159–64.
Faramarzi M, Salmalian H. Association of psychologic and nonpsychologic factors with primary dysmenorrhea. Iran Red Crescent Med J. 2014. https://doi.org/10.5812/ircmj.16307.
Pakpour AH, Kazemi F, Alimoradi Z, et al. Depression, anxiety, stress, and dysmenorrhea: a protocol for a systematic review. Syst Rev. 2020;9(1):1–6.
Zahradnik H-P, Hanjalic-Beck A, Groth K. Nonsteroidal anti-inflammatory drugs and hormonal contraceptives for pain relief from dysmenorrhea: a review. Contraception. 2010;81(3):185–96.
Gagua T, Tkeshelashvili B, Gagua D, et al. Assessment of anxiety and depression in adolescents with primary dysmenorrhea: a case-control study. J Pediatr Adolesc Gynecol. 2013;26(6):350–4.
Sahin N, Kasap B, Kirli U, et al. Assessment of anxiety-depression levels and perceptions of quality of life in adolescents with dysmenorrhea. Reprod Health. 2018;15(1):1–7.
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The research was endorsed by the institutional ethics committee. This research was carried out in conjunction with the Helsinki Declaration. The ethical issues of the research were all addressed. Before beginning the interview, the participants were given and signed an informed consent form; they were willing participants in the study. Following this, participants signed a consent form, which gave them the right to exit as well as their freedom to disclose personal information at their own discretion. They were also assured that all information gathered would be kept private.
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Dr. Kamala Verma is currently working as Associate Professor in the Department of Obstetrics and Gynaecology, Government Medical College, Barmer, Rajasthan. She has completed her MBBS and MS Obstetrics and Gynaecology from SPMC Bikaner, Rajasthan.
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Verma, K., Baniya, G.C. Prevalence of Depression, Anxiety and Quality of Life in Adolescent Girls with Dysmenorrhoea in a Remote Area of Western Rajasthan. J Obstet Gynecol India 72 (Suppl 1), 281–289 (2022). https://doi.org/10.1007/s13224-021-01603-w
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DOI: https://doi.org/10.1007/s13224-021-01603-w