여고생의 생리전증후군과 관련된 요인
Factors Associated with Premenstrual Syndrome in High School Students
1
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
연구배경: 월경전증후군은 청소년기에도 흔하며, 청소년의 일상생활에 영향을 미치는 원인 중 하나이다. 그러나 사춘기 여성을 대상으로 한 연구는 미흡하고, 간과되어져 왔다. 이에 본 연구는 부산 지역 일개 고등학교 학생을 대상으로 월경전 증후군 증상의 정도와 관련된 인자에 관해 알아보고자 하였 다. 방법: 부산지역 일개 고등학교 두 개 학년에서 연구 참여에 동의한 381명을 대상으로 설문조사를 시행하여 생리양상, 월 경전증후군 증상의 정도, 일반 환경 및 생활특성, 스트레스, 신 체활동을 평가하였고, 불충분한 응답을 한 대상을 제외한 325 명이 최종 분석대상자이다. 결과: 초경 연령이 어릴수록(P=0.007), 음주를 할수록(P= 0.047), 스트레스가 많을수록(P<0.001), 신체활동이 많을수 록(P=0.003), 생리전증후군 증상이 심했다. 이를 바탕으로 시행한 다중회귀분석에서는 스트레스(P<0.001), 초경연령 (P=0.003), 신체 활동량(P=0.004)이 월경전증후군 증상과 유 의하게 관련이 있었다. 결론: 초경연령이 빠르거나, 스트레스가 많은 청소년은 월경 전증후군의 증상이 심할 것으로 보인다.
Abstract
Background: Premenstrual syndrome (PMS) is a common and disabling disorder among adolescents. But the research addressing premenstrual disorders in adolescents is sparse and such disorders may well be underrecognized. In this regard, the study aimed at identifying attributes to premenstrual symptoms by surveying one high school located in Busan, Korea. Methods: A total of 381 adolescent females who accepted the participation in this study were recruited from one academic high school in Busan, Korea. For the evaluation of risk factors on the PMS, we investigated menstrual patterns, severity of premenstrual symptoms, environment and life events, stress, and physical activity. Results: In bivariate analysis, earlier menarche (P = 0.007), higher BEPSI score (P < 0.001), higher physical activity score (P = 0.003), and drinking alcohol (P = 0.047) were related to PMS symptom severity. On multiple regression analysis, Brief Encounter Psychosocial Instrument Score (P < 0.001), age of menarche (P = 0.003) and physical activity (P = 0.004) were independent explanatory variables of PMS symptom severity. Conclusion: This study showed that the relationship between PMS symptom severity and age of menarche and stress was statistically signifi cant in high school girls.
참고문헌 (25)
- Ismail KM, "Premenstrual syndrome", Curr Obstet Gynaecol, 15, pp.25~30 (2005)
- Lee SH, "Premenstrual syndrome & premenstrual dysphoric disorder", J Korean Acad Fam Med, 22, pp.761~772 (2001)
- Bertone-Johnson ER, "Calcium and vitamin d intake and risk of incident premenstrual syndrome", Arch Intern Med, 165, pp.1246~1252 (2005)
- Lew YM, "Premenstrual symptom patterns and coping style in women with premenstrual change", J Korean Neuropsychiatr Assoc, 39, pp.1061~1071 (2000)
- Vichnin M, "Premenstrual syndrome (PMS) in adolescents: severity and impairment", J Pediatr Adolesc Gynecol, 19, pp.397~402 (2006)
- Borenstein JE, "Health and economic impact of the premenstrual syndrome", J Reprod Med, 48, pp.515~524 (2003)
- Wittchen HU, "Prevalence, incidence and stability of premenstrual dysphoric disorder in the community", Psychol Med, 32, pp.119~132 (2002)
- Rizk DE, "Prevalence and impact of premenstrual syndrome in adolescent schoolgirls in the United Arab Emirates", Acta Obstet Gynecol Scand, 85, pp.589~598 (2006)
- Masho SW, "Obesity as a risk factor for premenstrual syndrome", J Psychosom Obstet Gynaecol, 26, pp.33~39 (2005)
- 손연정, "일부 지역 인문계 여고생의 심리적 특성과 월경전 증후군 증상간의 관계", 대한임상건강증진학회지, 8(1), pp.8~16 (2008), 대한임상건강증진학회
- Moos RH, "The development of the menstrual distress questionnaire", Psychosom Med, 30, pp.853~867 (1968)
- Kim YS, "The effect of self-foot refl exology on the relief of premenstrual syndrome and dysmenorrhea in high school girls", Taehan Kanho Hakhoe Chi, 34, pp.801~808 (2004)
- Frank SH, "Stress in the clinical setting: the brief encounter psychosocial instrument", J Fam Pract, 26, pp.533~539 (1988)
- Yim JH, "The validity of modifi ed Korean-translated BEPSI (Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic", J Korean Acad Fam Med, 17, pp.42~52 (1996)
- 오지연, "한국어판 단문형 국제신처활동설문(IPAQ)의 신뢰도와 타당도", 가정의학회지, 28(7), pp.532~541 (2007), 대한가정의학회
- Deuster PA, "Biological, social and behavioral factors associated with premenstrual syndrome", Arch Fam Med, 8, pp.122~128 (1999)
- 송동범, "한 개 대학 대학생의 스트레스와 식습관의 관계", 가정의학회지, 27(1), pp.7~11 (2006), 대한가정의학회
- Thys-Jacobs S, "Cyclical changes in calcium metabolism across the menstrual cycle in women with premenstrual dysphoric disorder", J Clin Endocrinol Metab, 92, pp.2952~2959 (2007)
- Derman O, "Premenstrual syndrome and associated symptoms in adolescent girls", Eur J Obstet Gynecol Reprod Biol, 116, pp.201~206 (2004)
- Johnson SR, "Premenstrual syndrome therapy", Clin Obstet Gynecol, 41, pp.405~421 (1998)
- Aganoff JA, "Aerobic exercise, mood states and menstrual cycle symptoms", J Psychosom Res, 38, pp.183~192 (1994)
- ACOG committee opinion, "Premenstrual syndrome. Number 155--April 1995 (replaces no. 66, January 1989) Committee on Gynecologic Practice", Int J Gynaecol Obstet, 50, pp.80~84 (1995), American College of Obstetricians and Gynecologists
- Jarvis CI, "Management strategies for premenstrual syndrome", premenstrual dysphoric disorder, 2008, pp.42, 967~978
- Lustyk MK, "Stress, quality of life and physical activity in women with varying degrees of premenstrual symptomatology", Women Health, 39, pp.35~44 (2004)
- Lemon D, "The effects of aerobic training on women who suffer from premenstrual syndrome", Dissertat Abstracts Intl, 52, pp.563~ (1991)