Quality of Life Among Girls with or Without Clinically Significant Premenstrual Syndrome
American Journal of Nursing Science
Volume 6, Issue 2, April 2017, Pages: 87-98
Received: Dec. 29, 2016;
Accepted: Jan. 10, 2017;
Published: Feb. 16, 2017
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Wafaa Taha Ibrahim Elgzar, Obstetrics and Gynaecologic Nursing, Damanhur University, Damanhur, Egypt
Samiha Hamdi Sayed, Community Health Nursing, Damanhur University, Damanhur, Egypt
Premenstrual syndrome (PMS) is one of the most vague and ill-defined phenomena in the field of woman health. Almost all its definitions concluded that it is a cyclic recurrence of distressing physical, psychological and behavioral symptoms, that occur during the luteal phase of menstrual cycle and evaporates within two days of the onset of menses. PMS may range in its severity from mild (90% of females) to moderate or severe (12.6-31% of females). The last type is called Clinically Significant Premenstrual Syndrome (CSPMS). The emergence of CSPMS during the teen years complicates the process of puberty and assumed to have negative impact on the girl's Health Related Quality of Life (HRQOL). This study aimed to compare HRQOL in the girls with and without CSPMS. This was a comparative study which was carried out on 600 female students (300 free from CSPMS and 300 suffer from CSPMS) at Damanhur University, Elbehira governorate, Egypt. A modified version of Premenstrual Symptoms Screening Tool (PMSST) for clinicians was used to assess the severity of subject's PMS. Each subject was assigned to either CSPMS free group or CSPMS group based on the severity of their PMS symptoms. Then the HRQOL was assessed in the two groups, using a translated version of RAND36- item Health Survey Questionnaire. The study results indicated a statistically significant difference between the two groups in their total quality of life score. The quality of life among the free group was almost equally good or fair while poor quality of life was found among around one tenth (12%) of CSPMS group compared to none among the free group. The largest proportion (86%) among CSPMS group had fair quality of life. The most negatively affected domains were social functioning, role limitations due to physical health, role limitations due to emotional problems, energy/fatigue and emotional well-being respectively. The least affected domains were physical functioning and general health perception. On the other hand, bodily pain wasn't affected at all. The study findings revealed that girls with CSPMS suffer from poorer health-related quality of life than those without CSMPS. Appropriate PMS management strategies should be initiated in order to improve the health related quality of life among girls with CSPMS. The culture of silence surrounding PMS should be broken by focusing on researches that highlight its importance and negative impact on quality of life.
Wafaa Taha Ibrahim Elgzar,
Samiha Hamdi Sayed,
Quality of Life Among Girls with or Without Clinically Significant Premenstrual Syndrome, American Journal of Nursing Science.
Vol. 6, No. 2,
2017, pp. 87-98.
Naeimi N. The Prevalence and Symptoms of Premenstrual Syndrome under Examination. Journal of Biosciences and Medicines 2015; 3 : 1-8.
Khajehei M  Etiology, Diagnosis and Management of Premenstrual Syndrome. J Pain Relief 2015; 4 : 185-193. doi:10.4172/21670846.1000193.
Ahmad M, Fahad S. Prevalence of Premenstrual Syndrome and its Impact on Quality of Life among University Medical Students, Al Qassim University, KSA. The journal of Public Health Research 2014; 4 : 1-6. DOI: 10.5923/j.phr.20140401.01.
Schiola A,Lowin J, Lindemann M, Patel R, Endicott J. The Burden of Moderate/Severe Premenstrual Syndrome and Premenstrual Dysphoric Disorder in a Cohort of LatinAmerican Women. Science direct journal 2011;14 : 593-595.
Kathleen M, Lustyk B, Gerrish W. Premenstrual Syndrome and Premenstrual Dysphoric Disorder: Issues of Quality of Life, Stress and Exercise. Springer Science Business Media 2010;8 :14-20.
Khajehei M. Quality of Life: Definition and Measurement. Europe's Journal of Psychology 2013; 9 : 150–162.
World Health Organization. WHO definition of health. Available from: http://www.who.int/about/definition/en/print.html. [Accessed 14\10\2014].
Marques P, Haag U, Julian F, John E, Soro M. Health-related quality of life impact of a triple combination of olmesartanmedoxomil, amlodipine besylate and hydrochlorotiazide in subjects with hypertension 2015; 13 . DOI 10.1186/s12955-015-0216-6.
Hays R, Sherbourne C, Mazel R. The RAND36- item health Survey 1.0. health Econ 1993; 2 .
Mustafa R, Masood N, Rizwan N. Study of premenstrual syndrome on quality of life at a University Hospital of Sindh. International Journal of Medicine and Medical Sciences 2013; 3 : 383-385.
Lothar A, Minh T, Flionenko A,HOchgraber K. Explorative evaluation of the impact of premenstrual disorders on the daily functioning and quality of life. Berlin center or epidemiology and health researches 2010; 11  14-20.
Farrokh-Eslamlou H, Oshnouei S, Heshmatian B, Akbari E. Premenstrual syndrome and quality of life in Iranian medical students. Sexual & Reproductive Healthcare 2014; 4 : 198-208.doi: 10.1016/j.srhc.2014.06.009.
Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool [PSST] for clinicians. Arch Women Ment Health 2003; 6 : 203-209.
Abdulaziz S, Joel S, Jolaine R. Translation of the RAND 36- item health Survey 1.0 [aka SF-36] into Arabic. RAND institution, Santa Monica, N. W.,Washington, DC. 2005-4792.
RAND Corporation. 36-Item Short Form Survey [SF-36] Scoring Instructions available from: http://www.rand.org/health/surveys_tools/mos/36-item-short-form/scoring.html [Accessed 22/9/2014].
Delara M,Ghofranipour F, Azadfallah P, Sadat S, Kazemnejad A,Montazeri A. Health related quality of life among adolescents with premenstrual disorders: a cross sectional study. The journal of health and quality of life outcomes 2012;10 :1-8.
Wouters S, Doumen S, Germeijs V, Colpin H, and Verschueren K. Contingencies of self-worth in early adolescence: The antecedent role of perceived parenting. Social Development2013; 22 , 242–258. doi:10.1111/sode.12010.
Baba A. Issa, Abdullah D. Yussuf, Abdul Waheed O. Olatinwo, Martin Ighodalo. Premenstrual dysphoric disorder among medical students of a Nigerian university. Annals of African Medicine 2010; 9 : 118-122. DOI: 10.4103/1596-3519.68354.
Andrea J, Rapkin, Sharon A Winer. Premenstrual syndrome and premenstrual dysphoric disorder: quality of life and burden of illness. Expert Review of Pharmacoeconomics& Outcomes Research 2009; 9  157-165.
Indusekhar R, Usman S, O’Brien S. Psychological aspects of premenstrual syndrome. Best Practice & Research Clinical Obstetrics and Gynecology 2007; 21 :207-220.
Brohi ZP, Haider G, Zehra N, Amna A. Frequency and Impact of premenstrual syndrome on quality of life. Pak J Med Sci 2011; 27 : 396-400.
Pinar G, Colak M, Oksuz E. Premenstrual Syndrome in Turkish college students and its effects on life quality. Sexual & Reproductive Healthcare 2011; 2 : 21–27.
Dennerstein L, Lehert PH, Keung L, Ahsan S, Choi D. Asian study of effects of premenstrualsymptoms on activities of daily life. Menopause International 2010; 16 : 146–151. DOI: 10.1258/mi.2010.010035.
Yang M, Wallenstein G, Hagan M, Guo A, Chang J and Kornstein S. Burden of Premenstrual Dysphoric Disorder on Health-Related Quality of Life. Journal of women’s health 2008;17 :10-18. DOI: 10.1089/jwh.0417.
Luisa M,Alcal_a-HerreraV. Age at Menarche, Reactions to Menarche and Attitudes towards Menstruationamong Mexican Adolescent Girls. North American Society for Pediatric and Adolescent Gynecology 2014;14 : 102-110.
Sadiq MA, Salih AA. Knowledge and Practice of Adolescent Females about Menstruation in Baghdad. J Gen Pract 2013; 2 : 138-145. doi: 10.4172/2329-9126.1000138.
Frederick J. The First Taboo: How Menstrual Taboos Reflect and Sustain Women's Internalized Oppression. Available from: http://home.comcast.net/~theennead/bean/menarche.htm. [Acessed at: 14/6/2015].
Dube SH, Sharma K. Knowledge, Attitude and Practice Regarding Reproductive Health among Urban and Rural Girls: A Comparative Study. Ethno Med2012;6 : 85-94.
Janet Lee. A Kotex and a Smile”: Mothers and Daughters at Menarche. Journal of Family Issues2008; 29 : 1325-1347.
Anne M. Teitelman. Adolescent Girls’ Perspectives of Family Interactions Related to Menarche and Sexual Health. Qual Health Res. 2004; 14 : 1292-1308.
Gun I, Moller M, Gunnarsson R. Attitudes and feelings towards menstruation and womanhood in girls at menarche. ActaPædiatrica 2006; 9 : 707-714.
Kavita S, Nagaraj CH. Dysmenorrhea and premenstrual syndrome: frequency and effect on daily life activities of adolescent girls in rural areas of Bangalore. International journal of medical signs and public health 2014; l3 : 102-115.
Florence E, El-Mrrzouk R, Delles H, Nellson O, Alexander E. Premenstrual dystrophic disorder: prevalence and effect` on nursing student's academic performance and clinical training in Kuwait. Blackwell publishing. Journal of clinical nursing 2011; 20 : 2915-2923.
Diaa E, Mosallam M, Alyan S, NagelkerkeN. Prevalence and impact of premenstrual syndrome in adolescent schooling girls in United Arab Emirates. Acta Obestetricia et gynacologica 2006; 85 : 589-598.
Nisar N, Zehra N, Haider G, Munir A, Sohoo N. Frequency, Intensity and Impact of Premenstrual Syndrome in Medical Students. Journal of the College of Physicians and Surgeons Pakistan 2008; 18 : 481-484.
Tenkir A,Fisseha N and Ayele B. Premenstrual syndrome: prevalence and effect on academic and social performances in students in Jimma University, Ethiopia. Ethiop. J. health. Dev2002; 17 : 181-188.