早期月经疼痛经验的多维评估
Frank F Tu1, Kevin M Hellman1, Sarah E Darnell2
1Department of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston, IL; Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL.
American journal of obstetrics and gynecology
|January 30, 2024
概括
大多数青少年在第四次月经时会经历更多的月经疼痛. 孕前因素没有预测疼痛强度,这表明外围激活是关键. 需要进一步的研究,以了解经期障碍症的机制.
科学领域:
- 妇科 妇科 妇科 妇科
- 疼痛研究 疼痛研究
- 青少年健康 青少年健康
背景情况:
- 全球超过40%的月经期患者患有症状性经期障碍.
- 人们还不完全了解导致经期障碍的机制,对初潮的前性研究有限.
- 以前的研究涉及心理社会,生物和感官因素.
研究的目的:
- 描述青少年最初的月经经历.
- 评价前期因素与第四个月期失经症强度之间的关联.
- 调查心理社会和感官因素在早期更年障碍症中的作用.
主要方法:
- 在初潮前招募的149名青少年的前性队列研究.
- 基线评估包括心理社会问卷和实验性疼痛敏感性测试 (压力,膀挑).
- 经期后的数据是通过第一和第四个月的每日月经日记收集的.
主要成果:
- 从第一个到第四个月经期间,最大的月经疼痛强度显著增加 (P=.007).
- 到第四期,68.4%的参与者报告了更高的最大疼痛水平.
- 预先预测的人口统计学,心理社会,父母疼痛和实验性疼痛敏感性因素并不能预测第四个月异常症的强度.
结论:
- 三分之二的青少年在第四个月经时经历了显著的经期障碍,有些人报告功能障碍.
- 临床前心理社会和感官因素并不能预测异常症的强度,这表明外围机制在早期占主导地位.
- 需要进一步的研究来阐明心理社会和感官因素在异常发育和进展中的演变作用.
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