月经前障碍的心理社会和月经相关性:一个基于社区的研究
Shiori Itoi1,2,3, Makiko Sampei1,4, Takayuki Tatsumi2,5
1Department of Social Medicine, National Center for Child Health and Development Research Institute, Tokyo, Japan.
像月经前综合征 (PMS) 和月经前失调障碍 (PMDD) 这样的月经前障碍与各种背景和心理社会挑战有关. 即使没有月经不规则,症状负担也更高,这突显了需要全面支持的需要.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 流行病学 流行病学
背景情况:
- 月经前综合征 (PMS) 和月经前失调障碍 (PMDD) 是常见但复杂的疾病.
- 了解相关因素对于有效的管理和支持至关重要.
- 之前的研究已经探索了各种贡献因素,但基于社区的队列数据提供了独特的见解.
研究的目的:
- 调查与PMS和PMDD相关的背景,心理和月经因素.
- 为了确定特定的风险因素和特征区分这些条件在一个大的队列.
- 为患有月经前障碍的人提供有针对性的干预措施和支持策略.
主要方法:
- 使用月经追踪应用程序数据进行前性队列研究.
- 用日本版本的月经前症状查工具 (PSST) 将其分类为控制,PMS或PMDD组.
- 分析背景因素,心理社会措施 (压力,睡眠,家庭工作平衡) 和月经特征,使用年龄调整的多项逻辑回归.
主要成果:
- 7227名参与者包括:23%的PMS,10%的PMDD.
- 两种PMS和PMDD都与年轻的年龄,吸烟,不良的童年经历,较低的医疗保健素养和不适应应对有关.
- PMDD与婚姻/与孩子共同居住有关;PMS与酒精使用有关. 两组人都有更高的焦虑,睡眠不足和负面的工作与家庭平衡. 在PMS/PMDD组中,尽管周期长度异常的流行率相似,但月经症状负担在PMS/PMDD组中更高.
结论:
- 月经前障碍与社会人口统计学和心理社会困难有很大关系.
- 虽然月经不规则并不明显,但在PMS和PMDD中,症状负担明显更高.
- 调查结果强调了针对受影响个人提供有针对性的多学科支持的必要性.
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