Assessment of Anxiety and Depression in Adolescents with Primary Dysmenorrhea: A Case-Control Study

Abstract Study Objective To examine the relationship between primary dysmenorrhea and symptoms of depression and anxiety among adolescent female students in Tbilisi, Georgia. Design A case-control study. Setting Tbilisi, Georgia. Participants Four hundred twenty-four postmenarcheal girls aged 14-20...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2013-12, Vol.26 (6), p.350-354
Main Authors: Gagua, Tinatin, MD, Tkeshelashvili, Besarion, PhD, Gagua, David, PhD, Mchedlishvili, Nino, MD
Format: Article
Language:English
Subjects:
Adolescent
Anxiety
Anxiety - diagnosis
Anxiety - etiology
Case-Control Studies
Depression
Depression - diagnosis
Depression - etiology
Dysmenorrhea - psychology
Female
Humans
Obstetrics and Gynecology
Pediatrics
Primary dysmenorrhea
Reproductive health
Self Report
Surveys and Questionnaires
Young Adult
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Summary:Abstract Study Objective To examine the relationship between primary dysmenorrhea and symptoms of depression and anxiety among adolescent female students in Tbilisi, Georgia. Design A case-control study. Setting Tbilisi, Georgia. Participants Four hundred twenty-four postmenarcheal girls aged 14-20 years (a subset of a larger study involving 2561 girls). Methods The data was gathered in 2011 by the use of a questionnaire prepared for the purpose of this study, completed anonymously. Menstrual pattern, depression and anxiety level were evaluated in both groups; continuous and categorical variables were compared by Pearson chi-square test. Depressive symptoms were determined by a self-reporting scale (Beck Depression Inventory); anxiety was determined using Taylor Manifest Anxiety Scale (TMAS) and Spielberger State-Trait Anxiety Inventory (STAI). Main Outcome Measures Differences in mental health between two groups. Results Patients with primary dysmenorrhea (PD) had significantly higher scores of depression than the control subjects: moderate depression, 15.9% in PD patients vs 6.2% in control subjects and severe depression, 1.8% vs 0% ( P < .003, LR 0.001). High anxiety (TMAS) was also more prevalent in adolescents with primary dysmenorrhea (44% vs 9.9%; P < .001, LR < 0.001). STAI scores were also significantly higher in these patients than in healthy women (68.9% vs 25.0%; P < .001, LR < 0.001). Conclusion Primary dysmenorrhea is strongly linked with positive scores for depression and anxiety. Because of this association, attention should be given to effective mental health screening in these patients; psychological support may be necessary during their treatment and follow-up.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2013.06.018