Journal List > Korean J Women Health Nurs > v.23(1) > 1089562

Han, Kim, Kim, and Lee: Relationships among Menstrual Attitude, Premenstrual Distress, and Premenstrual Coping in Korean College Women

Abstract

Purpose

This paper presented a descriptive study which aimed to identify the relationship amongmenstrual attitude, premenstrual distress and premenstrual coping in Korean college women and to propose fundamental data for the development of guidelines for effective management of premenstrual distress.

Methods

The data were collected from 111 college women and analyzed using descriptive statistics, t-tests, ANOVA and Pearson's correlation coefficients.

Results

The mean score of premenstrual coping was 3.25±0.60 out of 5 points. The 'Awareness and Acceptance of Premenstrual Change' score was highest and the 'Avoiding Harm' score was lowest.Menstrual attitude was significantly related to premenstrual distress (r=.37 p<.001) and the awareness and acceptance style of premenstrual coping (r=-.21. p=.021). And premenstrual distress was significantly related to the self-care coping style of premenstrual coping (r=.30, p=.001), the adjusting energy coping style of premenstrual coping (r=.45, p<.001) and the avoiding harm coping style of premenstrual coping (r=.48, p<.001).

Conclusion

Results of this study support that positive attitude about menstruation is necessary for the effective management of premenstrual distress. Also, premenstrual coping programs that consider the level of premenstrual distress will be needed for college women.

REFERENCES

1. Park JM, Suh SR, Kim KY, Kim HJ. Female workers’ attitudes toward menstruation, premenstrual discomfort and coping method. Journal of the Korean Society of Maternal and Child Health. 2012; 16(1):100–112.
2. Morabia A, Costanza MC. International variability in ages at menarche, first livebirth, and menopause. American Journal of Epidemiology. 1998; 148(12):1195–1205.
crossref
3. Moos RH. Menstrual distress questionnaire manual, instrument and scoring guide 4th edition [Internet]. USA: Mind Garden Inc;2014. [cited 2014 June 16]. Available from:. http://www.mindgarden.com/menstrual-distress-questionnaire/351-mdq-manual.html.
4. Dennerstein L, Lehert P, Heinemann K. Epidemiology of premenstrual symptoms and disorders. Menopause International. 2012; 18(2):48–51.
crossref
5. Choi DS. The diagnosis and management of premenstrual syndrome, premenstrual dysphoric disorder. The 41th training workshop for Korean Society of Obstetrics and Gynecology; 2009 May 22-23; Haeundae Grand Hotel. Busan: The Korean Association of Obstetricians and Gynecologists Press. 2009. 135–146.
6. Kim MJ, Nam YS, Oh KS, Lee CM. Some important factors associated with premenstrual syndrome influence of excercise, menarche, and age on PMS. The Korean Journal of Growth and Development. 2003; 11(2):13–26.
7. Kim HW. The effects of a PMS nutritional education program for college students. Journal of Korean Academy of Nursing. 2006; 36(7):1164–1174.
crossref
8. Indusekhar R, Usman SB, O'Brien S. Psychological aspects of premenstrual syndrome. Best Practice & Research Clinical Obstetrics & Gynaecology. 2007; 21(2):207–220.
crossref
9. Shin MA. A structural model of premenstrual symptom in female college students [dissertation]. Seoul: Hanyang University;2005. p. 87.
10. Kim KH, Kim EK, Suh SY, Lee SH, Choi TK, Kim MY, et al. Exploratory study of relationship between self-perception to feminity and premenstrual symptoms- In nurses who worked for some university hospitals. Cognitive Behavior Therapy in Korea. 2008; 8(2):63–74.
11. Ussher JM. Challenging the positioning of premenstrual change as PMS: The impact of a psychological intervention on women's self-policing. Qualitative Research in Psychology. 2008; 5(1):33–44.
crossref
12. Jun EM. A study on menstrual symptoms, coping and relief of symptoms in female college students. Korean Journal of Women Health Nursing. 2003; 9(2):161–169.
crossref
13. Ussher JM, Perz JM. Women's resistance to the pathologization of premenstrual change. McKenzie-Mohr S, Lafrance MN, editors. editors.Women voicing resistance: Discursive and narrative explorations. London: Routledge;2014. p. 84.
14. Read JR, Perz JM, Ussher JM. Ways of coping with premenstrual change: Development and validation of a premenstrual coping measure. BMC Women's Health. 2014; 14(1):1–15.
crossref
15. Shin MA, Jeong MH. The relationship between premenstrual syndrome and menstrual attitudes of college students. Journal of Korean Academic Society of Nursing Education. 2006; 12(1):43–51.
16. An KE. Perimenstrual pain and coping behaviors in young women. Nursing Science. 2001; 13(2):29–40.
17. Kim YI, Lee EH, Jeon GE, Choi SJ. A study on coping styles for dysmenorrhea and affecting factors in middle school students. Journal of Korean Academy of Community Health Nursing. 2013; 24(3):264–272.
crossref
18. Brooks-Gunn J, Ruble DN. The menstrual attitude questionnaire. Psychosomatic Medicine. 1980; 42(5):503–512.
crossref
19. Kim JS. The relations among premenstrual syndrome, menstrual attitude, neuroticism, and stress [dissertation]. Seoul: Seoul National University;1998. p. 83.
20. Moos RH. The development of a menstrual distress questionnaire. Psychosomatic Medicine. 1968; 30(6):853–867.
crossref
21. Kim YS, Kim MZ, Jeong IS. The effect of self-foot reflexology on the relief of premenstrual syndrome and dysmenorrhea in high school girls. Journal of Korean Academy of Nursing. 2004; 34(5):801–808.
crossref
22. Choi PY, Salmon P. How do women cope with menstrual cycle changes? British Journal of Clinical Psychology. 1995; 34(1):139–151.
crossref
23. Song JE, Chae HJ, Jang WH, Park YH, Lee KE, Lee SH, et al. The relationship between life style, menstrual attitude and premenstrual syndrome in nursing students. Korean Journal of Women Health Nursing. 2013; 19(2):119–128.
crossref
24. Morse GG. Effect of positive reframing and social support on perception of perimenstrual changes among women with premenstrual syndrome. Health Care for Women International. 1997; 18(2):175–193.
crossref
25. Ussher JM, Perz J. PMS as a process of negotiation: Women's experience and management of premenstrual distress. Psychology & Health. 2013; 28(8):909–927.
crossref
26. Ahn HY, Hyun HJ, Kim HW. Premenstrual discomforts and coping in university students. Journal of Korean Academy of Community Health Nursing. 2005; 16(3):289–299.
27. Cha C, Nam SJ. Premenstrual symptom clusters and women's coping style in Korea: Happy healthy 20s application study. Journal of Psychosomatic Obstetrics & Gynecology. 2016; 37(3):91–100.
crossref
28. Kennett DJ, O'Hagan FT, Meyerhoff TJ. Managing menstruation: Moderating role of symptom severity on active coping and acceptance. Western Journal of Nursing Research. 2016; 38(5):553–571.

Table 1.
General and Menstrual related Characteristics of Participants (N=111)
Variables Characteristics Categories n (%) or M±SD
General characteristics Age (yr)   23.3±1.89
Grade Freshman 3 (2.7)
  Sophomore 19 (17.1)
  Junior 19 (17.1)
  Senior 70 (63.1)
Major Health related 37 (33.3)
  Non-health related 74 (66.7)
Exercise regularly Yes 40 (36.0)
  No 71 (64.0)
Eat regularly Yes 70 (63.1)
  No 41 (36.9)
Level of stress Low 60 (54.1)
  High 51 (45.9)
Menstrual scharacteristics Regularity of menstruation Yes 80 (72.1)
  No 31 (27.9)
Amount of menstruation Much 11 (9.9)
  Moderate 80 (72.1)
  Little 20 (18.0)
Feeling of ovulation Yes 50 (45.0)
  No 61 (55.0)
Dysmenorrhea Yes 88 (79.3)
  No 23 (20.7)
Initial awareness of Elementary school 8 (7.2)
premenstrual distress Middle school 20 (18.0)
  High school 45 (40.5)
  University 38 (34.2)
Family history of Yes 39 (35.1)
premenstrual distress No 72 (64.9)
Treatment experience of Yes 8 (7.2)
premenstrual distress No 103 (92.8)
Perception of Positive 3 (2.7)
premenstrual distress So so 58 (52.3)
  Negative 50 (45.0)
Table 2.
Premenstrual Coping of Participants (N=111)
Coping Style Coping items M±SD
Total   3.25±0.60
Awareness and acceptance of premenstrual change I know that other women go through this 4.07±0.85
I am aware that my premenstrual changes are only temporary 4.02±0.93
I am aware of my bodily changes 3.91±0.88
I think that my premenstrual changes are a normal part of a woman's experience 3.72±0.97
I am aware of my emotional changes 3.69±1.06
I think it is okay that my physical needs may be different 3.69±0.89
I accept my changeable moods 3.35±1.12
I know what I need to do to support myself 3.24±1.02
I think it is okay to be feeling differently when I am premenstrual 3.04±1.14
I think it is okay to be more emotional or sensitive when I am premenstrual 3.00±1.17
Sub M±SD 3.57±0.66
Subtotal 35.73±6.61
Self care I allow myself extra time to rest 3.95±0.93
I do things to make myself more comfortable 3.82±0.98
I spend time doing things that help me relax. e.g. have a bath, massage, read a book 3.20±1.21
I take time to focus on my own needs 3.04±1.17
Sub M±SD 3.50±0.85
Subtotal 14.00±3.43
Adjusting energy I eat more sugary foods 3.89±1.09
I exercise less 3.42±1.17
I focus less on the needs of others 2.99±0.97
I decrease my social activities 2.95±1.06
I vent my feelings through emotional outbursts 2.95±1.11
Sub M±SD 3.23±0.72
Subtotal 16.19±3.62
Communicating I feel confident to tell people how I feel 3.16±1.14
I feel confident to tell people what I need 3.09±1.04
I try not to express how I am feeling 3.08±1.07
I tell others about how I am feeling 3.07±1.06
I ask for help from others 2.63±1.14
Sub M±SD 3.00±0.83
Sub total 15.03±4.19
Avoiding harm I avoid people that have the potential to provoke me 3.00±1.16
I avoid situations that have the potential to provoke me 3.00±1.12
I avoid raising topics that have the potential to create conflict 2.98±1.15
I avoid having conversations that are liable to upset me 2.91±1.16
I remove myself from a situation if it starts to provoke me 2.86±1.14
I challenge my negative thoughts 2.85±1.25
I avoid situations where I know I will feel vulnerable 2.80±1.07
I try to avoid dealing with difficult family issues 2.70±1.21
Sub M±SD 2.88±0.97
Subtotal 23.10±7.80

Reversed item.

Table 3.
Levels of Premenstrual Distress and Menstrual Attitude by General and Menstrual Characteristics (N=111)
Characteristics Categories n Menstrual attitude Premenstrual distress
M±SD t or F (p) M±SD t or F (p)
Age Low 61 72.08±10.80 -1.05 133.50±27.73 -0.03
High 50 74.18±9.94 (.294) 133.72±31.25 (.970)
Major Health related 37 73.32±10.16 0.21 138.64±27.80 1.28
Non-health related 74 72.87±10.62 (.833) 131.08±29.78 (.200)
Exercise regularly Yes 40 72.17±9.33 -0.64 131.00±31.28 -0.70
No 71 73.50±11.03 (.521) 135.07±28.13 (.484)
Eat regularly Yes 70 71.77±10.57 -1.67 133.61±31.11 0.01
No 41 75.17±9.94 (.098) 133.58±26.07 (.996)
Level of stress Low 60 71.88±10.93 -1.25 131.70±29.88 -0.74
High 51 74.37±9.74 (.212) 135.84±28.57 (.459)
Regularity of menstruation Yes 80 73.73±10.48 1.15 132.77±30.95 -0.47
No 31 71.19±10.21 (.251) 135.74±24.59 (.634)
Amount of menstruation Much 11 74.36±8.92 2.45 132.54±29.96 0.02
Moderate 80 71.76±10.28 (.090) 134.02±30.31 (.971)
Little 20 77.35±10.97   132.50±29.23  
Feeling of ovulation Yes 50 74.48±10.39 0.94 138.78±28.93 1.70
No 61 71.83±10.39 (.183) 129.36±29.02 (.091)
Dysmenorrhea Yes 88 74.13±10.20 2.23 137.70±26.57 2.99
No 23 68.78±10.41 (.028) 117.91±33.99 (.003)
Initial awareness of premenstrual distress Middle school or before 28 74.50±9.92 0.40 135.03±30.78 3.21
High school 45 72.80±10.19 (.670) 140.40±24.76 (.044)
University 38 72.21±11.20   124.50±31.25  
Family history of premenstrual distress Yes 39 75.05±10.02 1.51 134.69±25.94 0.28
No 72 71.93±10.55 (.133) 133.01±31.03 (.774)
Preception of premenstrual distress Positive or so so 61 68.40±9.25 -5.88 123.62±31.14 -4.43
Negative 50 78.66±8.97 (.001) < 145.78±21.34 (.001) <
Table 4.
Relationships among Premenstrual Coping, Premenstrual Distress, and Menstrual Attitude (N=111)
Variables Premenstrual distress Premenstrual coping
Awareness acceptance Self care Adjusting energy Communicatin g Avoiding harm
r (p) r (p) r (p) r (p) r (p)
Menstrual attitude .374 (.001) < -.219 (.021) -.068 (.478) .107 (.266) -.205 (.031) .097 (.311)
Premenstrual distress   .164 (.086) .309 (.001) .457 (.001) < .105 (.275) .489 (.001) <
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