The Relationship Between Stress Levels and the Incidence of Primary Dysmenorrhea Among High School Students in Makassar
Abstract
Dysmenorrhea is a condition experienced by women during menstruation which causes abdominal pain that interferes with activities. Based on theory, stress can increase the risk of menstrual cramps. A person experiences stress when faced with events or conditions that can harm or interfere with their ability to control them. According to WHO, dysmenorrhea is experienced by 50% of adolescents in every country. This study aims to examine the relationship between stress levels and the incidence of primary dysmenorrhea in female high school students in Makassar. The method used was cross-sectional, with 348 samples selected by purposive sampling. The research measuring tools used were questionnaires: Perceived Stress Scale (PSS) and Visual Analog Scale (VAS). The research results showed that the majority of samples experienced moderate stress 291 samples (83.6%), moderate dysmenorrhea 211 samples (60.6%), and 176 samples (50.6%) experienced moderate dysmenorrhea with moderate stress. When processing the data using the chi-square test, it was found that p-value=0.005 (p<0.05). This study concludes that there is a relationship between stress levels and the occurrence of primary dysmenorrhea among high school students in Makassar.
References
Swandari A. Buku Ajar Intervensi Fisioterapi pada Kasus Dismenore. 2022;1–59.
Anggriani W. Relationship between stress level and sleep quality with dysmenorrhea incidence : literature review. University Research Colloquim 2021. 2021;316–25.
Chen DD. Stress Management and Prevention Applications to Daily Life. 3rd ed. New York: Routledge. 2017.
Ruqaiyah R, Marwati M. Hubungan pengetahuan terhadap kejadian disminorea pada mahasiswa baru Akbid Pelamonia Makassar Tahun 2020. Jurnal Kesehatan Delima Pelamonia. 2021;4(2):62–6.
Wahyuni W, Zulfahmi U. Prevalensi dan gambaran karakteristik dismenorea pada remaja. Griya Widya Journal of Sexual and Reproductive Health. 2021;1(1):1–13.
Arlina A, Farahdiba I, Puspita WD. Hubungan pengetahuan tentang dismenorea dengan perilaku penanganan dismenorea pada remaja putri di Pondok Pesantren Mizanul ‘Ulum Sanrobone Kab. Takalar tahun 2022. Garuda Pelamonia Jurnal Keperawatan. 2022;4(2):16–23.
National Institute on Mental Illness (NAMI). Poll of Teen Mental Health from Teens Themselves. 2022.
Triwahyuningsih RY, Rahfiludin MZ, Sulistiyani S, Widjanarko B. Role of stress and physical activity on primary dysmenorrhea: A cross-sectional study. Narra Journal. 2024;1–8.
Abu Helwa HA, Mitaeb AA, Al-Hamshri S, Sweileh WM. Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female university students. BMC Womens Health. 2018;18(1):1–11.
Firdous U, Noaima Fatima, Yasmeen G. Assessment of anxiety, stress and depression in primary dysmenorrhic females. International Journal of Endorsing Health Science Research. 2019;7(3):147–53.
Pramanik P. Association of psychological distress with primary dysmenorrhea among adolescents living in West Bengal, India. Asian Journal of Medicine Health. 2023;21(8):92–101.
Gurung P, Jha JP, Joshi B. Association of dysmenorrhea with stress among female students at Universal College of Medical Sciences, Bhairahawa. Journal of Karnali Academy of Health Science. 2024;7(1):1–4.
Lee H, Kim J. Direct and indirect effects of stress and self-esteem on primary dysmenorrhea in Korean Adolescent Girls: A Cross-Sectional Survey Study. Iran Journal Public Health. 2024;53(1):116–25.
Wang L, et al. Prevalence and risk factors of primary dysmenorrhea in students: a meta-analysis. Value Heal. 2022;25(10):1678–84.
Adib-Rad H, et al. Primary dysmenorrhea associated with psychological distress in medical sciences students in The North of Iran: A Cross-Sectional Study. International Journal of Fertility and Sterility. 2022;16(3):224–9.
Ullah A, et al. Prevalence of dysmenorrhea and determinants of pain intensity among university-age women. Pain Med (United States). 2021;22(12):2851–62.
Feronika A. Hubungan tingkat stres dengan kejadian dismenorea pada mahasiswi Program Studi Pendidikan Dokter UIN Maulana Malik Ibrahim Malang [skripsi]. Universitas Islam Negeri Maulana Malik Ibrahim; 2022.
Tiwari M, et al. Association of primary dysmenorrhea with stress and bmi among undergraduate females students – a cross sectional study. Turkish Journal Physiother Rehabil. 2022;32(3):19049–57.
Shehzadi T, Rida M, Imtiaz R. Association of insomnia and academic stress with the onset of dysmenorrhea among females of Lahore, Pakistan. Science Open Preprints. 2022;1-6.
Sulistiyani Kartiko L, Tihardimanto A, Haruna N, Luthfi M. Hubungan dukungan sosial dengan stres pengasuhan ibu dengan anak usia sekolah dasar pada masa pandemi covid-19. Alami Journal. 2022;6(2):63–70.
Sherwood L. Fisiologi Manusia. 8th ed. Amerika Serikat: Brooks/Cole Cengage Learning. 2013.
Kale YAA, Weraman P, Hinga IAT. Risk factors for primary dysmenorrhea in students of Public Health Faculty, Nusa Cendana University. Timorese Journal Public Health. 2022;4(3):116–27.
Dwihestie LK. Hubungan Usia menarche dan tingkat stres dengan kejadian dismenore primer pada remaja putri. Jurnal Ilmu Kebidanan (Scientific Journal Midwifery). 2018;4(2):77–82.
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