SOCIAL SUPPORT, QUALITY OF LIFE AND MENTAL HEALTH PROBLEMS AMONG FEMALES WITH AND WITHOUT MENSTRUATION PROBLEMS: A COMPARATIVE STUDY

Main Article Content

Uzma Sarwar
Umara Rauf
https://orcid.org/0000-0003-3520-0689

Abstract

OBJECTIVE: To access the social support, quality of life (QoL) and mental health problems to discriminate between females with and without menstruation problems.


METHODS: This comparative study was conducted on sample of 408 females enrolled in study through purposive sampling technique. Female (with and without problems of menstruation) aging from 13 to 40 years, without any restriction of socioeconomic status were recruited in study from public and private academic institutions and hospitals of Sialkot, Pakistan.  Females who denied giving consent and those who had any other chronic and infectious disease like diabetes, heart disease, cancer etc. were excluded from the study. Demographic variables detail, Multidimensional Scale of Perceived Social Support (MPSS), QoL and Depression Anxiety and Stress Scale (DASS) were assessed. Results was analyzed by using SPSS version 20.


RESULTS: Out of 408 participant, 206 (50.5%) were with menstruation problems and 202 (49.5%) without problem. Majority (n=146; 35.8%) were form 19-26 years age group. Around 38.5% (n=157) were graduates. Majority (n=355; 87.0%) were from middle class families. Common menstrual problems observed were dysmenorrhea (n=77; 18.9%), oligomenorrhea (n=67; 16.4%) and menorrhagia (n=62; 15.2%). Significant difference among females with and without menstruation problems were found on the variables of quality of life (t= 5.01, p< 0.05) and mental health problems (t=-3.88, p< 0.05).


CONCLUSION:  Females with menstruation problems suffers with mental health problems and poor QoL than females without menstruation problems. There is immense need to deal with mental health issues of this group to enhance QoL.

Article Details

How to Cite
Sarwar, U., and U. Rauf. “SOCIAL SUPPORT, QUALITY OF LIFE AND MENTAL HEALTH PROBLEMS AMONG FEMALES WITH AND WITHOUT MENSTRUATION PROBLEMS: A COMPARATIVE STUDY”. KHYBER MEDICAL UNIVERSITY JOURNAL, Vol. 14, no. 4, Dec. 2021, pp. 206-10, doi:10.35845/kmuj.2021.21373.
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Original Articles

References

1. Hennegan J, Shannon AK, Rubli J, Schwab KJ, Melendez-Torres GJ. Women's and girls' experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis. PLoS Med 2019;16(5):e1002803. https://doi.org/10.1371/journal.pmed.1002803.
2. Schoep ME, Nieboer TE, van der Zanden M, Braat DDM, Nap AW. The impact of menstrual symptoms on everyday life: a survey among 42,879 women. Am J Obstet Gynecol 2019;220(6):569.e1-569.e7. https://doi.org/10.1016/j.ajog.2019.02.048.
3. Narendra M, Jaideep M, Pratap K, Malhotra BN, Parul M. Jeffcoate's principles of gynaecology, JP Medical Ltd, 2018. https://doi.org/10.5005/jp/books/12185.
4. Hillard PJ, Deitch HR. Menstrual disorders in the college age female. Pediatr Clin North Am 2005;52(1):179-97. https://doi.org/10.1016/j.pcl.2004.10.004.
5. Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool (PSST) for clinicians. Arch Womens Ment Health 2003;6(3):203-9. https://doi.org/10.1007/s00737-003-0018-4.
6. Van Eijk AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S, et al. Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis. BMJ Open 2016;6(3);e010290. https://doi.org/10.1136/bmjopen-2015-010290.
7. Dicker D, Nguyen G, Abate D, Abate KH, Abay SM, Abbafati C, et al. Global, regional, and national age-sex-specific mortality and life expectancy, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392(10159):1684-735. https://doi.org/10.1016/s0140-6736(18)31891-9.
8. Liu Y, Gold EB, Lasley BL, Johnson WO. Factors affecting menstrual cycle characteristics. Am J Epidemiol 2004;160(2):131-40. https://doi.org/10.1093/aje/kwh188.
9. Alonso C, Coe CL. Disruptions of social relationships accentuate the association between emotional distress and menstrual pain in young women. Health Psychol 2001;20(6):411-6.
10. Şahin DS, Özer Ö, Yanardağ MZ. Perceived social support, quality of life and satisfaction with life in elderly people. Educ Gerontol 2019;45(1):69-77. https://doi.org/10.1080/03601277.2019.1585065.
11. Lee CY, Goldstein SE. Loneliness, stress, and social support in young adulthood: Does the source of support matter? J Youth Adolesc 2016;45(3):568-80. https://doi.org/10.1007/s10964-015-0395-9.
12. Gokyildiz S, Aslan E, Beji NK, Mecdi M. The effects of menorrhagia on women’s quality of life: a case-control study. ISRN Obstet Gynecol 2013;2013:918179. https://doi.org/10.1155/2013/918179.
13. Laksham KB, Selvaraj R, Kar SS. Menstrual disorders and quality of life of women in an urban area of Puducherry: A community-based cross-sectional study. J Family Med Prim Care 2019;8(1):137-40. https://doi.org/10.4103/jfmpc.jfmpc_209_18.
14. Faramarzi H, Mehrabani D, Fard M, Akhavan M, Zare S, Bakhshalizadeh S, et al. The potential of menstrual blood-derived stem cells in differentiation to epidermal lineage: A preliminary report. World J Plast Surg 2016;5(1):26.
15. Kordi M, Mohamadirizi S, Shakeri MT. The relationship between occupational stress and dysmenorrhea in midwives employed at public and private hospitals and health care centers in Iran (Mashhad) in the years 2010 and 2011. Iran J Nurs Midwifery Res 2013;18(4):316-22.
16. Barron ML, Flick LH, Cook CA, Homan SM, Campbell C. Associations between psychiatric disorders and menstrual cycle characteristics. Arch Psychiatr Nurs 2008;22(5):254-65. https://doi.org/10.1016/j.apnu.2007.11.001.
17. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2.
18. Rizwan M, Aftab S. Psychometric properties of the multidimensional scale of perceived social support in Pakistani young adults. Pak J Psychol 2009;40(1):51-65.
19. Khan MN, Akhter MS, Ayub M, Alam S, Laghari NU. Translation and validation of quality-of-life scale, the brief version. J Coll Physicians Surg Pak 2003;13(2):98-100.
20. Aslam N, Tariq N. Psychological disorders and resilience among earthquake affected individuals. Unpublished M. Phil Dissertation), National Institute of Psychology, Quaid-i-Azam University, Islamabad, Pakistan. 2007 Jun.
21. Delara M, Ghofranipour F, Azadfallah P, Tavafian SS, Kazemnejad A, Montazeri A. Health related quality of life among adolescents with premenstrual disorders: a cross sectional study. Health Qual Life Outcomes 2012;10(1):1-5. https://doi.org/10.1186/1477-7525-10-1.
22. Lien CY, Lin HR, Kuo IT, Chen ML. Perceived uncertainty, social support and psychological adjustment in older patients with cancer being treated with surgery. J Clin Nurs 2009;18(16):2311-9. https://doi.org/10.1111/j.1365-2702.2008.02549.x.
23. Ahn JY. The influence of symptoms, uncertainty, family support on resilience in patients with breast cancer receiving chemotherapy [master’s thesis]. Seoul: Seoul National Univ. 2014.
24. Maryum G, Sahar JG. The relationship between the social support and mental health in Lorestan university students. Yafteh 2010;12(1):57-64.
25. Gan Y, Xiong R, Song J, Xiong X, Yu F, Gao W, et al. The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study. BMC Psychiatr 2019;19(1):232. https://doi.org/10.1186/s12888-019-2188-2.
26. Sereshti M, Nahidi F, Simbar M, Ahmadi F, Bakhtiari M, Zayeri F. Mothers’ perception of quality of services from health centers after perinatal loss. Electron Physician 2016;8(2):2006-17. https://doi.org/10.19082/2006.