Body dissatisfaction on top of depressive mood among adolescent with severe dysmenorrhea


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Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
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Body dissatisfaction on top of depressive mood among adolescent with severe dysmenorrhea
Titre de la conférence
Joint annual meeting of the Swiss Society for Pediatrics, Swiss Society of Pediatric Pneumology
Ambresin A.E., Bélanger R.E., Chamay C., Berchtold A., Narring F.
Crans Montana, Switzerland, June 17-18, 2010
Statut éditorial
Date de publication
Swiss Medical Weekly
Purpose: Dysmenorrhea is the leading cause of recurrent short-term
school absenteeism among adolescent girls. Yet, studies of menstrual
symptoms in the light of adolescent psychological background seldom
appear in the recent literature. This study aims to determine whether
adolescent girls with severe dysmenorrhea (SD) have different body
perception on top of poorer psychological health.
Methods: We analyzed data from the Swiss Multicentre Adolescent
Survey on Health (SMASH 2002) among a nationally representative
sample of adolescents (n = 7548; 3340 females) aged 16 to 20 years
attending post-mandatory education. Dysmenorrhea was defined as
presence of abdominal or back pain during menstruation on the last
12 months. The severity of dysmenorrhea was defined according to
the impact on daily activity and was assessed by 3 questions on the
way menstruations interfere with daily life: 1) "You feel well and have
normal activities", 2)"you must stay at home" and 3) "you feel restricted
in your school or professional activities". Studied variables were:
depressive symptoms, suicidal attempt, sexual abuse, health
perception in general, body satisfaction, desire to modify body shape,
and disordered eating behavior (DEB) with restrictive or bulimic
tendency. Controlling variables included socio-economic status (SES)
as measured by both parent's level of education, gynecological age
(age-age at menarche), academic track (student/apprentice) and age.
Results: 12.4% (95% CI: 11.0-14) declared severe dysmenorrhea,
74.2% (95% CI: 71.8-76.5) mild to moderate dysmenorrhea and 13,4%
(95% CI: 11.5-15.5) had no dysmenorrhea. Compared to their peers,
controlling for confounding variables, subjects with SD were more
numerous to report depressive symptoms (AOR: 1.73; 95% CI:
1.39-2.15), to feel in poor health (AOR: 1.44; 95% CI: 1.14-1.81).
Moreover, the proportion of those reporting dissatisfaction with their
body appearance was higher (AOR: 1.48; 95% CI: 1.00-2.18).
Conclusion: Patients with SD not only show a different profile than
their peers in terms of their mental health and health perception, but
also a distinct relation to their body. Therefore clinicians should pay
particular attention to patients with SD and offer them a global
evaluation keeping in mind what can be associated with SD.
Web of science
Création de la notice
08/09/2010 15:36
Dernière modification de la notice
20/08/2019 13:37
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