J Korean Acad Nurs.  2017 Apr;47(2):257-266. 10.4040/jkan.2017.47.2.257.

A Structural Model for Premenstrual Coping in University Students: Based on Biopsychosocial Model

• Chae MO
• Jeon HO
• Kim A

• KMID: 2426351
• DOI: http://doi.org/10.4040/jkan.2017.47.2.257

Abstract

PURPOSE
The aims of this study were to construct a hypothetical structural model which explains premenstrual coping in university students and to test the fitness with collected data.
METHODS
Participants were 206 unmarried women university students from 3 universities in A and B cities. Data were collected from March 29 until April 30, 2016 using self-report structured questionnaires and were analyzed using IBM SPSS 23.0 and AMOS 18.0.
RESULTS
Physiological factor was identified as a significant predictor of premenstrual syndrome (t=6.45, p<.001). This model explained 22.1% of the variance in premenstrual syndrome. Psychological factors (t=-2.49, p=.013) and premenstrual syndrome (t=8.17, p<.001) were identified as significant predictors of premenstrual coping. Also this model explained 30.9% of the variance in premenstrual coping in university students. A physiological factors directly influenced premenstrual syndrome (β=.41, p=.012). Premenstrual syndrome (β=.55, p=.005) and physiological factor (β=.23, p=.015) had significant total effects on premenstrual coping. Physiological factor did not have a direct influence on premenstrual coping, but indirectly affected it (β=.22, p=.007). Psychological factors did not have an indirect or total effect on premenstrual coping, but directly affected it (β=-.17, p=.036).
CONCLUSION
These findings suggest that strategies to control physiological factors such as menstrual pain should be helpful to improve premenstrual syndrome symptoms. When developing a program to improve premenstrual coping ability and quality of menstrual related health, it is important to consider psychological factors including perceived stress and menstrual attitude and premenstrual syndrome.

Keyword

Female; Premenstrual syndrome; Structural models; Students; Young adult

MeSH Terms

*Adaptation, Psychological
Adult
Female
Humans
*Models, Biological
*Models, Psychological
Premenstrual Syndrome/*psychology
Self Report
Social Support
Stress, Psychological
Students/*psychology
Surveys and Questionnaires
Universities
Young Adult

Figure

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  Figure 1 Conceptual framework.

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  Figure 2 Path diagrams for the hypothetical model.

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