Korean J Women Health Nurs.  2017 Mar;23(1):11-20. 10.4069/kjwhn.2017.23.1.11.

Relationships among Menstrual Attitude, Premenstrual Distress, and Premenstrual Coping in Korean College Women

• Han JH
• Kim S
• Kim SH
• Lee SK

• KMID: 2449861
• DOI: http://doi.org/10.4069/kjwhn.2017.23.1.11

Abstract

PURPOSE
This paper presented a descriptive study which aimed to identify the relationship among menstrual 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.

Keyword

Menstrual attitude; Premenstrual distress; Premenstrual coping

MeSH Terms

Female
Humans
Menstruation
Self Care

Reference

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.

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.

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.

8. Indusekhar R, Usman SB, O'Brien S. Psychological aspects of premenstrual syndrome. Best Practice & Research Clinical Obstetrics & Gynaecology. 2007; 21(2):207–220.

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.

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.

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.

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.

18. Brooks-Gunn J, Ruble DN. The menstrual attitude questionnaire. Psychosomatic Medicine. 1980; 42(5):503–512.

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.

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.

22. Choi PY, Salmon P. How do women cope with menstrual cycle changes? British Journal of Clinical Psychology. 1995; 34(1):139–151.

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.

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.

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.

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.

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.