Investigation of Self-Esteem in High School Students with Premenstrual Syndrome

Document Type : Original Article

Authors

1 PHD, Department of Theology, Faculty of Humanities Science College, Yasouj University, Yasouj, Iran

2 Community Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

3 M.Sc. of Nursing, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

4 Maternal-Fetal Medicine Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Premenstrual syndrome (PMS) is one of the most common disorders of reproductive age, and it is reported that 90% - 85% of the people are suffering from this disorder. Among the multiple symptoms of mental premenstrual syndrome, dysphoria, irritability, tension, anxiety and physical symptoms of bloating and breast pain are more common symptoms that can interfere with personal, family and community relationships.

Objectives: This study aimed to evaluate the frequency of the symptoms of PMS (physical, psychological and social) and the level of self-esteem in girls with PMS in 2013.

Methods: A cross-sectional study was performed on 200 girl high-school students of Shiraz city who had PMS. The study tools included demographic questionnaire, premenstrual symptoms, screening tool (PSST), (completed in two consecutive months) and Cooper Smith questionnaire. Data was analyzed by applying SPSS (version 16) and descriptive statistics.

Results: The mean age of the study population was 16.341.06. About 50.5 percent were within 14-16 years old. 11.433.89, 12.87 4.49, and 39.28  16.2 were the mean scores of physical, mental and total symptoms in girls with PMS, respectively. Moderate and high levels of self-esteem were reported 53% and 47% respectively among the patients with PMS.

Conclusions: The results showed that high self-esteem is decreased in patients with premenstrual syndrome. Due to the mooddisorders, the subjects may avoid their perfection tendency and intensify their negative self-concept leading to low self-esteem.Different treatments, particularly psychological remedies, are required for those suffering from PMS.

Keywords


Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

1. Talaei A, Fayyazi Bordbar MR, Nasiraei A, Pahlavani M, Dadgar S. Epi- demiology of premenstrual syndrome (PMS) in students of Mashhad University of Medical Sciences [In Persian]. Iranian J Obstet Gynecol In- fertil. 2009;12(2):15-22.
 
2. Zare H, Taraj S. The effect of premenstrual syndromes on the function of short-term, long-term and provident memory of afflicted women [In Persian]. Iranian J Obstet Gynecol Infertil. 2009;12(3):1-8.
 
3. Douglas Premenstrual syndrome. Evidence-based treatment in family practice. Can Fam Physician. 2002;48:1789-97. [PubMed: 12489244].
 
4. Freeman EW, Halberstadt SM, Rickels K, Legler JM, Lin H, Sammel MD. Core symptoms that discriminate premenstrual syndrome. J Womens Health (Larchmt). 2011;20(1):29-35. [PubMed:21128818].
https://doi.org/10.1089/jwh.2010.2161
PMid:21128818 PMCid:PMC3017419
 
5. Olive DL, Palter SF. Reproductive physiology. In: Berek JS , editor. No- vaks gynecology. 14th ed. Philadelphia: Lippincott Williams Wilkins; p. 161-84.
 
6. Lee JC, Yu BK, Byeon JH, Lee KH, Min JH, Park SH. A study on the menstruation of Korean adolescent girls in Seoul. Korean J Pediatr. 2011;54(5):201-6. [PubMed:21829411].
https://doi.org/10.3345/kjp.2011.54.5.201
PMid:21829411 PMCid:PMC3145904
 
7. O'Brien PM. Helping women with premenstrual syndrome. BMJ.1993;307(6917):1471-5. [PubMed:8281092].
https://doi.org/10.1136/bmj.307.6917.1471
PMid:8281092 PMCid:PMC1679482
 
8. Delara M, Borzuei H, Montazeri A. Premenstrual disorders: preva- lence and associated factors in a sample of Iranian Iran Red Crescent Med J. 2013;15(8):695-700. [PubMed:24578837].
https://doi.org/10.5812/ircmj.2084
PMid:24578837 PMCid:PMC3918194
 
9. Lustyk MK, Widman L, Paschane A, Ecker Stress, quality of life and physical activity in women with varying degrees of pre- menstrual symptomatology. Women Health. 2004;39(3):35-44. [PubMed:15256354].
https://doi.org/10.1300/J013v39n03_03
PMid:15256354
 
10. Geary Foodandmoodhandbook: find relief at lastfromdepression, anx- iety, PMS, cravings and mood swings. London: Thomsons; 2001. p. 1-6.
 
11. Sayegh R, Schiff I, Wurtman J, Spiers P, McDermott J, Wurtman R. The effect of a carbohydrate-rich beverage on mood, appetite, and cogni- tive function in women with premenstrual syndrome. Obstet Gynecol. 1995;86(4 Pt 1):520-8. [PubMed:7675373].
https://doi.org/10.1016/S0029-7844(95)80009-3
PMid:7675373
 
13. Carson Mental health nursing: the nurse-patient journey. 2nd ed. Philadelphia: Saunders; 2000. p. 1-6.
 
14. Aklichi M, Mahri Sabzevar of self-esteem in high school students in the academic year 89-88 [In Persian]. Sunrise Health. 2011;10(1):28-37.
 
15. 14.Biggs WS, Demuth RH. Premenstrual syndrome and premenstrual dysphoric disorder. Am Fam Physician. 2011;84(8):918-24. [PubMed: 22010771].
 
16. Gammon J, Morgan-Samuel H. A study to ascertain the effect of struc- tured student tutorial support on student stress, self-esteem and cop- Nurse Educ Pract. 2005;5(3):161-71. [PubMed:19038195].
https://doi.org/10.1016/j.nepr.2004.09.003
PMid:19038195
 
17. Babaei M, Fadakar Soghe R, Sheikhol-Eslami F, Kazemnejad Leili Sur- vey self esteem and its relevant factors among high school students [In Persian]. Holist Nurs Midwifery. 2015;25(3):1-8.
 
18. Kaplan H, Sadock B. Kaplan and Sadock's synopsis of psychiatry be- havioral science clinical psychiatry. 10th ed. Philadelphia: Lippincott Williams Wilkins; 2007. 12
 
19. Yelsma P, Yelsma Self-esteem and social respect within the high school. J Soc Psychol. 1998;138(4):431-41. [PubMed:9664861].
https://doi.org/10.1080/00224549809600398
PMid:9664861
 
20. Rapaport MH, Clary C, Fayyad R, Endicott J. Quality-of-life impairment in depressive and anxiety disorders. Am J Psychiatry. 2005;162(6):1171- [PubMed:15930066].
https://doi.org/10.1176/appi.ajp.162.6.1171
PMid:15930066
 
21. Akbarzadeh M, Dehghani M, Moshfeghy Z, Emamghoreishi M, Tavakoli P, Zare Effect of Melissa officinalis Capsule on the Intensity of Premenstrual Syndrome Symptoms in High School Girl Students. Nurs Midwifery Stud. 2015;4(2). e27001. [PubMed:26339667].
https://doi.org/10.17795/nmsjournal27001
PMid:26339667 PMCid:PMC4557408
 
22. Borenstein JE, Dean BB, Endicott J, Wong J, Brown C, Dickerson V, et Health and economic impact of the premenstrual syndrome. J Reprod Med. 2003;48(7):515-24. [PubMed:12953326].
 
23. Asadi M, Salehi M, Sadooghi M, Afkham Ebrahimi A. Self-esteem and attitude toward body appearance before and after cosmetic rhino- plasty [In Persian]. Iran J Psychiatry Clin Psychol. 2013;19(1):28-33.
 
24. Correa AJ, Sykes JM, Ries WR. Considerations before Otolaryngol Clin North Am. 1999;32(1):7-14. [PubMed:10196435].
https://doi.org/10.1016/S0030-6665(05)70112-2
PMid:10196435
 
25. Herz L, Gullone E. The Relationship between Self-Esteem and Parent- ing Style: A cross-cultural comparison of Australian and Vietnamese Australian adolescents. J Cross Cult Psychol. 2016;30(6):742-61.
https://doi.org/10.1177/0022022199030006005
 
26. Ponsoda V, Abad FJ, Francis LJ, Hills PR. Gender differences in the coopersmith self-esteem inventory: The incidence of differential item functioning. J Individ Dif. 2008;29(4):217-22
https://doi.org/10.1027/1614-0001.29.4.217
 
27. Shahedifar N, Sharifian M, Setarehforozan A, Biglarian A. Exposure to physical violence between their parents and their relationship with self-esteem. Iran Red Crescent Med J. 2014;16(1).
 
28. Rapkin AJ, Winer SA. Premenstrual syndrome and premenstrual dys- phoric disorder: quality of life and burden of illness. Expert Rev Pharmacoecon Outcomes Res. 2009;9(2):157-70. [PubMed:19402804].
https://doi.org/10.1586/erp.09.14
PMid:19402804
 
29. Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool (PSST) for clinicians. Arch Womens Ment Health. 2003;6(3):203-9. [PubMed:12920618].
https://doi.org/10.1007/s00737-003-0018-4
PMid:12920618
 
30. Nisar N, Zehra N, Haider G, Munir AA, Sohoo NA. Frequency, inten- sity and impact of premenstrual syndrome in medical students. J Coll Physicians Surg Pak. 2008;18(8):481-4. [PubMed:18798584].
 
31. Yang M, Wallenstein G, Hagan M, Guo A, Chang J, Kornstein
 
32. Burden of premenstrual dysphoric disorder on health-related quality of life. J Womens Health (Larchmt). 2008;17(1):113-21. [PubMed:18240988].
https://doi.org/10.1089/jwh.2007.0417
PMid:18240988
 
33. Alexander M, Fawcelt JN, Punciman PJ. Nursing practice: hospital and home: the adult. Edinburgh: Churchil Livingston; 2000. p. 232-6.
 
34. Kumari S, Sachdeva A. Patterns and Predictors of Premenstrual Symptoms among Females Working in a Psychiatry Hospital. Scien- tifica (Cairo). 2016;2016:6943852. [PubMed: 27293977].
https://doi.org/10.1155/2016/6943852
PMid:27293977 PMCid:PMC4884805
 
35. Tabassum S, Afridi B, Aman Z, Tabassum W, Durrani R. Premenstrual syndrome: frequency and severity in young college girls. J Pak Med Assoc. 2005;55(12):546-9. [PubMed:16438276].
 
36.Tatari F, Shaker J, Hosseini M, Rezaii M, Amirian M, Amirian F. Fre- quencyof premenstrualdysphoricdisorder, premenstrualsyndrome and some related factor in student of girl's high schools of Kerman- shah [In Persian]. J Res Behav Sci. 2007;5(1):13-9.
 
36.Arslan Anger, self-esteem, and perceived social sup- port in adolescence. Soc Behav Pers. 2009;37(4):555-64.
https://doi.org/10.2224/sbp.2009.37.4.555
 
37. Chang YT, Chen YC. Study of menstrual attitudes and distress among postmenarcheal female students in Hualien J Nurs Res. 2009;17(1):20-9. [PubMed: 19352226].
https://doi.org/10.1097/JNR.0b013e3181999d25
PMid:19352226
 
38. Chen HM, Chen CH. Related factors and consequences of men- strual distress in adolescent girls with Kaohsiung J Med Sci. 2005;21(3):121-7. [PubMed: 15875437].
https://doi.org/10.1016/S1607-551X(09)70288-8
PMid:15875437
 
39. Lu ZJ. The relationship between menstrual attitudes and menstrual symptoms among Taiwanese J Adv Nurs. 2001;33(5):621-8. [PubMed:11298198].
https://doi.org/10.1046/j.1365-2648.2001.01705.x
PMid:11298198
 
40. Sepehrirad M, Toozandehjani Effectiveness of cognitive-behavioral group therapy training and nutritional strategies based on tradi- tional medicine on premenstrual syndrome [In Persian]. Iran J Obstet Gynecol Infertil.
 
41. Hassiotis A, Serfaty M, Azam K, Strydom A, Martin S, Parkes C, et Cognitive behaviour therapy (CBT) for anxiety and depression in adults with mild intellectual disabilities (ID): a pilot randomised con- trolled trial. Trials. 2011;12:95. [PubMed: 21492437].
https://doi.org/10.1186/1745-6215-12-95
PMid:21492437 PMCid:PMC3102627
 
42. Blake F. Cognitive therapy for Premenstrual Syndrome. Cogn Behav Pract. 1995;2(1):167-85.
https://doi.org/10.1016/S1077-7229(05)80009-4
 
43. Fritz MA, Speroff L. Clinical gynecology endocrinology and infertility. Philadelphia: Lippincott Williams Wilkins; 2011. p. 531-46.
 
44. Kashani L, Saedi N, Akhondzadeh Femicomfort in the treat- ment of premenstrual syndromes: a double-blind, randomized and placebo controlled trial. Iran J Psychiatry. 2010;5(2):47-50. [PubMed: 22952490].