COVID-Related Distress Is Associated with Increased Menstrual Pain and Symptoms in Adult Women.

COVID-Related Distress Is Associated with Increased Menstrual Pain and Symptoms in Adult Women.
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DOI:
10.3390/ijerph20010774
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发表时间:
2022-12-31
影响因子:
--
通讯作者:
Greenfield, Shelly F.
Greenfield, Shelly F.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Payne, Laura A.;Seidman, Laura C.;Ren, Boyu;Greenfield, Shelly F.

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2019冠状病毒病大流行导致许多人的压力增加,女性报告的压力比男性更大。尽管大量证据表明,一般来说,压力会影响月经周期,但目前尚不清楚COVID特有的压力是否会影响女性的月经健康。目前的研究探讨了COVID相关的压力和痛苦与月经变量(月经疼痛,月经症状的数量和严重程度以及月经疼痛干扰)之间的关系。715名妇女完成了初步调查,并在三个月后再次联系完成了同样的调查。在重新联系的人中,223人完成了后续调查。结果表明,COVID相关的压力和痛苦与更高水平的月经疼痛,更频繁和更严重的月经症状以及更大的月经疼痛干扰有关,即使考虑到年龄,激素使用,身体疼痛和疼痛灾难化。我们的研究结果表明,女性经历了直接影响其健康和功能的独特脆弱性,研究和临床护理都应该通过仔细评估和治疗月经疼痛和症状来解决这些症状,特别是在高压力和痛苦期间和之后。
The COVID-19 pandemic resulted in heightened stress for many individuals, with women reporting more stress than men. Although a large body of evidence has demonstrated that stress, in general, can impact the menstrual cycle, it is not yet clear if COVID-specific stress would impact women’s menstrual health. The current study explored the relationship between COVID-related stress and distress and menstrual variables (menstrual pain, number and severity of menstrual symptoms, and menstrual pain interference) in a sample of reproductive-age adult women. Seven-hundred fifteen women completed the initial survey and were re-contacted to complete the same survey three months later. Of those recontacted, 223 completed the follow-up survey. Results indicated that COVID-related stress and distress was associated with higher levels of menstrual pain, more frequent and more severe menstrual symptoms, and greater menstrual pain interference, even after accounting for age, hormonal use, bodily pain, and pain catastrophizing. Our findings suggest that women experience unique vulnerabilities that directly impact their health and functioning, and both research and clinical care should address these symptoms through careful assessment and treatment of menstrual pain and symptoms, particularly during and after periods of high stress and distress.
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