Research Article
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Investigation of the Effects of Menstrual Irregularity on Physical Activity Level, Fatigue, Quality of Life, Mood and Sleep Quality in Women

Year 2019, Volume 6, Issue 3, 215 - 231, 30.12.2019

Abstract

Objectives: The aim of this study is to investigate the relationship between menstrual irregularity and level of physical activity, sleep patterns, fatigue, depression and quality of life in healthy young adult women. Materials and Methods: 202 young adult women aged 20-40 years participated in the study. Demographic and socioeconomic data of the individuals were recorded. Fatigue was evaluated by Chalder Fatigue scale, sleep quality Pittsburg Sleep Quality Index, physical activity level Godin Leisure Physical Activity scale, mood Beck Depression Scale and quality of life Nottingham Health Profile. Women with menstrual irregularity were identified and compared their results with other women of the same age. Results: It was determined that physical fatigue and depressive symptoms increased and sleep quality, average sleep duration and quality of life decreased in women with menstrual irregularity. Conclusion: In our study, it was found that menstrual irregularity have some physical and mental effects. Investigation of the effects of menstrual irregularity, which is likely to be ignored if it is not associated with any health problems can help to find solutions to the underlying causes, self-realization, having sufficient labor force, fulfilling family, social and social duties and to improve the factors that will ensure.

References

  • Acikgoz, A., Dayi, A., & Binbay, T. (2017). 'Prevalence of premenstrual syndrome & its relationship to depressive symptoms in first-year university students'. Saudi Med J 38 (11):1125-31.
  • Adın, R. M. (2019). Chalder Yorgunluk Ölçeği’nin Türkçe’ye Uyarlanması ve Genç Yetişkin Bireylerde Psikometrik Özelliklerinin İncelenmesi. Sağlık Bilimleri Enstitüsü.
  • Agargun, M. Y. (1996). 'Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi'. Turk Psikiyatri Dergisi 7:107-15.
  • Baker, F. C., & Lee, K. A. (2018). 'Menstrual Cycle Effects on Sleep'. Sleep Med Clin 13 (3):283-94.
  • Basogul, C., Aydin Ozkan, S., & Karaca, T. (2019). 'The effects of psychoeducation based on the cognitive-behavioral approach on premenstrual syndrome symptoms: A r&omized controlled trial'. Perspect Psychiatr Care.
  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). 'An inventory for measuring depression'. Arch Gen Psychiatry 4:561-71.
  • Buysse, D. J., Reynolds Iii, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). 'The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice & research'. Psychiatry Res 28 (2):193-213.
  • Cakir, M., Mungan, I., Karakas, T., Girisken, I., & Okten, A. (2007). 'Menstrual pattern & common menstrual disorders among university students in Turkey'. Pediatr Int 49 (6):938-42.
  • Cesta, C. E., Mansson, M., Palm, C., Lichtenstein, P., Iliadou, A. N., & L&en, M. (2016). 'Polycystic ovary syndrome & psychiatric disorders: Co-morbidity & heritability in a nationwide Swedish cohort'. Psychoneuroendocrinology 73:196-203.
  • Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993). 'Development of a fatigue scale'. J Psychosom Res 37 (2):147-53.
  • Godin, G. (2011). 'The Godin-Shephard leisure-time physical activity questionnaire'. The Health & Fitness Journal of Canada 4 (1):18-22.
  • Godin, G., & Shephard, R. J. (1985). 'A simple method to assess exercise behavior in the community'. Can J Appl Sport Sci 10 (3):141-46.
  • Greenwood, E. A., Yaffe, K., Wellons, M. F., Cedars, M. I., & Huddleston, H. G. (2019). 'Depression Over the Lifespan in a Population-Based Cohort of Women With Polycystic Ovary Syndrome: Longitudinal Analysis'. J Clin Endocrinol Metab 104 (7):2809-19.
  • Guerra-Araiza, C., Villamar-Cruz, O., Gonzalez-Arenas, A., Chavira, R., & Camacho-Arroyo, I. (2003). 'Changes in progesterone receptor isoforms content in the rat brain during the oestrous cycle & after oestradiol & progesterone treatments'. J Neuroendocrinol 15 (10):984-90.
  • Harlow, S. D., & Ephross, S. A. (1995). 'Epidemiology of menstruation & its relevance to women's health'. Epidemiol Rev 17 (2):265-86.
  • Hautala, A. J., Leicht, A. S., & Boullosa, D. (2015). The Role of Physical Fitness on Cardiovascular Responses to Stress. Frontiers Media SA.
  • Hisli, N. (1989). 'Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability & validity study of Beck Depression Inventory in a university student sample)'. J. Psychol. 7:3-13.
  • Hunt, S. M., McKenna, S. P., McEwen, J., Backett, E. M., Williams, J., & Papp, E. (1980). 'A quantitative approach to perceived health status: a validation study'. Journal of Epidemiology & Community Health 34 (4):281-86.
  • Jung, A. N., Park, J. H., Kim, J., Kim, S. H., Jee, B. C., Cha, B. H., Sull, J. W., & Jun, J. H. (2017). 'Detrimental Effects of Higher Body Mass Index & Smoking Habits on Menstrual Cycles in Korean Women'. J Womens Health (Larchmt) 26 (1):83-90.
  • Kim, T., Nam, G. E., Han, B., Cho, S. J., Kim, J., Eum, D. H., Lee, S. W., Min, S. H., Lee, W., Han, K., & Park, Y. G. (2018). 'Associations of mental health & sleep duration with menstrual cycle irregularity: a population-based study'. Arch Womens Ment Health 21 (6):619-26.
  • Kocaoz, S., Cirpan, R., & Degirmencioglu, A. Z. (2019). 'The prevalence & impacts heavy menstrual bleeding on anemia, fatigue & quality of life in women of reproductive age'. Pak J Med Sci 35 (2):365-70.
  • Kücükdeveci, A. A., McKenna, S. P., Kutlay, S., Gürsel, Y., Whalley, D., & Arasil, T. (2000). 'The development & psychometric assessment of the Turkish version of the Nottingham Health Profile'. International Journal of Rehabilitation Research 23 (1):31-38.
  • Lim, H. S., Kim, T. H., Lee, H. H., Park, Y. H., Lee, B. R., Park, Y. J., & Kim, Y. S. (2018). 'Fast food consumption alongside socioeconomic status, stress, exercise, & sleep duration are associated with menstrual irregularities in Korean adolescents: Korea National Health & Nutrition Examination Survey 2009-2013'. Asia Pac J Clin Nutr 27 (5):1146-54.
  • Liu, K., He, L., Tang, X., Wang, J., Li, N., Wu, Y., Marshall, R., Li, J., Zhang, Z., Liu, J., Xu, H., Yu, L., & Hu, Y. (2014). 'Relationship between menopause & health-related quality of life in middle-aged Chinese women: a cross-sectional study'. BMC Womens Health 14:7.
  • McGovern, C. E., & Cheung, C. (2018). 'Yoga & Quality of Life in Women with Primary Dysmenorrhea: A Systematic Review'. J Midwifery Womens Health 63 (4):470-82. Meers, J. M., & Nowakowski, S. (2019). 'Sleep, premenstrual mood disorder, & women's health'. Curr Opin Psychol 34:43-49. Meites, K., Lovallo, W., & Pishkin, V. (1980). 'A comparison of four scales for anxiety, depression, & neuroticism'. Journal of Clinical Psychology 36 (2):427-32.
  • Moller, M. C., Radestad, A. F., von Schoultz, B., & Bartfai, A. (2013). 'Effect of estrogen & testosterone replacement therapy on cognitive fatigue'. Gynecol Endocrinol 29 (2):173-6.
  • Nair, M. K., Pappachan, P., Balakrishnan, S., Leena, M. L., George, B., & Russell, P. S. (2012). 'Menstrual irregularity & poly cystic ovarian syndrome among adolescent girls--a 2 year follow-up study'. Indian J Pediatr 79 Suppl 1:S69-73.
  • Nam, G. E., Han, K., & Lee, G. (2017). 'Association between sleep duration & menstrual cycle irregularity in Korean female adolescents'. Sleep Med 35:62-66.
  • Nillni, Y. I., Wesselink, A. K., Hatch, E. E., Mikkelsen, E. M., Gradus, J. L., Rothman, K. J., & Wise, L. A. (2018). 'Mental health, psychotropic medication use, & menstrual cycle characteristics'. Clin Epidemiol 10:1073-82.
  • Osterlund, M. K., Keller, E., & Hurd, Y. L. (2000). 'The human forebrain has discrete estrogen receptor alpha messenger RNA expression: high levels in the amygdaloid complex'. Neuroscience 95 (2):333-42.
  • Özdemir, F., & Pasinlioğlu, T. (2007). 'Adet düzensizliği şikayeti olan bekar adölesanların anksiyete düzeylerinin incelenmesi'. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 10 (1):30-40.
  • Quick, F., Mohammad-Alizadeh-Char&abi, S., & Mirghafourv&, M. (2019). 'Primary dysmenorrhea with & without premenstrual syndrome: variation in quality of life over menstrual phases'. Qual Life Res 28 (1):99-107.
  • Rapkin, A. J., & Winer, S. A. (2009). 'Premenstrual syndrome & premenstrual dysphoric disorder: quality of life & burden of illness'. Expert Rev Pharmacoecon Outcomes Res 9 (2):157-70.
  • Redman, L. M. (2006). 'Physical activity & its effects on reproduction'. Reprod Biomed Online 12 (5):579-86.
  • Sahin, S., Ozdemir, K., Unsal, A., & Arslan, R. (2014). 'Review of frequency of dysmenorrhea & some associated factors & evaluation of the relationship between dysmenorrhea & sleep quality in university students'. Gynecol Obstet Invest 78 (3):179-85.
  • Sari, E., & Erdoğan, S. (2016). 'Adaptation of the godin leisure-time exercise questionnaire into turkish: The validity & reliability study'. Advances in Public Health 2016.
  • Soderman, L., Edlund, M., & Marions, L. (2019). 'Prevalence & impact of dysmenorrhea in Swedish adolescents'. Acta Obstet Gynecol Sc& 98 (2):215-21.
  • Sveinsdottir, H. (2018). 'Menstruation, objectification & health-related quality of life: A questionnaire study'. J Clin Nurs 27 (3-4):e503-e13. Temür, M., Çift, T., Aktaş, F., Yılmaz, Ö., Gök-Balcı, U., Dündar, B., & Üstünyurt, E. (2018). 'Hemogram Parametrelerinin Disfonksiyonel Uterin Kanama ve Hormon Düzeyleri ile İlişkisi'. SDÜ Tıp Fakültesi Dergisi 25 (1):26-32.
  • Uçar, T., Aksoy Derya, Y., & Timur Taşhan, S. (2015). 'Üniversite öğrencilerinde menstrual düzensizlik durumu ve etkileyen faktörlerin belirlenmesi '. TAF Preventive Medicine Bulletin 14 (3):215-21.
  • Van Reen, E., & Kiesner, J. (2016). 'Individual differences in self-reported difficulty sleeping across the menstrual cycle'. Arch Womens Ment Health 19 (4):599-608, doi 10.1007/s00737-016-0621-9.
  • Wang, W., Bourgeois, T., Klima, J., Berlan, E. D., Fischer, A. N., & O'Brien, S. H. (2013). 'Iron deficiency & fatigue in adolescent females with heavy menstrual bleeding'. Haemophilia 19 (2):225-30.
  • Wessely, S., & Powell, R. (1989). 'Fatigue syndromes: a comparison of chronic "postviral" fatigue with neuromuscular & affective disorders'. J Neurol Neurosurg Psychiatry 52 (8):940-8.
  • 'The World Health Organization Quality of Life Assessment (WHOQOL): development & general psychometric properties'. (1998). Soc Sci Med 46 (12):1569-85.
  • Yu, M., Han, K., & Nam, G. E. (2017). 'The association between mental health problems & menstrual cycle irregularity among adolescent Korean girls'. J Affect Disord 210:43-48.

Kadınlarda Adet Düzensizliğinin Fiziksel Aktivite Düzeyi, Yorgunluk, Yaşam Kalitesi, Duygu Durumu ve Uyku Kalitesi Üzerine Etkilerinin İncelenmesi

Year 2019, Volume 6, Issue 3, 215 - 231, 30.12.2019

Abstract

Amaç: Sağlıklı genç yetişkin kadınlarda adet düzensizlikleri ile fiziksel aktivite seviyesi, uyku düzeni, yorgunluk, depresyon ve yaşam kalitesi arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Çalışmaya 20-40 yaşlarında olan 202 genç yetişkin kadın katılmıştır. Bireylerin demografik ve sosyoekonomik bilgileri kaydedilmiştir. Ayrıca yorgunluk Chalder Yorgunluk ölçeği, uyku kalitesi Pittsburg Uyku Kalitesi İndeksi, fiziksel aktivite seviyesi Godin Boş Zaman Fiziksel Aktivite ölçeği, duygu durumu Beck Depresyon Ölçeği ve yaşam kalitesi Nottingham Sağlık Profili ile incelenmiştir. Adet düzensizliği olan kadınlar belirlenip aynı yaşta olan diğer kadınlarla sonuçları karşılaştırılmıştır. Bulgular: Adet düzensizliği olan kadınlarda fiziksel yorgunluğun ve depresif bulguların arttığı, uyku kalitesinin, ortalama uyku süresinin ve yaşam kalitesinin azaldığı belirlendi. Sonuç: Çalışmamızla adet düzensizliğinin bazı fiziksel ve ruhsal etkilerinin olduğunu görülmüştür. Herhangi bir sağlık problemi ile ilişkili olmaması durumunda göz ardı edilmesi muhtemel olan adet düzensizliğinin günlük yaşama olan etkilerinin araştırılması ve temelinde yatan nedenlerin bulunarak çözüm üretilmesine, kendini gerçekleştirme, yeterli iş gücüne sahip olma, ailesel, sosyal ve toplumsal görevlerini yerine getirme gibi kadının toplum içinde yer edinmesini sağlayacak etmenlerin iyileştirilmesine yardımcı olabilir.

References

  • Acikgoz, A., Dayi, A., & Binbay, T. (2017). 'Prevalence of premenstrual syndrome & its relationship to depressive symptoms in first-year university students'. Saudi Med J 38 (11):1125-31.
  • Adın, R. M. (2019). Chalder Yorgunluk Ölçeği’nin Türkçe’ye Uyarlanması ve Genç Yetişkin Bireylerde Psikometrik Özelliklerinin İncelenmesi. Sağlık Bilimleri Enstitüsü.
  • Agargun, M. Y. (1996). 'Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi'. Turk Psikiyatri Dergisi 7:107-15.
  • Baker, F. C., & Lee, K. A. (2018). 'Menstrual Cycle Effects on Sleep'. Sleep Med Clin 13 (3):283-94.
  • Basogul, C., Aydin Ozkan, S., & Karaca, T. (2019). 'The effects of psychoeducation based on the cognitive-behavioral approach on premenstrual syndrome symptoms: A r&omized controlled trial'. Perspect Psychiatr Care.
  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). 'An inventory for measuring depression'. Arch Gen Psychiatry 4:561-71.
  • Buysse, D. J., Reynolds Iii, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). 'The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice & research'. Psychiatry Res 28 (2):193-213.
  • Cakir, M., Mungan, I., Karakas, T., Girisken, I., & Okten, A. (2007). 'Menstrual pattern & common menstrual disorders among university students in Turkey'. Pediatr Int 49 (6):938-42.
  • Cesta, C. E., Mansson, M., Palm, C., Lichtenstein, P., Iliadou, A. N., & L&en, M. (2016). 'Polycystic ovary syndrome & psychiatric disorders: Co-morbidity & heritability in a nationwide Swedish cohort'. Psychoneuroendocrinology 73:196-203.
  • Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993). 'Development of a fatigue scale'. J Psychosom Res 37 (2):147-53.
  • Godin, G. (2011). 'The Godin-Shephard leisure-time physical activity questionnaire'. The Health & Fitness Journal of Canada 4 (1):18-22.
  • Godin, G., & Shephard, R. J. (1985). 'A simple method to assess exercise behavior in the community'. Can J Appl Sport Sci 10 (3):141-46.
  • Greenwood, E. A., Yaffe, K., Wellons, M. F., Cedars, M. I., & Huddleston, H. G. (2019). 'Depression Over the Lifespan in a Population-Based Cohort of Women With Polycystic Ovary Syndrome: Longitudinal Analysis'. J Clin Endocrinol Metab 104 (7):2809-19.
  • Guerra-Araiza, C., Villamar-Cruz, O., Gonzalez-Arenas, A., Chavira, R., & Camacho-Arroyo, I. (2003). 'Changes in progesterone receptor isoforms content in the rat brain during the oestrous cycle & after oestradiol & progesterone treatments'. J Neuroendocrinol 15 (10):984-90.
  • Harlow, S. D., & Ephross, S. A. (1995). 'Epidemiology of menstruation & its relevance to women's health'. Epidemiol Rev 17 (2):265-86.
  • Hautala, A. J., Leicht, A. S., & Boullosa, D. (2015). The Role of Physical Fitness on Cardiovascular Responses to Stress. Frontiers Media SA.
  • Hisli, N. (1989). 'Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability & validity study of Beck Depression Inventory in a university student sample)'. J. Psychol. 7:3-13.
  • Hunt, S. M., McKenna, S. P., McEwen, J., Backett, E. M., Williams, J., & Papp, E. (1980). 'A quantitative approach to perceived health status: a validation study'. Journal of Epidemiology & Community Health 34 (4):281-86.
  • Jung, A. N., Park, J. H., Kim, J., Kim, S. H., Jee, B. C., Cha, B. H., Sull, J. W., & Jun, J. H. (2017). 'Detrimental Effects of Higher Body Mass Index & Smoking Habits on Menstrual Cycles in Korean Women'. J Womens Health (Larchmt) 26 (1):83-90.
  • Kim, T., Nam, G. E., Han, B., Cho, S. J., Kim, J., Eum, D. H., Lee, S. W., Min, S. H., Lee, W., Han, K., & Park, Y. G. (2018). 'Associations of mental health & sleep duration with menstrual cycle irregularity: a population-based study'. Arch Womens Ment Health 21 (6):619-26.
  • Kocaoz, S., Cirpan, R., & Degirmencioglu, A. Z. (2019). 'The prevalence & impacts heavy menstrual bleeding on anemia, fatigue & quality of life in women of reproductive age'. Pak J Med Sci 35 (2):365-70.
  • Kücükdeveci, A. A., McKenna, S. P., Kutlay, S., Gürsel, Y., Whalley, D., & Arasil, T. (2000). 'The development & psychometric assessment of the Turkish version of the Nottingham Health Profile'. International Journal of Rehabilitation Research 23 (1):31-38.
  • Lim, H. S., Kim, T. H., Lee, H. H., Park, Y. H., Lee, B. R., Park, Y. J., & Kim, Y. S. (2018). 'Fast food consumption alongside socioeconomic status, stress, exercise, & sleep duration are associated with menstrual irregularities in Korean adolescents: Korea National Health & Nutrition Examination Survey 2009-2013'. Asia Pac J Clin Nutr 27 (5):1146-54.
  • Liu, K., He, L., Tang, X., Wang, J., Li, N., Wu, Y., Marshall, R., Li, J., Zhang, Z., Liu, J., Xu, H., Yu, L., & Hu, Y. (2014). 'Relationship between menopause & health-related quality of life in middle-aged Chinese women: a cross-sectional study'. BMC Womens Health 14:7.
  • McGovern, C. E., & Cheung, C. (2018). 'Yoga & Quality of Life in Women with Primary Dysmenorrhea: A Systematic Review'. J Midwifery Womens Health 63 (4):470-82. Meers, J. M., & Nowakowski, S. (2019). 'Sleep, premenstrual mood disorder, & women's health'. Curr Opin Psychol 34:43-49. Meites, K., Lovallo, W., & Pishkin, V. (1980). 'A comparison of four scales for anxiety, depression, & neuroticism'. Journal of Clinical Psychology 36 (2):427-32.
  • Moller, M. C., Radestad, A. F., von Schoultz, B., & Bartfai, A. (2013). 'Effect of estrogen & testosterone replacement therapy on cognitive fatigue'. Gynecol Endocrinol 29 (2):173-6.
  • Nair, M. K., Pappachan, P., Balakrishnan, S., Leena, M. L., George, B., & Russell, P. S. (2012). 'Menstrual irregularity & poly cystic ovarian syndrome among adolescent girls--a 2 year follow-up study'. Indian J Pediatr 79 Suppl 1:S69-73.
  • Nam, G. E., Han, K., & Lee, G. (2017). 'Association between sleep duration & menstrual cycle irregularity in Korean female adolescents'. Sleep Med 35:62-66.
  • Nillni, Y. I., Wesselink, A. K., Hatch, E. E., Mikkelsen, E. M., Gradus, J. L., Rothman, K. J., & Wise, L. A. (2018). 'Mental health, psychotropic medication use, & menstrual cycle characteristics'. Clin Epidemiol 10:1073-82.
  • Osterlund, M. K., Keller, E., & Hurd, Y. L. (2000). 'The human forebrain has discrete estrogen receptor alpha messenger RNA expression: high levels in the amygdaloid complex'. Neuroscience 95 (2):333-42.
  • Özdemir, F., & Pasinlioğlu, T. (2007). 'Adet düzensizliği şikayeti olan bekar adölesanların anksiyete düzeylerinin incelenmesi'. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 10 (1):30-40.
  • Quick, F., Mohammad-Alizadeh-Char&abi, S., & Mirghafourv&, M. (2019). 'Primary dysmenorrhea with & without premenstrual syndrome: variation in quality of life over menstrual phases'. Qual Life Res 28 (1):99-107.
  • Rapkin, A. J., & Winer, S. A. (2009). 'Premenstrual syndrome & premenstrual dysphoric disorder: quality of life & burden of illness'. Expert Rev Pharmacoecon Outcomes Res 9 (2):157-70.
  • Redman, L. M. (2006). 'Physical activity & its effects on reproduction'. Reprod Biomed Online 12 (5):579-86.
  • Sahin, S., Ozdemir, K., Unsal, A., & Arslan, R. (2014). 'Review of frequency of dysmenorrhea & some associated factors & evaluation of the relationship between dysmenorrhea & sleep quality in university students'. Gynecol Obstet Invest 78 (3):179-85.
  • Sari, E., & Erdoğan, S. (2016). 'Adaptation of the godin leisure-time exercise questionnaire into turkish: The validity & reliability study'. Advances in Public Health 2016.
  • Soderman, L., Edlund, M., & Marions, L. (2019). 'Prevalence & impact of dysmenorrhea in Swedish adolescents'. Acta Obstet Gynecol Sc& 98 (2):215-21.
  • Sveinsdottir, H. (2018). 'Menstruation, objectification & health-related quality of life: A questionnaire study'. J Clin Nurs 27 (3-4):e503-e13. Temür, M., Çift, T., Aktaş, F., Yılmaz, Ö., Gök-Balcı, U., Dündar, B., & Üstünyurt, E. (2018). 'Hemogram Parametrelerinin Disfonksiyonel Uterin Kanama ve Hormon Düzeyleri ile İlişkisi'. SDÜ Tıp Fakültesi Dergisi 25 (1):26-32.
  • Uçar, T., Aksoy Derya, Y., & Timur Taşhan, S. (2015). 'Üniversite öğrencilerinde menstrual düzensizlik durumu ve etkileyen faktörlerin belirlenmesi '. TAF Preventive Medicine Bulletin 14 (3):215-21.
  • Van Reen, E., & Kiesner, J. (2016). 'Individual differences in self-reported difficulty sleeping across the menstrual cycle'. Arch Womens Ment Health 19 (4):599-608, doi 10.1007/s00737-016-0621-9.
  • Wang, W., Bourgeois, T., Klima, J., Berlan, E. D., Fischer, A. N., & O'Brien, S. H. (2013). 'Iron deficiency & fatigue in adolescent females with heavy menstrual bleeding'. Haemophilia 19 (2):225-30.
  • Wessely, S., & Powell, R. (1989). 'Fatigue syndromes: a comparison of chronic "postviral" fatigue with neuromuscular & affective disorders'. J Neurol Neurosurg Psychiatry 52 (8):940-8.
  • 'The World Health Organization Quality of Life Assessment (WHOQOL): development & general psychometric properties'. (1998). Soc Sci Med 46 (12):1569-85.
  • Yu, M., Han, K., & Nam, G. E. (2017). 'The association between mental health problems & menstrual cycle irregularity among adolescent Korean girls'. J Affect Disord 210:43-48.

Details

Primary Language Turkish
Subjects Health Care Sciences and Services
Journal Section Articles
Authors

Ayla FİL BALKAN (Primary Author)
HACETTEPE ÜNİVERSİTESİ FİZİK TEDAVİ VE REHABİLİTASYON FAKÜLTESİ
0000-0002-2721-0222
Türkiye


Rıdvan ADIN
HACETTEPE ÜNİVERSİTESİ FİZİK TEDAVİ VE REHABİLİTASYON FAKÜLTESİ
0000-0002-8390-1386
Türkiye

Publication Date December 30, 2019
Application Date December 20, 2019
Acceptance Date December 29, 2019
Published in Issue Year 2019, Volume 6, Issue 3

Cite

APA Fil Balkan, A. & Adın, R. (2019). Kadınlarda Adet Düzensizliğinin Fiziksel Aktivite Düzeyi, Yorgunluk, Yaşam Kalitesi, Duygu Durumu ve Uyku Kalitesi Üzerine Etkilerinin İncelenmesi . Hacettepe University Faculty of Health Sciences Journal , 6 (3) , 215-231 . Retrieved from https://dergipark.org.tr/en/pub/husbfd/issue/50250/662457