Assessment of Incidence of Menstrual Headache and Stress Level Among Health High School Students
Year 2020,
, 93 - 103, 30.09.2020
Döndü Sevimli Güler
,
Sevil Şahin
,
Kevser Özdemir
,
Alaattin Ünsal
Abstract
Objective: This study was conducted to determine incidence of menstrual headache among high school students, to review some variables that are believed to be associated and to assess stres levels.
Method: The study is a cross-sectional study conducted on students studying in health vocational high schools in Sakarya province. Of these students, 542 students constituted the study group. A questionnaire was prepared by using the literature to collect data. The Perceived Stress Scale was used to determine the stress levels of the students. Chi-square test, Mann-Whitney U test and Kruskal-Wallis test were used to analyze data.
Results: The age of students in the study group ranged from 14to 19 with a meanage of 16.40±1.05 years. It was determined that 84.3% of the students had normal menstrual cycles and 85.8% had normal menstrual bleeding periods. 49.8% of the students had a history of menstrual headache. The scores obtained from the Perceived Stress Scale by the students in the study group ranged from 10 to 54 with a mean score of 29.29 ± 6.76 (median 29.0; min: 11.0, max: 54.0).
Conclusion: It was determined that menstrual headache is an important health problem among students. Stress level was found to be higher in students having menstrual headache. It would be advantageous to implement screening programs occasionally for early diagnosis and treatment of menstrual headache and to conduct activities to provide information on mitigation of stres management techniques at highschools where the study was conducted.
References
- Baltaş Z, Atakuman Y, Duman Y. (1998). Standardization of the Perceived Stress Scale: Perceived in Stress Turkish Middle Managers. Stress and Anxiety Research Society 19th International Conference. Boğaziçi University, Istanbul, Turkey July 10 – 12.
- Bertone-Johnson ER, Hankinson SE, Bendich A, Susan RJ, Walter CW, JoAnn EM. (2005). Calcium and vitamin D intake and risk ofincident premenstrual syndrome. Archives of Internal Medicine, 65, 1246-1252.
- Bigal ME, Sheftell FD, Rapoport AM, Stewart JT. (2002). Chronicdaily headache: identification of risk factors associated within duction and transformation. Headache, 42, 575–581.
- Bigal MF, Liberman JN, Lipton RB. (2006). Obesity and migraine: A population based study. Neurology, 66, 545-550.
- Boardman HF, Thomas E, Millson DS. (2005). Psychological, sleep, lifestyle, and comorbid associations with headache. Headache, 45, 657–69.
- Burch R, Rizzoli P, Loder E. (2018). The prevalence and impact of migraine and severe headache in the United States: Figures and trends from government health studies. Headache, 58, 496-505.
- Buse DC, Loder EW, Gorman JA, Stewart FW, Reed LM, Fanning MK, Serrano D, Lipton BR. (2013). Sex differences in the prevalence, symptoms, and associated features of migraine, probable migraine and other severe headache: Results of the American Migraine Prevalence and Prevention (AMPP) study. Headache, 53, 1278-1299.
- Cohen S, Kamarck T, Mermelstein R. (1983). A global measure of perceived stress. J Health Soc Behav, 24(4), 385-396.
- Cupini LM, Corbelli I, Sarchelli P. (2020).Menstrual migraine: what it is and does it matter?, Journal of Neurology, https://doi.org/10.1007/s00415-020-09726-2.
- Dawood MY. (1994). Dyamenorrhea. In Current Therapy in Obstetrics and Gynecology. Editors: Zuspan FP, Quilligan EJ. WB Saunders Company, Philadelphia, 29-33.
- De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Soliman R, El Kholy M. (2017). Dysmenorrhea in adolescents and young adults: a review in different country. Acta Biomed,87(3), 233-246.
- Dzoljic E, Sipetic S, Vlajinac H, Marinkovic J, Brzakovic B, Pokrajac M, Kostic V. (2002). Prevalence of menstrually related migraine and nonmigraine primary headache in female students of Belgrade University. Headache, 42, 185–93.
- Gümüştekin GE, Öztemiz AB. (2005). Örgütlerde stresin verimlilik ve performansla etkileşimi. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 14(1), 271-288.
- Hagen K, Thoresen K, Stovner LJ, John-Anker Z. (2009). High dietary caffeine consumption is associated with a modest increase in headache prevalence: results fromthe Head-HUNT Study. The journal of headache and pain, 10, 153-59.
- http://www.thl.fi/publications/ehrm/product1/title.htm. Erişim tarihi: 03.11.2015.
https://www.turkiye.gov.tr/ogrenci-bilgi-sistemi, Erişim tarihi: 15.04.2018.
- Huai TG, Liu HX, Xiang J, Miao AL, Tang L,Guan SQ, Wu T, ve ark. (2015). Abnormal cortical activation in females with acute migraine: a magnetoence phalography study. Clinical Neurophysiology, 126 (1), 170-179.
- Jackowski K, Jankowski D, Simić D, Simić S. (2015). Migraine Diagnosis Support System Based on Classifier Ensemble. In ICT Innovations, Springer International Publishing, 329-39.
- Karatas H, Erdener SE, Gursoy-Ozdemir Y, Lule S, Koçsk EE, Sen D, ve ark. (2013).Spreading depression triggers headache by activating neuronal Panx1 channels. Science, 339, 1092–95.
- Kröner-Herwig B, Vath N. (2009). Menarche in girls and headache– a longitudinal analysis. Headache: The Journal of Head and Face Pain, 49(6), 860-867.
- Le Resche L, Mancl LA, Drangsholt MT, Saunders K, Korff VM. (2005). Relationship of pain and symptoms to pubertal development in adolescents. Pain, 118(1), 201-219.
- MacGregor EA. (2008). Menstrual migraine. Current Opinion in Neurol, 21(3), 309-315.
- Martin VT, Behbehani M. (2006). Ovarian hormones and migraine headache: Understanding mechanisms and pathogenesis- Part 1. Headache, 46, 3-23.
- Mattsson P. (2003). Hormonal factors in Migraine. Headache, 43, 19-26.
- Ozfatura N. (2017). Yesilay Alkol Raporu, Ocak-2009. Erişim Adresi: http://yesilay.org.tr/ yesilay.asp?p=dokuman&id=70 Patel V, Tanksale V, Sahasrabhojanee M, Gup
- S, Nevrekar P. (2006). The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG, 113, 453-463.
- Peroutka SJ. (2014). Whatturns on a migraine? A systematic review of migraine precipitating factors. Current pain and headache reports, 18(10), 1-6.
- Rhee H. (2005). Relationships between physical symptoms and pubertal development. Journal of Pediatric Health Care, 19(2), 95-103.
- Robinson JC, Plichta S, Weisman CS, Nathanson CA, Ensminger M. (1992). Dysmenorrhea and use of oral contraceptives in adolescent women attending a family planning clinic. American Journal of Obstetrics & Gynecology, 166(2), 578-583.
- Ross RR, Altmaier EM. (1994). Intervention in occupational stress: A handbook of counselling for stress at work: Sage.
- Samsam M, Covenas R, Ahangari R, YajeyaJavier J. (2010). Major Neuroanatomical and Neurochemical Substrates Involved in Primary Headaches, 1-58.
- Sayılgan N, Domaç FM, Güleç H. (2018). Migren ve gerilim tipi baş ağrısı tanılı bireylerde psikiyatrik eştanı ve yaşam kalitesi ile ilişkisi: ön çalışma. Cukurova Medical Journal, 44(1), 44-51.
- Scher AI, Stewart WF, Lipton RB. (2004). Caffeine as a risk factor for chronic daily headache. Neurology, 63, 2022–2027.
- Scher AI, Stewart WF, Ricci JA, Liptond RB. (2003). Factors associated with onset and remission of chronic daily headaches in a population-based study. Pain, 106,81-9.
- Sillanpaa M, Aro H. (2000). Headache in teenagers: comorbidity and prognosis. Functional Neurology, 15(3), 116–121.
- Straube A, Heinen F, Ebinger F, von Kries R. (2013). Headache in school children: Prevalence and risk factors. Deutsches Ärzteblatt International, 110: 811–818.
- Takeshima T, Ishizaki K, Fukuhara Y, Ijiri T, Kusumi M, Wakutani Y, ve ark. (2004). Population-based door-to door survey of migraine in Japan: the Daisen study. Headache, 44, 8–19.
- Temurlenk MS, Abar H. (2019). Türkiye’deki İllerin Sosyoekonomik Gelişmişlik Seviyeleri: 2008–2016 Dönemi, İktisadi ve İdari Bilimler Dergisi, 33, 4,1115-1135.
- Teperi J, Rimpelä M. (1989). Menstrual pain, health and behaviour in girls. Social Science & Medicine, 29(2), 163-169.
- Tolonen H, Wolf H, Jakovljevic D, Kuulasmaa K. (2002). The European Health Risk Monitoring Project Review of surveys for risk factors of major chronic diseases and comparability of the results. European Health Risk Monitoring (EHRM) Project. http://www.klt.fi/publications/
ehrm/product1/title.htm.URN:NBN:fi-fe 2002 1442.
- Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. (2010). Prevelance of dysmneorrhea and its effects on quality of life among a group of female university students. Upsala Journal of Medical Sciences, 115(2),138-145.
- Verrotti A, DiFonzo A, Penta L, Agostinelli S, Parisi P. (2014). Obesity and Headache/migraine: The Importance of Weight Reduction through Lifestyle Modifications. BioMed Research International, 1-7.
- World Health Organization. The World Health Report 2001. Geneva: WHO, 2001: 19-45.
Sağlık Meslek Lisesi Öğrencileri Arasında Menstrüel Baş Ağrısı Sıklığı ve Stres Düzeyinin Değerlendirilmesi
Year 2020,
, 93 - 103, 30.09.2020
Döndü Sevimli Güler
,
Sevil Şahin
,
Kevser Özdemir
,
Alaattin Ünsal
Abstract
incelenmesi ve stres düzeylerinin değerlendirilmesi amacıyla yapılmıştır.
Yöntem: Çalışma, Sakarya ilinde sağlık meslek liselerinde öğrenim gören öğrenciler üzerinde yapılan kesitsel tipte bir araştırmadır. Çalışma kapsamına alınan öğrencilerden 542’si çalışma grubunu oluşturmuştur. Çalışmada veri toplamak amacıyla literatürden de faydalanılarak hazırlanan anket formu kullanılmıştır. Öğrencilerin stres düzeylerinin belirlenmesi için Algılanan Stres Ölçeği kullanılmıştır. Verilerin analizi için Ki-kare testi, Mann-Whitney U testi ve Kruskal Wallis testi kullanılmıştır.
Bulgular: Çalışma grubunu oluşturan öğrencilerin yaşları 14-19 arasında değişmekte olup, ortalama 16.40±1.05 yıldır. Öğrencilerin %84.3’ünün menstrual sikluslarının, %85.8’inin de adet kanama süresinin normal olduğu belirlendi. Öğrencilerin %49.8’inde menstrüel baş ağrısı öyküsü vardı. Çalışma kapsamına alınan öğrencilerin Algılanan Stres Ölçeğinden aldıkları puanlar 10-54 arasında değişmekte olup, ortalama 29.29±6.76 puan (ortanca 29.0; min: 11.0, max: 54.0) idi.
Sonuç ve öneriler: Çalışmada öğrencilerin yaklaşık yarısında menstrüel baş ağrısı yaşandığı saptanmıştır. Menstrüel baş ağrısı olanlarda stres düzeyinin daha yüksek olduğu görüldü. Çalışmanın yapıldığı liselerde menstrüel baş ağrısı erken tanısı ve tedavisi için zaman zaman tarama programlarının uygulanması, stres ile başa çıkabilme yöntemleri hakkında bilgilendirme çalışmalarının yapılması yararlı olacaktır.
References
- Baltaş Z, Atakuman Y, Duman Y. (1998). Standardization of the Perceived Stress Scale: Perceived in Stress Turkish Middle Managers. Stress and Anxiety Research Society 19th International Conference. Boğaziçi University, Istanbul, Turkey July 10 – 12.
- Bertone-Johnson ER, Hankinson SE, Bendich A, Susan RJ, Walter CW, JoAnn EM. (2005). Calcium and vitamin D intake and risk ofincident premenstrual syndrome. Archives of Internal Medicine, 65, 1246-1252.
- Bigal ME, Sheftell FD, Rapoport AM, Stewart JT. (2002). Chronicdaily headache: identification of risk factors associated within duction and transformation. Headache, 42, 575–581.
- Bigal MF, Liberman JN, Lipton RB. (2006). Obesity and migraine: A population based study. Neurology, 66, 545-550.
- Boardman HF, Thomas E, Millson DS. (2005). Psychological, sleep, lifestyle, and comorbid associations with headache. Headache, 45, 657–69.
- Burch R, Rizzoli P, Loder E. (2018). The prevalence and impact of migraine and severe headache in the United States: Figures and trends from government health studies. Headache, 58, 496-505.
- Buse DC, Loder EW, Gorman JA, Stewart FW, Reed LM, Fanning MK, Serrano D, Lipton BR. (2013). Sex differences in the prevalence, symptoms, and associated features of migraine, probable migraine and other severe headache: Results of the American Migraine Prevalence and Prevention (AMPP) study. Headache, 53, 1278-1299.
- Cohen S, Kamarck T, Mermelstein R. (1983). A global measure of perceived stress. J Health Soc Behav, 24(4), 385-396.
- Cupini LM, Corbelli I, Sarchelli P. (2020).Menstrual migraine: what it is and does it matter?, Journal of Neurology, https://doi.org/10.1007/s00415-020-09726-2.
- Dawood MY. (1994). Dyamenorrhea. In Current Therapy in Obstetrics and Gynecology. Editors: Zuspan FP, Quilligan EJ. WB Saunders Company, Philadelphia, 29-33.
- De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Soliman R, El Kholy M. (2017). Dysmenorrhea in adolescents and young adults: a review in different country. Acta Biomed,87(3), 233-246.
- Dzoljic E, Sipetic S, Vlajinac H, Marinkovic J, Brzakovic B, Pokrajac M, Kostic V. (2002). Prevalence of menstrually related migraine and nonmigraine primary headache in female students of Belgrade University. Headache, 42, 185–93.
- Gümüştekin GE, Öztemiz AB. (2005). Örgütlerde stresin verimlilik ve performansla etkileşimi. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 14(1), 271-288.
- Hagen K, Thoresen K, Stovner LJ, John-Anker Z. (2009). High dietary caffeine consumption is associated with a modest increase in headache prevalence: results fromthe Head-HUNT Study. The journal of headache and pain, 10, 153-59.
- http://www.thl.fi/publications/ehrm/product1/title.htm. Erişim tarihi: 03.11.2015.
https://www.turkiye.gov.tr/ogrenci-bilgi-sistemi, Erişim tarihi: 15.04.2018.
- Huai TG, Liu HX, Xiang J, Miao AL, Tang L,Guan SQ, Wu T, ve ark. (2015). Abnormal cortical activation in females with acute migraine: a magnetoence phalography study. Clinical Neurophysiology, 126 (1), 170-179.
- Jackowski K, Jankowski D, Simić D, Simić S. (2015). Migraine Diagnosis Support System Based on Classifier Ensemble. In ICT Innovations, Springer International Publishing, 329-39.
- Karatas H, Erdener SE, Gursoy-Ozdemir Y, Lule S, Koçsk EE, Sen D, ve ark. (2013).Spreading depression triggers headache by activating neuronal Panx1 channels. Science, 339, 1092–95.
- Kröner-Herwig B, Vath N. (2009). Menarche in girls and headache– a longitudinal analysis. Headache: The Journal of Head and Face Pain, 49(6), 860-867.
- Le Resche L, Mancl LA, Drangsholt MT, Saunders K, Korff VM. (2005). Relationship of pain and symptoms to pubertal development in adolescents. Pain, 118(1), 201-219.
- MacGregor EA. (2008). Menstrual migraine. Current Opinion in Neurol, 21(3), 309-315.
- Martin VT, Behbehani M. (2006). Ovarian hormones and migraine headache: Understanding mechanisms and pathogenesis- Part 1. Headache, 46, 3-23.
- Mattsson P. (2003). Hormonal factors in Migraine. Headache, 43, 19-26.
- Ozfatura N. (2017). Yesilay Alkol Raporu, Ocak-2009. Erişim Adresi: http://yesilay.org.tr/ yesilay.asp?p=dokuman&id=70 Patel V, Tanksale V, Sahasrabhojanee M, Gup
- S, Nevrekar P. (2006). The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG, 113, 453-463.
- Peroutka SJ. (2014). Whatturns on a migraine? A systematic review of migraine precipitating factors. Current pain and headache reports, 18(10), 1-6.
- Rhee H. (2005). Relationships between physical symptoms and pubertal development. Journal of Pediatric Health Care, 19(2), 95-103.
- Robinson JC, Plichta S, Weisman CS, Nathanson CA, Ensminger M. (1992). Dysmenorrhea and use of oral contraceptives in adolescent women attending a family planning clinic. American Journal of Obstetrics & Gynecology, 166(2), 578-583.
- Ross RR, Altmaier EM. (1994). Intervention in occupational stress: A handbook of counselling for stress at work: Sage.
- Samsam M, Covenas R, Ahangari R, YajeyaJavier J. (2010). Major Neuroanatomical and Neurochemical Substrates Involved in Primary Headaches, 1-58.
- Sayılgan N, Domaç FM, Güleç H. (2018). Migren ve gerilim tipi baş ağrısı tanılı bireylerde psikiyatrik eştanı ve yaşam kalitesi ile ilişkisi: ön çalışma. Cukurova Medical Journal, 44(1), 44-51.
- Scher AI, Stewart WF, Lipton RB. (2004). Caffeine as a risk factor for chronic daily headache. Neurology, 63, 2022–2027.
- Scher AI, Stewart WF, Ricci JA, Liptond RB. (2003). Factors associated with onset and remission of chronic daily headaches in a population-based study. Pain, 106,81-9.
- Sillanpaa M, Aro H. (2000). Headache in teenagers: comorbidity and prognosis. Functional Neurology, 15(3), 116–121.
- Straube A, Heinen F, Ebinger F, von Kries R. (2013). Headache in school children: Prevalence and risk factors. Deutsches Ärzteblatt International, 110: 811–818.
- Takeshima T, Ishizaki K, Fukuhara Y, Ijiri T, Kusumi M, Wakutani Y, ve ark. (2004). Population-based door-to door survey of migraine in Japan: the Daisen study. Headache, 44, 8–19.
- Temurlenk MS, Abar H. (2019). Türkiye’deki İllerin Sosyoekonomik Gelişmişlik Seviyeleri: 2008–2016 Dönemi, İktisadi ve İdari Bilimler Dergisi, 33, 4,1115-1135.
- Teperi J, Rimpelä M. (1989). Menstrual pain, health and behaviour in girls. Social Science & Medicine, 29(2), 163-169.
- Tolonen H, Wolf H, Jakovljevic D, Kuulasmaa K. (2002). The European Health Risk Monitoring Project Review of surveys for risk factors of major chronic diseases and comparability of the results. European Health Risk Monitoring (EHRM) Project. http://www.klt.fi/publications/
ehrm/product1/title.htm.URN:NBN:fi-fe 2002 1442.
- Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. (2010). Prevelance of dysmneorrhea and its effects on quality of life among a group of female university students. Upsala Journal of Medical Sciences, 115(2),138-145.
- Verrotti A, DiFonzo A, Penta L, Agostinelli S, Parisi P. (2014). Obesity and Headache/migraine: The Importance of Weight Reduction through Lifestyle Modifications. BioMed Research International, 1-7.
- World Health Organization. The World Health Report 2001. Geneva: WHO, 2001: 19-45.