Year 2025,
Volume: 6 Issue: 1, 21 - 30, 30.03.2025
Sekar Ayu Rahmadani
,
İstiqomah İstiqomah
References
-
Arini, P. D., Utami, I., ST, S., Keb, M., & Mufdlilah, S. S. T. (2020). Literature Review of the Relationship between Knowledge about Menstruation and Anxiety of Adolescent Girls Facing Menarche.
-
American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association.
-
Anggraeni, W., & Sari, K. I. P. (2018). The Relationship between Adolescent Knowledge about Menstruation and
Anxiety Levels in Facing Menarche among 4th and 5th Grade Students of SDI Darul Hikmah Krian Sidoarjo. Nurse
and Health: Journal of Nursing, 7(1), 80-85.
-
Azwar, S. (2010). Research Methods. Yogyakarta: Pustaka Pelajar Offset.
-
Canelón, S. P., & Boland, M. R. (2020). a Systematic Literature Review of Factors Affecting the Timing of Menarche: the Potential for Climate Change to Impact Women’s Health. International journal of environmental research and public health, 17(5), 1703.
-
Darsini, D., Fahrurrozi, F., & Cahyono, E. A. (2019). Knowledge; review article. Journal of Nursing, 12(1), 13-13.
-
Desi, F. (2016). Factors associated with Anxiety Level of Adolescent Girls When Experiencing Menarche at SMP
Jaya Krama Kec. Bringin Kab. Serdang. Bringin Kab. Serdang: University of North Sumatra.
-
Dewi, C. F., & Khusnal, E. (2017). The relationship between knowledge and readiness to face menstruation in 5th grade students at Muhammadiyah Wirobrajan 3 Yogyakarta Elementary School (Doctoral dissertation, Aisyiyah
Yogyakarta University).
-
Devilawati, A. (2020). Relationship between Stress Level and Menstrual Cycle. Journal of 'Aisyiyah Medika, 5(2).
-
Diananda, A. (2019). Adolescent psychology and its problems. ISTIGHNA: Journal of Education and Islamic
Thought, 1(1), 116-133.
-
Ertiana, D., & Zain, S. (2023). Education and knowledge of mothers about nutrition in relation to the nutritional
status of toddlers. Journal of Ilkes (Health Sciences), 14(1), 3.
-
Fauziah, N. A. (2022). Relationship between Knowledge and Attitude with Personal Hygiene during Menstruation
in Santriwati at MTs Pondok Pesantren Al- Amanah Al-Gontory, South Tangerang City. Environmental
Occupational Health And Safety Journal, 2(1), 81-88.
-
Febri, F. D. L. (2022). Analysis of Readiness to Face Menarche in Elementary School Students at SDN Tambilung,
Bogor Regency in 2021. Journal of Midwifery, 11(2).
-
Hafidha, M. (2020). An Overview of the Incidence of Menarche in Students in Grades IV, V, and VI of SD Negeri Beji Wates Kulon Progo in 2020 (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta).
-
Harbi, K. K. A., al-Qahtani, M. M., Yousef, G., & Ali, S. I. (2018). Age at Menarche among School Adolescents Girls in
Saudi Arabia: Environmental Factors. Open Journal of Preventive Medicine, 8(09), 283-290.
-
Hayati, F., & Gustina, G. (2020). Relationship between Knowledge and Anxiety Level of Adolescent Girls Facing
Menarche at SMP Negeri 13 Jambi City. Journal of Akademika Baiturrahim Jambi, 9(2), 149-153.
-
Herliasari, Z., Indrayani, T., & Widowati, R. (2022). Analysis of Readiness to Face Menarche of Early Adolescents in
Sdn Jakasampurna X Bekasi City in 2022. Journal of Husada Karya Jaya Nursing Academy, 8(1), 28-38.
-
Hidayatullah, M. S., & Shadiqi, M. A. (2020). Construction of Psychological Measurement Tools. Lambung
Mangkurat University Banjarbaru, 1-69.
-
Imam. (2012). Menarche Preparation for Teenage Girls. Semarang: UNDIP
-
Intaniza, N., Tampubolon, N. R., & Bayhakki, B. (2023). The Relationship Between Level of Knowledge and Anxiety
in Facing Menarche One Year First. JUKEJ: Jompa Health Journal, 2(2), 120-129
-
Indarsita, D., & Purba, Y. (2017). Knowledge and Readiness of Adolescent Girls in Facing Menarche at Sd Negeri
No 064023 Medan in 2017.
-
Ikasari, F. S., & Anggana, R. (2020). School-age children's knowledge of proper handwashing in Martapura sub-
district. Journal of Indonesian Nurses, 4(1), 316-328.
-
Kaplan, H. I., & Sadock, B. J. (2010). Synopsis of Psychiatry, Volume 2 (Dr. Widjaja Kusuma, Trans.). Ciputat-
Tanggerang: Binarupa Aksara. (Original book published 1991).
-
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-
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-
Khaulani, F., Neviyarni, S., & Irdamurni, I.(2020).Developmental phases and tasks of elementary school children.
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-
Latifah, H., & Ratnaningsih, D. (2016).Level of Knowledge about Puberty in Class VIII Adolescent Girls at SMP
Muhammadiyah III Depok Sleman. Journal of Permata Indonesia, 7(1).
-
Leone, T., & Brown, L. J. (2020).Timing and determinants of age at menarche in low-income and middle-income
countries.BMJ Global Health, 5(12), e003689.
-
Martinez, G. M. (2020). Trends and patterns in menarche in the United States:1995 through 2013-2017.
-
Meutya, I.(2018). Recognizing menarche in adolescent girls Widyaiswara BKKBN Aceh.
-
Mulyani, R. (2019). The Relationship between Nutritional Status and Maternal Menarche History with Age of
Menarche in Junior High School Students in Bandar Lampung. Sai Betik Nursing Scientific Journal, 14(2), 187-193.
-
Mukhoirotin, M., & Taufik, M. L. (2016). The relationship between knowledge and family support with menarche
anxiety in adolescent girls. Journal of Holistic Nursing Science, 3(2), 8-16.
-
Nadila, S. S. (2023). Factors Associated with Anxiety Level in Facing Menarche in Students at SDI Teladan Al-
Hidayah 1 South Jakarta (Doctoral dissertation, National University).
-
Nainggolan, E., & Tambunan, D. (2013). Parents' anxiety level facing adolescent behavior change during puberty
in Balige 3 village. Journal of nursing HKBP Balige, 1(1), 82-90.
-
Nazariana, S. (2017). The relationship between knowledge about menstruation and adolescent anxiety in facing
first menstruation (menarche).
-
Nggarang, B. N., & Jahum, G. (2019). The Relationship between Family Support and Anxiety in Class VII
Adolescent Girls in Facing Menarche at Widya Bhakti Ruteng Junior High School. Health Insights, 4(2), 81-90.
-
Nixon (2016).Reminiscence Therapy: Solution Approach as a Nursing Action Effort in Reducing Anxiety, Stress
and Depression. Jakarta: Trans Info Media
-
Notoatmodjo, S. (2010). Health Research Methodology. Jakarta: Rineka Cipta
-
Novitarum, L., Pujiastuti, M., Karo, M. B., & Sihotang, Q. G. (2022). The Relationship between the Level of Knowledge
About Menstruation and Anxiety of Class Viii Adolescent Girls at Smp Negeri 3 Pematang Siantar in 2021. Journal
of Darma Agung Husada, 9(2), 1-9.
-
Nurmaularni, N., & Rahmi, K. H. (2023). The Relationship Between Sex Education and Anxiety Facing Menarche In
Early Adolescent Girls In Bekasi City. Tambusai Health Journal, 4(3), 4186-4193.
-
Nurravni, V., Susilawati and Haryani, H. (2021). The Relationship between Adolescent Girls' Knowledge about
Menarche and Anxiety Facing Menarche at SD Negeri 1 Pasirhalang, Sukaraja Health Center Work Area,
Sukabumi Regency, Journal of Health Sciences Karya Bunda Husada, 7(2), pp. 24 - 32.
-
Orringer, K., & Gahagan, S. (2010). Adolescent girls define menstruation: A multiethnic exploratory study. Health
care for women international, 31(9), 831-847.
-
Parwata, K. Y. L., Sudiatmika, A. A. I. A. R., & Devi, N. L. P. L. (2018). The Influence of Peers, Parents, and Teachers on
Learning Problems of Superior Children. Journal of Indonesian Science Education and Learning (JPPSI), 1(1), 1-11.
-
Purwanti, I. T. A. (2021). The Relationship between Knowledge Level and Anxiety in Adolescent Girls Experiencing
Premenstrual Syndrome in Rw 01 Tegalarum Pati Village (Doctoral dissertation, Sultan Agung Islamic University
Semarang).
-
Putri, D. M. F. S. (2023). The Relationship between the Level of Knowledge About Menstruation with the Anxiety
Level of Early Adolescent Girls in Facing Menarche at Sd Saraswati Tabanan. Medika Usada Journal, 6(1), 39-46.
-
Prayuni, E. D., Imandiri, A., & Adianti, M. (2019). Therapy for Irregular Menstruation with Acupunture and Herbal
Pegagan (Centella Asiatica (L.)). Journal of Vocational Health Studies, 2(2), 86-91.
-
Proverawati, A., & Misaroh, S. (2009). Menarche first menstruation full of meaning. Yogyakarta: Nuha Medika, 144.
-
Abadi, D. R., Dewi, A. P., & Nurchayati, S. (2015). Relationship between Family Support and Anxiety Level of
Adolescent Girls in Facing Menarche. Jom, 2(2), 1007-1017
-
Ratnasari, R. (2019). Knowledge of Early Adolescents in Facing Menarch. Indonesian Journal for Health Sciences,
2(2), 129-134.
-
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The relationship between menarche knowledge and anxiety of school-age children in facing pre-menarche
Year 2025,
Volume: 6 Issue: 1, 21 - 30, 30.03.2025
Sekar Ayu Rahmadani
,
İstiqomah İstiqomah
Abstract
Anxiety in facing menarche is a mood characterized by worry and fear that something bad will happen during menarche. One of the anxiety factors that affect menarche is knowledge. Children who have an understanding of menstruation tend not to experience anxiety and see it as normal, while children who lack understanding about menstruation tend to feel anxious. The type of research used is quantitative research with correlational methods. The research subjects used were 63 girls aged 8-13 years who had not yet menarche. The sampling technique used was purposive sampling with the menarche knowledge scale for knowledge variables and the Z-SAS (Zung Self-Rating Anxiety Scale) scale for anxiety variables. Data were analyzed using Spearman's rho correlation. The results showed a negative relationship between menarche knowledge and anxiety which can be interpreted that the higher the knowledge of menarche, the lower the anxiety experienced by the individual and vice versa, the lower the knowledge of menarche, the higher the anxiety experienced by the individual. The novelty of this study lies in the pre-menarche phase, which is the period before the first menstruation. The focus on this stage is a novelty, because most studies more often discuss anxiety that occurs after menarche, not before. In addition, this study also explores the knowledge that school-age children have about menarche affecting their anxiety levels. The novelty lies in measuring children's knowledge on a topic that is generally considered taboo, as well as how this knowledge affects their perception of upcoming bodily changes. In order to reduce anxiety in school-age children related to menarche, schools, parents and health workers can work together in providing knowledge about menstruation so as to increase children's knowledge and reduce anxiety in facing menarche.
Thanks
The authors would like to express their deepest gratitude to all those who have supported the authors during the research process. Special thanks to Dr. Istiqomah, M.Si., for her invaluable guidance and very useful input for this research paper. In addition, the authors are grateful to the authors' family for their unwavering support and encouragement throughout this project. Finally, the authors would like to thank the anonymous reviewers for their constructive comments, which have significantly improved the quality of this work.
References
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Arini, P. D., Utami, I., ST, S., Keb, M., & Mufdlilah, S. S. T. (2020). Literature Review of the Relationship between Knowledge about Menstruation and Anxiety of Adolescent Girls Facing Menarche.
-
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Anxiety Levels in Facing Menarche among 4th and 5th Grade Students of SDI Darul Hikmah Krian Sidoarjo. Nurse
and Health: Journal of Nursing, 7(1), 80-85.
-
Azwar, S. (2010). Research Methods. Yogyakarta: Pustaka Pelajar Offset.
-
Canelón, S. P., & Boland, M. R. (2020). a Systematic Literature Review of Factors Affecting the Timing of Menarche: the Potential for Climate Change to Impact Women’s Health. International journal of environmental research and public health, 17(5), 1703.
-
Darsini, D., Fahrurrozi, F., & Cahyono, E. A. (2019). Knowledge; review article. Journal of Nursing, 12(1), 13-13.
-
Desi, F. (2016). Factors associated with Anxiety Level of Adolescent Girls When Experiencing Menarche at SMP
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-
Dewi, C. F., & Khusnal, E. (2017). The relationship between knowledge and readiness to face menstruation in 5th grade students at Muhammadiyah Wirobrajan 3 Yogyakarta Elementary School (Doctoral dissertation, Aisyiyah
Yogyakarta University).
-
Devilawati, A. (2020). Relationship between Stress Level and Menstrual Cycle. Journal of 'Aisyiyah Medika, 5(2).
-
Diananda, A. (2019). Adolescent psychology and its problems. ISTIGHNA: Journal of Education and Islamic
Thought, 1(1), 116-133.
-
Ertiana, D., & Zain, S. (2023). Education and knowledge of mothers about nutrition in relation to the nutritional
status of toddlers. Journal of Ilkes (Health Sciences), 14(1), 3.
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Fauziah, N. A. (2022). Relationship between Knowledge and Attitude with Personal Hygiene during Menstruation
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Hayati, F., & Gustina, G. (2020). Relationship between Knowledge and Anxiety Level of Adolescent Girls Facing
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-
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Khaulani, F., Neviyarni, S., & Irdamurni, I.(2020).Developmental phases and tasks of elementary school children.
Scientific Journal of Basic Education, 7(1), 51-59.
-
Latifah, H., & Ratnaningsih, D. (2016).Level of Knowledge about Puberty in Class VIII Adolescent Girls at SMP
Muhammadiyah III Depok Sleman. Journal of Permata Indonesia, 7(1).
-
Leone, T., & Brown, L. J. (2020).Timing and determinants of age at menarche in low-income and middle-income
countries.BMJ Global Health, 5(12), e003689.
-
Martinez, G. M. (2020). Trends and patterns in menarche in the United States:1995 through 2013-2017.
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Mulyani, R. (2019). The Relationship between Nutritional Status and Maternal Menarche History with Age of
Menarche in Junior High School Students in Bandar Lampung. Sai Betik Nursing Scientific Journal, 14(2), 187-193.
-
Mukhoirotin, M., & Taufik, M. L. (2016). The relationship between knowledge and family support with menarche
anxiety in adolescent girls. Journal of Holistic Nursing Science, 3(2), 8-16.
-
Nadila, S. S. (2023). Factors Associated with Anxiety Level in Facing Menarche in Students at SDI Teladan Al-
Hidayah 1 South Jakarta (Doctoral dissertation, National University).
-
Nainggolan, E., & Tambunan, D. (2013). Parents' anxiety level facing adolescent behavior change during puberty
in Balige 3 village. Journal of nursing HKBP Balige, 1(1), 82-90.
-
Nazariana, S. (2017). The relationship between knowledge about menstruation and adolescent anxiety in facing
first menstruation (menarche).
-
Nggarang, B. N., & Jahum, G. (2019). The Relationship between Family Support and Anxiety in Class VII
Adolescent Girls in Facing Menarche at Widya Bhakti Ruteng Junior High School. Health Insights, 4(2), 81-90.
-
Nixon (2016).Reminiscence Therapy: Solution Approach as a Nursing Action Effort in Reducing Anxiety, Stress
and Depression. Jakarta: Trans Info Media
-
Notoatmodjo, S. (2010). Health Research Methodology. Jakarta: Rineka Cipta
-
Novitarum, L., Pujiastuti, M., Karo, M. B., & Sihotang, Q. G. (2022). The Relationship between the Level of Knowledge
About Menstruation and Anxiety of Class Viii Adolescent Girls at Smp Negeri 3 Pematang Siantar in 2021. Journal
of Darma Agung Husada, 9(2), 1-9.
-
Nurmaularni, N., & Rahmi, K. H. (2023). The Relationship Between Sex Education and Anxiety Facing Menarche In
Early Adolescent Girls In Bekasi City. Tambusai Health Journal, 4(3), 4186-4193.
-
Nurravni, V., Susilawati and Haryani, H. (2021). The Relationship between Adolescent Girls' Knowledge about
Menarche and Anxiety Facing Menarche at SD Negeri 1 Pasirhalang, Sukaraja Health Center Work Area,
Sukabumi Regency, Journal of Health Sciences Karya Bunda Husada, 7(2), pp. 24 - 32.
-
Orringer, K., & Gahagan, S. (2010). Adolescent girls define menstruation: A multiethnic exploratory study. Health
care for women international, 31(9), 831-847.
-
Parwata, K. Y. L., Sudiatmika, A. A. I. A. R., & Devi, N. L. P. L. (2018). The Influence of Peers, Parents, and Teachers on
Learning Problems of Superior Children. Journal of Indonesian Science Education and Learning (JPPSI), 1(1), 1-11.
-
Purwanti, I. T. A. (2021). The Relationship between Knowledge Level and Anxiety in Adolescent Girls Experiencing
Premenstrual Syndrome in Rw 01 Tegalarum Pati Village (Doctoral dissertation, Sultan Agung Islamic University
Semarang).
-
Putri, D. M. F. S. (2023). The Relationship between the Level of Knowledge About Menstruation with the Anxiety
Level of Early Adolescent Girls in Facing Menarche at Sd Saraswati Tabanan. Medika Usada Journal, 6(1), 39-46.
-
Prayuni, E. D., Imandiri, A., & Adianti, M. (2019). Therapy for Irregular Menstruation with Acupunture and Herbal
Pegagan (Centella Asiatica (L.)). Journal of Vocational Health Studies, 2(2), 86-91.
-
Proverawati, A., & Misaroh, S. (2009). Menarche first menstruation full of meaning. Yogyakarta: Nuha Medika, 144.
-
Abadi, D. R., Dewi, A. P., & Nurchayati, S. (2015). Relationship between Family Support and Anxiety Level of
Adolescent Girls in Facing Menarche. Jom, 2(2), 1007-1017
-
Ratnasari, R. (2019). Knowledge of Early Adolescents in Facing Menarch. Indonesian Journal for Health Sciences,
2(2), 129-134.
-
Retnaningsih, D., Wulandari, P., & Afriana, V. H. (2018). Readiness to Face Menarche with Anxiety Level in School-
Age Children. Kusuma Husada Health Journal, 57-64.
-
Santrock, .J W. (2012). Adolescence Adolescent Development. Jakarta: Erlangga.
-
Seo, M. Y., Kim, S. H., Juul, A., & Park, M. J. (2020). Trend of menarcheal age among Korean girls. Journal of Korean
Medical Science, 35(49).
-
Sevi Budiati, A., & Apriliastuti, D. A. (2012). The relationship between the level of maternal knowledge about
adolescent reproductive health and children's readiness to face puberty. Journal of Midwifery.
-
Sholicha, M., Setiyawati, N., & Hernayanti, M. M. R. (2020).
-
Characteristics and knowledge level of menarche in junior high school students at Depok 1 (Doctoral
dissertation, Poltekkes Kemenkes Yogyakarta).
-
Siregar, S. A. (2021). The Relationship between Adolescent Girls' Knowledge and Anxiety at Menarche at Smp Ar-
Rahman in 2021.Evidence Based Journal, 2(3), 49-54.
-
Stuart, G. W. (2006). Handbook of mental nursing.Egc.
-
Suarni, L. (2020).Description of the Anxiety Level of Adolescent Girls Experiencing Menarch at Kholisaturrahmi
Integrated Islamic Junior High School in Binjai. JUMANTIK (Scientific Journal of Health Research), 5(1), 46-55.
-
Sulung, N., & Yellisia, M. (2018).Factors associated with menarche at seventh grade students in junior high
school. Journal of Human Care, 2(3), 1-13.
-
Sugiyono, D. (2013).Educational research methods quantitative, qualitative and R&D approaches.
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