The Association between the Severity of Dysmenorrhea and Psychological Distress of Women Working in Central Tokyo—A Preliminary Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Procedures and Participants
2.2. Measurements
2.2.1. Dysmenorrhea
2.2.2. Psychological Distress
2.2.3. Job Stressors
2.2.4. Covariates
2.3. Statistical Analyses
3. Results
3.1. Characteristics of the Study Participants
3.2. Severity of Dysmenorrhea and Psychological Distress
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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All (n = 281) | None/Mild (n = 236, 81.7%) | Moderate/Severe (n = 53, 18.3%) | p Value * | |||||
---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | |||
Age (years) | Mean(SD) | 34.8 (8.0) | 35.5 (8.1) | 31.9 (6.8) | 0.08 | |||
20–24 | 18 | 6.2 | 11 | 4.7 | 7 | 13.2 | ||
25–29 | 78 | 27.0 | 60 | 25.4 | 18 | 34.0 | ||
30–34 | 63 | 21.8 | 52 | 22.0 | 11 | 20.8 | ||
35–39 | 43 | 14.9 | 34 | 14.4 | 9 | 17.0 | ||
40–44 | 49 | 17.0 | 44 | 18.6 | 5 | 9.4 | ||
24–49 | 26 | 9.0 | 24 | 10.2 | 2 | 3.8 | ||
50–61 | 12 | 4.2 | 11 | 4.7 | 1 | 1.9 | ||
BMI | <18.5 | 45 | 15.7 | 38 | 16.1 | 7 | 13.2 | 0.72 |
18.5–24.9 | 223 | 77.2 | 182 | 77.1 | 41 | 77.4 | ||
≥25 | 21 | 7.3 | 16 | 6.8 | 5 | 9.4 | ||
Academic background | University graduate | 245 | 84.8 | 196 | 83.1 | 49 | 92.5 | 0.09 |
Other | 44 | 15.2 | 40 | 17.0 | 4 | 7.6 | ||
History of pregnancy | Yes | 79 | 27.3 | 66 | 28.0 | 13 | 24.5 | 0.61 |
No | 210 | 72.7 | 170 | 72.0 | 40 | 75.5 | ||
Marital status | Married | 105 | 36.3 | 90 | 38.1 | 15 | 28.3 | 0.18 |
Unmarried | 184 | 63.7 | 146 | 61.9 | 38 | 71.7 | ||
Number of children given birth | 0 | 225 | 77.9 | 181 | 76.7 | 44 | 83.0 | 0.147 |
1 | 34 | 11.8 | 26 | 11.0 | 8 | 15.1 | ||
2 | 27 | 9.3 | 26 | 11.0 | 1 | 1.9 | ||
3 | 3 | 1.0 | 3 | 1.3 | 0 | 0.0 | ||
Menstrual cycle(days) | 24≥ | 10 | 3.5 | 10 | 4.2 | 0 | 0.0 | 0.24 |
25–38 | 224 | 77.5 | 177 | 75.0 | 47 | 88.7 | ||
≥39– | 2 | 0.7 | 2 | 0.9 | 0 | 0.0 | ||
Irregularity | 33 | 11.4 | 29 | 12.3 | 4 | 7.6 | ||
No answer | 20 | 6.9 | 18 | 7.6 | 2 | 3.8 | ||
Menstrual flow | Heavy | 31 | 10.7 | 22 | 9.3 | 9 | 17.0 | <0.05 |
Normal | 207 | 71.6 | 166 | 70.3 | 41 | 77.4 | ||
Low | 40 | 13.8 | 38 | 16.1 | 2 | 3.8 | ||
No answer | 11 | 3.8 | 10 | 4.2 | 1 | 1.9 | ||
Physical symptoms of PMS | Moderate/severe | 51 | 17.7 | 20 | 8.5 | 31 | 58.5 | <0.001 |
None/mild | 238 | 82.4 | 216 | 91.5 | 22 | 41.5 | ||
Psychological symptoms of PMS | Moderate/severe | 41 | 14.2 | 21 | 8.9 | 20 | 37.7 | <0.001 |
None/mild | 248 | 85.8 | 215 | 91.1 | 33 | 62.3 | ||
Taking oral contraceptive pill | Yes | 42 | 14.5 | 33 | 14.0 | 9 | 17.0 | 0.58 |
No | 247 | 85.5 | 203 | 86.0 | 44 | 83.0 | ||
Gynecological disorder | Yes | 84 | 29.1 | 69 | 29.2 | 15 | 28.3 | 0.89 |
No | 205 | 70.9 | 167 | 70.8 | 38 | 71.7 | ||
Anemia and blood iron status | Normal | 216 | 74.7 | 176 | 74.6 | 40 | 75.5 | 0.57 |
Anemia with iron deficiency | 41 | 14.2 | 32 | 13.6 | 9 | 17.0 | ||
Anemia without iron deficiency | 7 | 2.4 | 7 | 3.0 | 0 | 0.0 | ||
Iron deficiency without anemia | 25 | 8.7 | 21 | 8.9 | 4 | 7.6 | ||
Experience of seeing obstetricians and gynecologists | Yes | 173 | 59.9 | 131 | 55.5 | 42 | 79.3 | <0.05 |
No | 116 | 40.1 | 105 | 44.5 | 11 | 20.8 | ||
Knowledge of dysmenorrhea | Knowledge of symptoms | 144 | 49.8 | 109 | 46.2 | 35 | 66.0 | <0.05 |
No knowledge of symptoms | 145 | 50.2 | 127 | 53.8 | 18 | 34.0 | ||
Occupation | Clerical job | 177 | 61.3 | 147 | 62.3 | 30 | 56.6 | 0.63 |
Service job | 14 | 4.8 | 10 | 4.2 | 4 | 7.6 | ||
Professional job | 57 | 19.7 | 46 | 19.5 | 11 | 20.8 | ||
Management job | 39 | 13.5 | 32 | 13.6 | 7 | 13.2 | ||
Others | 2 | 0.7 | 1 | 0.4 | 1 | 0.4 | ||
Working hours | −7 | 8 | 2.8 | 6 | 2.5 | 2 | 3.8 | 0.21 |
7–8 | 21 | 7.3 | 18 | 7.6 | 3 | 5.7 | ||
8–9 | 70 | 24.2 | 61 | 25.9 | 9 | 17.0 | ||
9–10 | 88 | 30.5 | 65 | 27.5 | 23 | 43.4 | ||
10– | 102 | 35.3 | 86 | 36.4 | 16 | 30.2 | ||
Sleeping hours | −5 | 12 | 4.2 | 10 | 4.2 | 2 | 3.8 | 0.92 |
5–6 | 48 | 16.6 | 38 | 16.1 | 10 | 18.9 | ||
6–7 | 107 | 37.0 | 87 | 36.9 | 20 | 37.7 | ||
7–8 | 95 | 32.9 | 80 | 33.9 | 15 | 28.3 | ||
8– | 27 | 9.3 | 21 | 8.9 | 6 | 11.3 | ||
Job stressors | ||||||||
Quantitative job overload | Median (25th percentile, 75th percentile) | 3 (2.7, 3.3) | 3 (2.3, 3.3) | 3 (2.7,3.7) | 0.22 | |||
Qualitative job overload | 2.7 (2.3, 3.3) | 2.7(2.3, 3.3) | 3 (2.7, 3.3) | 0.08 | ||||
Job control | 3 (2.7, 3.3) | 3 (2.7, 3.3) | 3 (2.7, 3) | <0.05 | ||||
Psychological distress (K6 score) | 0–4 | 151 | 52.3 | 134 | 56.8 | 17 | 32.1 | <0.05 |
5–24 | 138 | 47.8 | 102 | 43.2 | 36 | 67.9 |
Variables | Value | Model 1 (Unadjusted) | Model 2 | Model 3 | Model 4 | Model 5 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
β | SE | p Value | β | SE | p Value | β | SE | p Value | β | SE | p Value | β | SE | p Value | ||
Dysmenorrhea | 0 = None/mild, 1 = Moderate/severe | 3.168 | 0.733 | <0.001 | 3.151 | 0.748 | <0.001 | 1.548 | 0.841 | 0.07 | 1.254 | 0.860 | 0.15 | 1.014 | 0.87 | 0.25 |
Age(years) | Primary Value | −0.012 | 0.037 | 0.748 | 0.027 | 0.038 | 0.49 | 0.046 | 0.039 | 0.24 | 0.035 | 0.044 | 0.42 | 0.04 | 0.043 | 0.36 |
BMI | Primary Value | 0.096 | 0.108 | 0.379 | 0.049 | 0.108 | 0.65 | −0.038 | 0.105 | 0.72 | −0.024 | 0.110 | 0.83 | −0.052 | 0.111 | 0.64 |
Marital status | 0 = Married, 1 = Unmariied | −1.009 | 0.605 | 0.097 | −0.920 | 0.615 | 0.14 | −0.72 | 0.592 | 0.23 | −0.297 | 0.649 | 0.65 | −0.169 | 0.651 | 0.80 |
Physical symptoms of PMS | 0 = None/mild, 1 = Moderate/severe | 3.234 | 0.743 | <0.001 | 1.125 | 0.851 | 0.19 | 1.002 | 0.872 | 0.25 | 0.998 | 0.869 | 0.25 | |||
Psychological symptoms of PMS | 0 = None/mild, 1 = Moderate/severe | 4.985 | 0.785 | <0.001 | 3.978 | 0.840 | <0.001 | 4.535 | 0.903 | <0.001 | 4.611 | 0.901 | <0.001 | |||
Experience of seeing obstetricians and gynecologists | 0 = No, 1 = Yes | 1.114 | 0.593 | 0.06 | 0.26 | 0.581 | 0.66 | 0.269 | 0.623 | 0.67 | 0.281 | 0.621 | 0.65 | |||
Knowledge of dysmenorrhea | 0 = None/mild, 1 = Moderate/severe | 0.522 | 0.584 | 0.37 | −0.373 | 0.567 | 0.51 | −0.402 | 0.600 | 0.50 | −0.449 | 0.599 | 0.45 | |||
Taking oral contraceptive pill | 0 = No, 1 = Yes | 1.672 | 0.824 | <0.05 | 1.378 | 0.834 | 0.10 | 1.517 | 0.872 | 0.08 | 1.622 | 0.871 | 0.06 | |||
Gynecological disorder | 0 = No, 1 = Yes | 1.176 | 0.641 | 0.07 | 1.011 | 0.627 | 0.11 | 1.521 | 0.681 | <0.05 | 1.542 | 0.679 | <0.05 | |||
Working hours | continuous | 0.018 | 0.131 | 0.89 | −0.005 | 0.134 | 0.97 | 0.004 | 0.133 | 0.98 | ||||||
Sleeping hours | Primary Value | −0.583 | 0.288 | <0.05 | −0.203 | 0.323 | 0.53 | −0.184 | 0.322 | 0.57 | ||||||
Job stressors | ||||||||||||||||
Quantitative job overload | Primary Value | 0.666 | 0.411 | 0.11 | 0.199 | 0.579 | 0.73 | |||||||||
Qualitative job overload | Primary Value | 0.994 | 0.507 | 0.05 | 0.517 | 0.617 | 0.40 | |||||||||
Job control | Primary Value | −2.504 | 0.491 | <0.001 | −1.939 | 0.496 | <0.001 | |||||||||
Interaction (dysmenorrhea × job control) | −2.119 | 1.32 | 0.11 | |||||||||||||
R2 | 0.070 | 0.177 | 0.290 | 0.298 | ||||||||||||
adjusted R2 | 0.057 | 0.147 | 0.243 | 0.249 | ||||||||||||
p value | <0.001 | <0.001 | <0.001 | <0.001 |
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Matsumura, K.; Tsuno, K.; Okamoto, M.; Takahashi, A.; Kurokawa, A.; Watanabe, Y.; Yoshida, H. The Association between the Severity of Dysmenorrhea and Psychological Distress of Women Working in Central Tokyo—A Preliminary Study. Int. J. Environ. Res. Public Health 2023, 20, 7021. https://doi.org/10.3390/ijerph20217021
Matsumura K, Tsuno K, Okamoto M, Takahashi A, Kurokawa A, Watanabe Y, Yoshida H. The Association between the Severity of Dysmenorrhea and Psychological Distress of Women Working in Central Tokyo—A Preliminary Study. International Journal of Environmental Research and Public Health. 2023; 20(21):7021. https://doi.org/10.3390/ijerph20217021
Chicago/Turabian StyleMatsumura, Kumi, Kanami Tsuno, Masumi Okamoto, Akiko Takahashi, Akio Kurokawa, Yuko Watanabe, and Honami Yoshida. 2023. "The Association between the Severity of Dysmenorrhea and Psychological Distress of Women Working in Central Tokyo—A Preliminary Study" International Journal of Environmental Research and Public Health 20, no. 21: 7021. https://doi.org/10.3390/ijerph20217021