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http://dx.doi.org/10.4069/kjwhn.2020.09.10

Do depression, fatigue, and body esteem influence premenstrual symptoms in nursing students?  

Lee, Eun Joo (Department of Nursing, Kyungnam University)
Yang, Seung Kyoung (Department of Nursing, Kyungnam University)
Publication Information
Women's Health Nursing / v.26, no.3, 2020 , pp. 231-239 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate factors affecting premenstrual symptoms among nursing students, focusing on depression, fatigue, and body esteem. Methods: The participants were 145 nursing students at a university located in Changwon, Korea. Data were collected from November 2 to November 30, 2019 using self-reported structured questionnaires, and analyzed using descriptive statistics, independent t-test, analysis of variance, Pearson correlation coefficients, and multiple regression analysis. Results: The mean item score for premenstrual symptoms was 2.52±0.92, indicating a low level. The mean score for depression was 16.05±7.72, and 15.2% of participants were found to be moderately depressed and 9.7% severely depressed. The mean item score for fatigue was 4.84±0.84, indicating a moderate level, and body esteem was 2.94±0.44, indicating a moderate level. The premenstrual symptoms of nursing students showed a statistically significant correlation with depression (r=-.58, p<.001), fatigue (r=.33, p<.001), and body esteem (r=-.28, p<.001). Factors impacting premenstrual symptoms of nursing students were depression (β=.47, p<.001), dysmenorrhea (β=-.18, p=.009), menstrual cycle irregularity (β=.17, p=.013), and body esteem (β=-.14, p=.038). The total explanatory power of these variables was 41.0%. Conclusion: Findings from this sample of nursing students suggest that intervention programs to relieve premenstrual symptoms should focus on depression, menstrual cycle irregularity, dysmenorrhea, and body esteem.
Keywords
Body image; Depression; Fatigue; Premenstrual syndrome; Nursing students;
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Times Cited By KSCI : 11  (Citation Analysis)
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1 Gim WS, Cha JH. Body-related values and consumer behavior: an exploratory study for scale development. Korean J Consumer Advert Psychol. 2006;7(3):455-485.
2 Jeon JH, Hwang SK. A structural equation modeling on premenstrual syndrome in adolescent girls. J Korean Acad Nurs. 2014;44(6):660-671. http://doi.org/10.4040/jkan.2014.44.6.660   DOI
3 Lee SR, Lim JY, Lee EJ, Jo YT, Ra CR. Preconception care and policy recommendations for unmarried women of childbearing age: focusing on medical service use and online reproductive health information. Sejong, KR: Korea Institute for Health and Social Affairs; 2014.
4 Jang HJ, Sung MH. Impact of menstrual attitudes, premenstrual syndrome, and stress response on quality of life among nursing students. Korean J Women Health Nurs. 2018;24(4):346-354. https://doi.org/10.4069/kjwhn.2018.24.4.346   DOI
5 Rapkin AJ, Akopians AL. Pathophysiology of premenstrual syndrome and premenstrual dysphoric disorder. Menopause Int. 2012;18(2):52-59. https://doi.org/10.1258/mi.2012.012014   DOI
6 Lee JY, Kim SM, Kang SH, Chung HG, Choi JH, So HS et al. Association of premenstrual syndrome and premenstrual dysphoric disorder with depression, sleep quality and sleep pattern in the Korean female high-school students. Anxiety Mood. 2016;12(2):113-118.
7 Jung GS, Oh HM, Choi IR. The influential factors on premenstrual syndrome college female. J Korea Acad Ind Coop Soc. 2014;15(5):3025-3036. https://doi.org/10.5762/KAIS.2014.15.5.3025   DOI
8 Lim H, Park Y. Differences in dietary intake and life-style of female college students in seoul with and without premenstrual syndrome. J Menopausal Med. 2010;16(3):153-161.
9 Kim MJ, Nam YS, Oh KS, Lee CM. Some important factors associated with premenstrual syndrome influence of exercise, menarche, and age on PMS. Korean J Growth Dev. 2003;11(2):13-26.
10 Park BY, Shim OS. Predictors of quality of life in nursing students and general college students. J Learn Cent Curric Instr. 2016;16(11):811-830. https://doi.org/10.22251/jlcci.2016.16.11.811
11 Kim KH, Yoon HS. Factors influencing sleep quality in nursing students and non nursing students. J Korean Acad Psychiatr Ment Health Nurs. 2013;22(4):320-329. https://doi.org/10.12934/jkpmhn.2013.22.4.320   DOI
12 Park MH, Hwang EH. Comparison of sleep quality, fatigue and depression among nursing students between school lessons and clinical practicum term. J Korean Soc Sch Community Health Edu. 2016;17(3):103-116.
13 Park SJ, Choi JY. Factors affecting clinical practice-related fatigue among nursing students. J Korea Content Assoc. 2016;16(2):456-466. https://doi.org/10.5392/JKCA.2016.16.02.456   DOI
14 Gim WS. Korean overall body esteem scale(KOBES): development, validation, and gender differences. Korean J Psychol Woman. 2007;12(2):231-253. http://doi.org/10.18205/kpa.2007.12.2.009
15 The American College of Obstetricians and Gynecologists. Premenstrual syndrome [Internet]. Washington, D.C: Author; 2015 [cited 2020 Jun 17]. Available from: https://www.acog.org/patient-resources/faqs/gynecologic-problems/premenstrual-syndrome
16 Direkvand-Moghadam A, Sayehmiri K, Delpisheh A, Kaikhavandi S. Epidemiology of premenstrual syndrome (PMS)-a systematic review and meta-analysis study. J Clin Diagn Res. 2014;8(2):106-109. https://doi.org/10.7860/jcdr/2014/ 8024.4021
17 Hong M, Park Y, Chen EY, Yun JW, Oh MH. Body esteem, stress, and health promoting behavior among korean adults in a community. Korean J Rehabil Nurs. 2017;20(1):61-68. https://doi.org/10.7587/kjrehn.2017.61   DOI
18 Ussher JM, Perz J. "I feel fat and ugly and hate myself": self-objectification through negative constructions of premenstrual embodiment. Fem Psychol. 2020;30(2):185-205. https://doi.org/10.1177/0959353519900196   DOI
19 Wang HJ, Kang MS, Oh SM. Influential factors on premenstrual syndrome in female college students. Korean Parent Child Health J. 2018;21(1):1-10.
20 Lee SJ, Lee EJ, An K. A relationship on body esteem, self esteem and eating behavior of nursing students. Asia-pacific J Multimed Serv Convert Art Humanity Social. 2019;9(6):527-539. https://doi.org/10.35873/ajmahs.2019.9.6.051
21 Moos RH. The development of a menstrual distress questionnaire. Psychosom Med. 1968;30(6):853-867. http://doi.org/10.1097/00006842-196811000-00006   DOI
22 Choi HJ, Kim BM, Kim JW, Kim JH, Oh HJ, Lee GE, et al. Factors associated with stress and menstrual attitude with premenstrual syndrome among nursing students. J Kyungpook Nurs Sci. 2018;22(2):26-34.
23 Kang DH. Influencing factors in premenstrual syndrome(PMS) among nursing students. J Digit Converg. 2017;15(3):277-286. https://doi.org/10.14400/JDC.2017.15.3.277   DOI
24 Yoon JW. Effects of perceived stress, ego-resilience on premenstrual syndrome in female college students. J Korean Content Assoc. 2019;19(3):405-415. https://doi.org/10.5392/JKCA.2019.19.03.405
25 Kim HW, Kwon MK. Study on the validity and reliability of MMDQ (Moos Menstrual Distress Questionnaire) among middle school students. Korean Parent Child Health J. 2004;7(2):111-120.
26 Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385-401. http://doi.org/10.1177/014662167700100306   DOI
27 Cho M, Kim K. Diagnostic validity of the CES-D(Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1993;32(3):381-399.
28 Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean J Psychol Health. 2001;6(1):59-76.
29 Schwartz JE, Jandorf L, Krupp LB. The measurement of fatigue: a new instrument. J Psychosom Res. 1993;37(7):753-762. https://doi.org/10.1016/0022-3999(93)90104-N   DOI
30 Byeon YS, Lee JI. Reliability and validity tests for the Fatigue Assessment Instrument (FAI). J Korean Acad Fund Nurs. 2004;11(2):220-225.