premenstrual syndrome and its effect on quality of life of preclinical medical students
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Premenstrual syndrome and its effect on quality of life of preclinical medical students. Tenzin Thoesam Chinawat Phumchaisak Fasinee Arunrodpanya. 5 th Year Medical Students, Faculty of Medicine Naresuan University Hospital, Naresuan University, Thailand. Abbreviation. - PowerPoint PPT PresentationTRANSCRIPT
Premenstrual syndrome and its effect on quality of life
of preclinical medical students
Tenzin Thoesam
Chinawat Phumchaisak
Fasinee Arunrodpanya
5th Year Medical Students, Faculty of Medicine Naresuan University Hospital, Naresuan University, Thailand
Abbreviation
PMS: Premenstrual syndrome
WHOQOL: World Health Organization – Quality of life
QOL: Quality of life
PSST: Premenstrual Syndrome Screening Tool
BMI: Body Mass Index
Background
PMS was designated by Frank for the first time in 1931
A combination of psychological, physical and behavioral symptoms.
The severity of the syndrome can have a huge effect on the quality of life.
Background
Baskent University, Turkey concluded that 72.1% of their female medical students had PMS.
A report from Poland showed that 76.39% of the female population in reproductive age had PMS.
Siriraj Hospital, Mahidol University, Thailand found that 25.1% of the nurses working in the hospital had PMS.
Purpose
The purpose of the study was to identify the relationship between effect on quality of life and risk factors of PMS in preclinical medical students.
Methods
A cross sectional study.
Female Preclinical Medical Students of Faculty of Medicine, Naresuan University. 188 students
Questionnaire Basic information data. Severity of PMS. A Thai version of PSST.
Results
Basic information data
Symptoms of PMS
Quality of Life
PMS and its associated data
Basic information data
Risk factors Min Max Mean SDAge 17 30 20.75 3.35Body weight (kilograms) 35 76 51.55 7.17Height (centimeters) 149 176 161 0.05Body mass index (kg/m2) 14.57 30.83 19.89 2.38Menarche(years) 10 16 12.68 1.27
Table – 1 Age, Body weight, Height, BMI, Menarche
Basic information data
General and Gynecologic data Numbers PercentageExerciseํ� Yes 96 51.06 No 62 48.94Caffeineํ� Yes 71 37.77 No 117 62.23Alcohol consumption(more than 1 time / week) ํ� Yes 1 0.53 No 187 99.47Family history ํ� Yes 104 55.32 No 84 44.68
Table – 2 Exercise, Caffeine, Alcohol beverage, Family history of PMS
Symptoms of PMS
Symptoms of PMS
Symptoms of PMS
Severity Numbers PercentageNo symptoms to mild symptoms 43 22.87Moderate to severe symptoms 145 77.13
Table – 5 The prevalence of PMS
Quality of Life
Quality of Life Numbers
Percentage
Poor 0 0.00Neither poor nor good 88 46.81Good 100 53.19
Table – 6 Quality of Life
Quality of Life
Part Numbers PercentagePhysicalํ� Poor 96 51.06 Not poor 92 48.94Psychologicalํ� Poor 71 37.77 Not poor 117 62.23Socialํ� Poor 1 0.53 Not poor 187 99.47Environmentalํ� Poor 104 55.32 Not poor 84 44.68
Table – 7 The quality of life divided in each part
Quality of Life
Part Min Max Average SD
Over view part 68 127 95.97
11.15
Physical part 15 30 22.09 2.98
Psychological part 14 30 22.70 3.12
Social part 6 15 11.49 1.63
Environmental part 16 39 28.30 4.24
Table – 8 The quality of life score divided in each part.
The Association of PMS and Quality of Life
score Quality of Life score No symptoms to mild
symptomsModerate to severe
symptomsOver view part
Mean SD 95% Confidence Interval P-Value
97.5010.87
95.72 – 99.290.0005
90.8110.66
87.53 – 94.090.0005
Physical part
Mean SD 95% Confidence Interval P-Value
22.632.85
22.16 – 23.100.0000
20.282.71
19.44 – 21.110.0000
The Association of PMS and Quality of Life
score Quality of Life score Not have symptom to mild
symptomsModerate to severe
symptoms
Psychological Mean SD 95% Confidence Interval P-Value
23.102.93
22.62 – 23.580.0013
21.373.38
20.33 – 22.410.0013
Social Mean SD 95% Confidence Interval P-Value
11.651.58
11.39 – 11.910.0175
10.981.71
10.45 – 11.500.0175
The Association of PMS and Quality of Life
score Quality of Life score Not have symptom to mild
symptomsModerate to severe
symptoms
Environmental Mean SD 95% Confidence Interval P-Value
28.634.29
27.92 – 29.330.0537
27.213.92
26.00 – 28.420.0537
The association of risk factors and moderate to severe symptoms of PMS
Risk factors Odds Ratio
95% Confiden
ce Interval
P - Value
Age 0.95 0.85 – 1.07 0.387
BMI 0.94 0.80 – 1.10 0.434
Menarche 0.85 0.63 – 1.14 0.272
Exercise 0.88 0.43 – 1.79 0.721
Caffeine 1.26 0.62 – 2.58 0.518
Family history of PMS 2.20 1.06 –
4.58 0.035
Discussion
There were 188 participants in this study, 22.8% have been found to be having premenstrual syndrome (PMS).
This study found that maternal history of PMS greatly affected in the occurrence of PMS and thereby caused an increased prevalence of PMS in our participants.
Discussion
Other risk factors found to be of influence on the prevalence of PMS:AgeBMI Age of menachyexerciseCoffee consumption
However,in this study, we found no evident relationship between PMS and these factors in our participants.
Discussion
PMS was found to be significantly affecting the overall quality of life score, especially, Physical part Psychological part Social part
However, Environmental part was not found to be affected.
Conclusion
PMS affects daily life of women.
Many women pay no attention to this syndrome.
Women should know more about PMS and be given proper management.
This syndrome should be evaluated more for its causes and prevention of it will be important.
Acknowledgement
Professor Supasit, M.D. The Dean of Faculty of Medicine, Naresuan University, Phitsanulok, Thailand.
Non, M.D. Head of Dept. of Community Family and Occupational Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand.
Surachai Dejarkom, M.D. Dept. of Obstetrics and Gynecology, Faculty of Medicine Naresuan University Hospital, Naresuan University, Phitsanulok, Thailand.
Suwit, M.D. Dept. of Community Family and Occupational Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand.
Staffs of the Dept. of Community Family and Occupational Medicine.
Preclinical medical students of Faculty of Medicine, Naresuan University.
References
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