ABSTRACT
Background: Symptoms in the premenstrual period can be debilitating and troublesome and impacts the general health of women. There is a dearth of studies examining the relationship between sleep quality and premenstrual symptoms in women, especially in Indian settings. The current study was conducted with the aim of looking at the frequency of premenstrual syndrome (PMS) in different age groups and the association of these symptoms with sleep quality in nursing staff.Methods: The cross-sectional study involved 450 female nursing staff between 25- 50 years of age from various tertiary care hospitals who were administered the Premenstrual Tension Syndrome Rating Scale (PMTS) and Pittsburgh Sleep Quality Index (PSQI). The data was then statistically analyzed.Results: The prevalence of premenstrual symptoms was found to be 85.6% amongst the participants (according to the ACOG criteria), while the proportion of females suffering from PMS (according to DSM IVTR criteria) was 36.5%. A correlation analysis between total scores of PMTS and PSQI showed a positive, linear and significant association.Conclusions: The intensity of PMS was associated with reduction in sleep quality in present study. Further studies on PMS and sleep related parameters need to carry out in larger samples to give impetus to our findings.
ABSTRACT
Background and Objectives: Adolescence is a crucial phase of one’s life, given the physical andpsychological changes that occur during this phase. Number of adolescent suicides are on rise and a largenumber of adolescents report higher suicidal ideations during this phase. Suicide ideation involves thoughtsand cognitions about suicidal behavior. It involves thoughts related to desire, intent or method of committingsuicide. Research on suicide ideation has established strong links between depression and hopelessness withsuicidal thoughts and tendencies. Depressed adolescents are reported to be highly vulnerable to developsuicide ideations. In addition to depression and hopelessness, familial variables like support from parentsand emotional bonding with them is detrimental to such outcomes like suicide ideation. The present studythus aims to find depression, hopelessness, emotional autonomy and hardiness as predictors of suicideideation in adolescents.Methods: A sample of 400 adolescents (242 = Females and 158 = Males) in the age group of 15 – 22 (MeanAge = 18.36 years) years was taken. Beck Depression Inventory, Beck Hopelessness Scale, Personal ViewsSurvey, Emotional Autonomy Scale and Beck Scale for Suicide Ideation were used to collect the data. Thedata so obtained for the predictor variables was first factor analysed so as to obtain independent factors.Results: Results revealed single factor with high factor loadings on all the four predictor variables. The factorscores from this factor were further used in linear regression in order to predict suicide ideation inadolescents. Regression analysis revealed that the factor was a significant predictor of suicide ideation. Theobtained results have been elucidated.Conclusion: There is a very high prevalence of depression, anxiety and stress among interns working inMaharashtra which needs to be effectively dealt with on an urgent basis. The strong association of theprevalence of psychological illnesses with many factors and stressors faced by them will help us highlightthe contributory factors and suggest strategies to deal with them effectively at a personal, institutional andnational level.
ABSTRACT
OBJECTIVE: Characterization of headaches in premenstrual syndrome (PMS). Although headache is one of the symptoms for PMS, no details on this headache are given by the American College of Obstetrics and Gynecology (ACOG) criteria. METHOD: A group of 45 fertile age women presenting PMS were invited to complete a registration diary for headache and PMS symptoms for three consecutive months. The diary included details of each headache attack, allowing for classification according to the International Headache Society criteria (IHS-2004). RESULTS: Migraine without aura was the most common type of headache in PMS (n=27, 60 percent), followed by tension type headache (n=15, 30 percent). Only in two cases the type of headache varied among the observed months, and only in one case the diagnosis could not be concluded by the IHS-2004 criteria. CONCLUSION: Better clinical and therapeutic approach to headache in PMS can be achieved if the patient's type of headache could be properly characterized.
OBJETIVO: Caracterização das cefaléias na síndrome da tensão pré-menstrual (TPM). Embora cefaléia seja um dos sintomas associados à TPM, não são fornecidos detalhes sobre esta dor pelos critérios do American College of Obstetrics and Gynecology (ACOG). MÉTODO: Um grupo de 45 mulheres em idade fértil apresentando TPM foi convidado a preencher um diário de registro de cefaléia e dos sintomas de TPM por três meses consecutivos. O diário incluía detalhes de cada crise de cefaléia, permitindo classificação de acordo com os critérios da International Headache Society (IHS-2004). RESULTADOS: Enxaqueca sem aura foi a forma mais freqüente de cefaléia na TPM (n=27, 60 por cento), seguida de cefaléia tipo tensional (n=15, 30 por cento). Em apenas dois casos a cefaléia variou entre os meses observados e em apenas um caso o diagnóstico não pôde ser conclusivo pelos critérios da IHS-2004. CONCLUSÃO: Melhor manejo clínico e terapêutico pode ser obtido na cefaléia da TPM se o tipo de cefaléia apresentado pela paciente puder ser adequadamente caracterizado.