Factors Associated with Increased Pain in Primary Dysmenorrhea: Analysis Using a Multivariate Ordered Logistic Regression Model
Por:
Tomás-Rodríguez MI, Palazon A, Martínez-St John DR, Navarro-Cremades F, Toledo-Marhuenda JV and Gil V
Publicada:
1 abr 2017
Resumen:
Study Objective: In the literature about primary dysmenorrhea (PD), either a pain gradient has been studied just in women with PD or pain was assessed as a binary variable (presence or absence). Accordingly, we decided to carry out a study in young women to determine possible factors associated with intense pain.
Design: A cross-sectional observational study.
Setting: A Spanish University in 2016.
Participants: A total of 306 women, aged 18-30 years.
Interventions: A questionnaire was filled in by the participants to assess associated factors with dysmenorrhoea.
Main Outcome Measures: Our outcome measure was the Andersch and Milsom scale (grade from 0 to 3). Definition: grade 0 (menstruation is not painful and daily activity is unaffected), grade 1 (menstruation is painful but seldom inhibits normal activity, analgesics are seldom required, and mild pain), grade 2 (daily activity affected, analgesics required and give relief so that absence from work or school is unusual, and moderate pain), and grade 3 (activity clearly inhibited, poor effect of analgesics, vegetative symptoms and severe pain).
Results: Factors significantly associated with more extreme pain: a higher menstrual flow (odds ratio [OR], 2.11; P < .001), a worse quality of life (OR, 0.97; P < .001) and use of medication for PD (OR, 8.22; P < .001).
Conclusion: We determined factors associated with extreme pain in PD in a novel way. Further studies are required to corroborate our results.
Filiaciones:
Tomás-Rodríguez MI:
Department of Pathology and Surgery, Miguel Hernández University, San Juan de Alicante, Alicante, Spain
Palazon A:
Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain
Research Unit, Elda General University Hospital, Elda, Alicante, Spain
Martínez-St John DR:
Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain
Navarro-Cremades F:
Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain
Toledo-Marhuenda JV:
Department of Pathology and Surgery, Miguel Hernández University, San Juan de Alicante, Alicante, Spain
Gil V:
Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain
Research Unit, Elda General University Hospital, Elda, Alicante, Spain
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