台中縣市高中職女學生之經前症候群與月經週期特徵、人格特質、及壓力生活事件之關係

The relationships of premenstrual syndrome with characteristics of menstrual cycles, personality traits, and stressful life events among female high school students in Taichung

辛佩旻(Pei-Min Hsin)

指導教授 ： 楊浩然

中山醫學大學/健康管理學院/公共衛生學系碩士班/碩士(2007年)

https://doi.org/10.6834/CSMU.2007.00017

摘要

研究目的：探討高中職女學生經前症候群之盛行率與症狀表現情形。並且探討月經週期特徵、人格特質及壓力生活事件對高中職女學生經前症候群之影響。
研究方法：本研究為橫斷式研究，利用便利取樣選取台中市兩所、台中縣兩所，共四所私立高級中學日間部高中、職一至三年級1607位女學生納入研究。每人填寫一系列關於牟氏經期不適問卷（The Moos Menstrual Distress Questionnaire, MDQ）、生活事件檢核表(Life Event Checklist, LEC)及艾氏少年人格量表(Junior Eysenck Personality Questionnaire, JEPQ)等問卷。所得資料以卡方檢定(Chi-Square test)、獨立樣本t檢定(t-test)及邏輯斯迴歸(logistic regression)進行分析。
研究結果：根據MDQ分數70分為切點，台中縣市高中職女學生經前症候群盛行率為68.5%。在月經來潮前7-10天，最常出現的十個症狀依序為：疲倦、想待在家?堙B不想參加社交活動、想賴在床上、情緒不穩、乳房脹痛、做事效率減低、腹部痙攣、全身酸痛、心緒不寧等症狀。影響經前症候群的因素，單變項邏輯斯迴歸的結果指出，高職生（OR = 1.41, 95% C.I. = 1.13-1.76）、家中經濟狀況差（OR = 1.56, 95% C.I. = 1.17-2.09）、母親教育程度低（OR = 1.69, 95% C.I. = 1.21-2.35）、月經週期不規則（OR = 1.51, 95% C.I. = 1.21-1.88）、月經量大（OR = 2.35, 95% C.I. = 1.31-4.22）、負向生活事件多（OR = 4.06, 95% C.I. = 2.74-6.00）、神經質分數高（OR = 3.97, 95% C.I. = 2.58-6.12）與精神病質分數高（OR = 1.81, 95% C.I. = 1.29-2.54）都有邊緣至顯著之差異。控制了所有自變項之干擾後，多變項邏輯斯迴歸的結果指出，母親教育程度愈低（OR = 1.62, 95% C.I. = 1.17-2.25）、月經不規則（OR = 1.40, 95% C.I. = 1.11-1.77）、月經量大（OR = 1.84, 95% C.I. = 1.00-3.36）、經歷越多負向生活事件（OR = 3.10, 95% C.I. = 2.03-4.73）及高程度神經質人格特質（OR = 3.06, 95% C.I. = 1.94-4.82）者，有經前症候群的危險性愈大。
結論：經前症候群在高中職女學生中是一個相當普遍之問題，其症狀表現以生理不適居多。影響經前症候群之因素除了生理層面之外，尚牽涉到人口學及心理社會因子的作用。未來相關之預防及介入計畫應注意此一族群經前症候群生理症狀表現之鑑別，並針對相關影響之因素作多方面的設計。

關鍵字

經前症候群 ； 月經週期特徵 ； 人格特質 ； 壓力生活事件

並列摘要

Objectives: This study aims at estimating the prevalence and examining the manifestation of symptoms of premenstrual syndrome（PMS）among female senior and vocational high school students. The relationships between characteristics of menstrual cycles, personality traits, stressful life events and PMSwere evaluated as well.
Methods: This study was cross-sectionally designed. A total number of 1607 female students were selected with convenient sampling from four senior and vocational high schools of Taichung County. Each participant completed a series of self-administered questionnaire, including The Moos Menstrual Distress Questionnaire (MDQ), Life Event Checklist (LEC), and Junior Eysenck Personality Questionnaire (JEPQ). All data were analyzed with Chi-Square test, t-test, and logistic regression.
Results: According to the cut-off of 70 scores of MDQ, the prevalence of PMS was 68.5%. The most common 10 PMS symptoms and related behaviors before 7-10 days of mense were fatigue, missed work, avoidance of social activities, bed rest, mood swings, breast tenderness, decreased efficiency, cramps, general aches and pains, and restlessness, respectively. Vocational high school students (OR = 1.41, 95% C.I. = 1.13-1.76), poor family economic status (OR = 1.56, 95% C.I. = 1.17-2.09), low education level of mother (OR = 1.69, 95% C.I. = 1.21-2.35), irregular cycle of mense (OR = 1.51, 95% C.I. = 1.21-1.88), more menstrual flow (OR = 2.35, 95% C.I. = 1.31-4.22), more negative life events (OR = 4.06, 95% C.I. = 2.74-6.00), high neuroticism score (OR = 3.97, 95% C.I. = 2.58-6.12), and high psychoticism score (OR = 1.81, 95% C.I. = 1.29-2.54) were more likely to have PMS. After controlling for possible factors, multiple logistic regression showed that low education level of mother (OR = 1.62, 95% C.I. = 1.17-2.25), irregular cycle of mense (OR = 1.40, 95% C.I. = 1.11-1.77), more menstrual flow (OR = 1.84, 95% C.I. = 1.00-3.36), more negative life events (OR = 3.10, 95% C.I. = 2.03-4.73), and neurotic personality (OR = 3.06, 95% C.I. = 1.94-4.82) were important variables of PMS.
Conclusion: PMS is a quite common problem in late adolescent females. It mainly manifests through physically discomfort. In addition, physical, demographic, and psychosocial factors all have their independent effects on the PMS. Related prevention or intervening plans in the future should focus on physical symptoms of PMS in this group and take above-mentioned factors into account.

並列關鍵字

premenstrual syndrome ； characteristics of menstrual cycles ； personality traits ； stressful life events

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