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Factors Associated with Increased Pain in Primary Dysmenorrhea: Analysis Using a Multivariate Ordered Logistic Regression Model.
J Pediatr Adolesc Gynecol. 2017 Apr; 30(2):199-202.JP

Abstract

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.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Tomás-Rodríguez MI
Department of Pathology and Surgery, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Palazón-Bru A
Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain; Research Unit, Elda General University Hospital, Elda, Alicante, Spain. Electronic address: antonio.pb23@gmail.com.
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-Guillén VF
Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain; Research Unit, Elda General University Hospital, Elda, Alicante, Spain.

MeSH

Activities of Daily LivingAdolescentAdultAnalgesicsCross-Sectional StudiesDysmenorrheaFemaleHumansLogistic ModelsMenstruationPain MeasurementPelvic PainQuality of LifeRisk FactorsSurveys and QuestionnairesUniversitiesYoung Adult

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

27693647

Citation

Tomás-Rodríguez, María I., et al. "Factors Associated With Increased Pain in Primary Dysmenorrhea: Analysis Using a Multivariate Ordered Logistic Regression Model." Journal of Pediatric and Adolescent Gynecology, vol. 30, no. 2, 2017, pp. 199-202.
Tomás-Rodríguez MI, Palazón-Bru A, Martínez-St John DR, et al. Factors Associated with Increased Pain in Primary Dysmenorrhea: Analysis Using a Multivariate Ordered Logistic Regression Model. J Pediatr Adolesc Gynecol. 2017;30(2):199-202.
Tomás-Rodríguez, M. I., Palazón-Bru, A., Martínez-St John, D. R., Navarro-Cremades, F., Toledo-Marhuenda, J. V., & Gil-Guillén, V. F. (2017). Factors Associated with Increased Pain in Primary Dysmenorrhea: Analysis Using a Multivariate Ordered Logistic Regression Model. Journal of Pediatric and Adolescent Gynecology, 30(2), 199-202. https://doi.org/10.1016/j.jpag.2016.09.007
Tomás-Rodríguez MI, et al. Factors Associated With Increased Pain in Primary Dysmenorrhea: Analysis Using a Multivariate Ordered Logistic Regression Model. J Pediatr Adolesc Gynecol. 2017;30(2):199-202. PubMed PMID: 27693647.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors Associated with Increased Pain in Primary Dysmenorrhea: Analysis Using a Multivariate Ordered Logistic Regression Model. AU - Tomás-Rodríguez,María I, AU - Palazón-Bru,Antonio, AU - Martínez-St John,Damian R J, AU - Navarro-Cremades,Felipe, AU - Toledo-Marhuenda,José V, AU - Gil-Guillén,Vicente F, Y1 - 2016/09/29/ PY - 2016/07/29/received PY - 2016/09/20/accepted PY - 2016/10/4/pubmed PY - 2017/6/8/medline PY - 2016/10/4/entrez KW - Dysmenorrhea KW - Menstruation KW - Women's health SP - 199 EP - 202 JF - Journal of pediatric and adolescent gynecology JO - J Pediatr Adolesc Gynecol VL - 30 IS - 2 N2 - 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. SN - 1873-4332 UR - https://www.unboundmedicine.com/medline/citation/27693647/Factors_Associated_with_Increased_Pain_in_Primary_Dysmenorrhea:_Analysis_Using_a_Multivariate_Ordered_Logistic_Regression_Model_ DB - PRIME DP - Unbound Medicine ER -