Abstract

Objectives This study verifies the mediated effects of quality of life, and moderating effects on premenstrual coping methods, in respect of Premenstrual Syndrome and attitudes towards menstruation. Methods 376 adult women in their 20s and 30s in Busan and Gyeongsangbuk-do were tested to measure premenstrual syndrome and related variables, and analyzed using Hayes' (2013) PROCESS Model 5. This model includes both indirect and controlled direct effects, and the indirect effect on the relationship between the preceding variable and the outcome variable was verified by brush wrapping, and the controlled direct effect was verified the interaction significance of the preceding variable and the control variable. Results First, the indirect effects of quality of life were examined in relation to premenstrual syndrome and attitudes towards menstruation. Second, the negative effect of premenstrual syndrome on attitudes toward menstruation showed that adjusting energy and self-care methods had moderating effects among premenstrual coping methods. However, avoiding harm, awarensess and acceptance of premenstrual change, and communication methods did not show any moderating effect. Conclusions This means that premenstrual syndrome affects the attitude towards menstruation through the quality of life. Among the premenstrual coping methods, passive coping does not reduce the negative effect of premenstrual syndrome on attitudes toward menstruation, and it means that active coping methods can reduce the negative effect of premenstrual syndrome on attitudes toward menstruation. In particular, it means that it is more effective to respond more actively, such as exercise or relaxation training, to directly alleviate symptoms rather than simply being aware of premenstrual changes. Finally, this study discussed the significance and limitations of this study and recommendations for further study.

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