Pain In Adolescent Girls Research Articles

INFLUENCE OF DYSMENORRHEA GYMNASTIC ON MENSTRUAL PAIN TO 8TH GRADE STUDENTS OF SMPN 2 SOOKO DISTRICT MOJOKERTO

Light exercises (gymnastics) are highly recommended to reduce dysmenorrhea but during this adolescent only use medical therapy drugs to reduce the pain felt. The purpose of this study to determine the effect of dismal gymnastics on menstrual pain in adolescent girls 8th grade of SMPN 2 Sooko Mojokerto regency. The research design is Pre-Experimental Design with Static Group Comparison approach. The research variables are dysmenorrhea gymnastic as independent variable and dysmenorrhea pain as the dependent variable. The study population is all students of 8th grade who experienced menstrual pain in SMPN 2 Sooko as many as 54 people. A sample of 48 students taken with cluster sampling technique. Data were collected with pain scale observation sheets, and the results were tested with the Wilcoxon test. The results of Wilcoxon test showed that there was the influence of discharging gymnastics on menstrual pain in 8th grade of SMPN 2 Sooko Mojokerto. which is indicated by ρ = 0,000 and α = 0,05 so that ρ <α then H0 is rejected and H1 is accepted. Gymnastics dysmenorrhea with several movements that can provide a sense of comfort and calm so that it can affect the response of pain experienced by respondents. Students are expected to apply dysmenorrhea gymnastics to be able to relieve the pain of dysmenorrhea pain experienced so that the pain experienced can be reduced and respondents not only rely on pharmacological drugs in reducing the pain experienced.

INFLUENCE OF DYSMENORRHEA GYMNASTIC ON MENSTRUAL PAIN TO 8TH GRADE STUDENTS OF SMPN 2 SOOKO DISTRICT MOJOKERTO

Light exercises (gymnastics) are highly recommended to reduce dysmenorrhea but during this adolescent only use medical therapy drugs to reduce the pain felt. The purpose of this study to determine the effect of dismal gymnastics on menstrual pain in adolescent girls 8th grade of SMPN 2 Sooko Mojokerto regency. The research design is Pre-Experimental Design with Static Group Comparison approach. The research variables are dysmenorrhea gymnastic as independent variable and dysmenorrhea pain as the dependent variable. The study population is all students of 8th grade who experienced menstrual pain in SMPN 2 Sooko as many as 54 people. A sample of 48 students taken with cluster sampling technique. Data were collected with pain scale observation sheets, and the results were tested with the Wilcoxon test. The results of Wilcoxon test showed that there was the influence of discharging gymnastics on menstrual pain in 8th grade of SMPN 2 Sooko Mojokerto. which is indicated by ρ = 0,000 and α = 0,05 so that ρ <α then H0 is rejected and H1 is accepted. Gymnastics dysmenorrhea with several movements that can provide a sense of comfort and calm so that it can affect the response of pain experienced by respondents. Students are expected to apply dysmenorrhea gymnastics to be able to relieve the pain of dysmenorrhea pain experienced so that the pain experienced can be reduced and respondents not only rely on pharmacological drugs in reducing the pain experienced.

Pengurangan Nyeri Dismenore Primer pada Remaja Putri dengan Kompres Hangat

<p><strong><em>Background</em></strong><strong><em>:</em></strong><em> The incidence of dysmenorrhea in the world is very high. On average more than 50% of women in each country experience dysmenorrhea. </em><strong><em>Purpose:</em></strong><em>: This study aims to determine the effect of warm compresses on reducing primary dysmenorrhea pain in adolescent girls at SMA Negeri 4 Metro City in 2017. <strong>Methods:</strong> This research study is a one group pretest posttest design experiment conducted in April 2017. Warm compresses as a variable intervention and pain dysmenorrhea as effect variables. The study population was all young women who experienced primary dysmenorrhea with a sample of 23 people taken by consecutive sampling technique. Data collection by observation. Bivariate analysis using non parametric dependent statistical tests with Wilcoxon test. <strong>Results:</strong> The results showed the average of primary dysmenorrhea pain before a warm compress with a scale of 7.48, after a warm compress with a scale of 4.74 and there is an effect of a warm compress on the reduction of primary dysmenorrhea pain. <strong>Conclusions:</strong> The study conclusions there is a reduction in primary dysmenorrhea with warm compresses. The need for young women to use warm compresses as a way to treat primary dysmenorrhea early.</em></p>

Relationship between pubertal timing and chronic nonspecific pain in adolescent girls: the Young-HUNT3 study (2006-2008).

The aim of this study was to examine a possible relationship between early puberty and chronic nonspecific pain in 13- to 18-year-old girls. All adolescents in Nord-Trøndelag County, Norway, were invited to participate in the Young-HUNT3 study (2006-2008). Of the invited girls, 81% answered the questionnaire and of these 3982 were 13 to 18 years of age. Menarche and perceived physical maturation were used as exposure measures. Early menarche was defined as <12 years, normal menarche as ≥12 and <14 years, and late menarche as ≥14 years. Perceived physical maturation was divided into maturing earlier, the same or later than others of their own age. The main outcome measure was chronic nonspecific pain, defined as pain in at least one location not related to any known disease or injury, for at least once a week during the last 3 months. The median age at menarche was 13.2 years. Chronic nonspecific pain was more prevalent among girls with early menarche (68%, 95% CI: 64%-72%) compared to girls with either normal (55%, 95% CI: 53%-57%), late (50%, 95% CI: 46%-54%), or no menarche (35%, 95% CI: 29%-40%). The association persisted after adjusting for age, body mass index, socioeconomic factors, and anxiety and depression. A similar association was found between girls that perceived themselves as earlier physically matured than their peers and chronic nonspecific pain. Headache/migraine was the most common type of chronic nonspecific pain regardless of menarcheal age. In all reported locations, pain was more prevalent in the group with early menarche compared to normal or late menarche.

Anxiety Mediates the Relation Between Childhood Sexual Abuse and Genito-Pelvic Pain in Adolescent Girls

Previous research has demonstrated associations between child sexual abuse, anxiety, and genito-pelvic pain, but no study to date has examined whether sexual abuse may be associated with genito-pelvic pain through victims' elevated anxiety. The present study aimed to determine whether anxiety mediates the relationship between child sexual abuse and genito-pelvic pain. Using self-report questionnaires, data were gathered from 218 sexually active adolescent girls recruited from seven metropolitan high schools. As expected, results revealed a significant indirect effect of sexual abuse on the development of genito-pelvic pain through trait anxiety. This study thus suggests that anxiety may be one of the mechanisms by which child sexual abuse leads to an increased risk of developing genito-pelvic pain in this population.

Determining the Association between Dairy Intake and Pain in Adolescent Girls with Endometriosis

Determining the Association between Dairy Intake and Pain in Adolescent Girls with Endometriosis

Prevalence of back pain among high school students in a municipality in southern Brazil

Abstract Objective: To estimate the prevalence of back pain in adolescent girls, and determine whether this pain is associated with socioeconomic, demographic, anthropometric, and behavioral factors. Methods: This was an epidemiological survey with a representative sample of 495 female high school students, aged 14 to 18 years, in the municipality of São Leopoldo in the southern Brazilian state of Rio Grande do Sul. Data were collected through a self-administered questionnaire with closed, standardized, coded, and tested questions. Bivariate analysis included the chi-square test (x2) and calculation of prevalence ratios (α&lt;0.05). Results: The prevalence of back pain was 75.2%. The thoracic-lumbar (30.4%) and lumbar (27.7%) regions of the spine were most affected. Among the students with pain, 60.5% reported the severity of their pain to be moderate to severe, and 21.2% reported that the pain prevented them from performing activities of daily living. Regarding associated factors, the pain was more prevalent in overweight/obese students (RP = 1.246, 95% CI: 1.137 to 1.366), who reported carrying a heavy school backpack/bag (PR = 1.187, 95% CI: 1.073 to 1.314) and those who had incorrect posture when picking up objects from the floor (PR = 1.138, 95% CI: 1.031 to 1.256). Conclusions: There was a high prevalence of back pain associated with body mass index, reported weight of the student's school backpack/bag, and posture when picking up objects from the floor.

What we know about primary dysmenorrhea today: a critical review.

Primary dysmenorrhea, or painful menstruation in the absence of pelvic pathology, is a common, and often debilitating, gynecological condition that affects between 45 and 95% of menstruating women. Despite the high prevalence, dysmenorrhea is often poorly treated, and even disregarded, by health professionals, pain researchers, and the women themselves, who may accept it as a normal part of the menstrual cycle. This review reports on current knowledge, particularly with regards to the impact and consequences of recurrent menstrual pain on pain sensitivity, mood, quality of life and sleep in women with primary dysmenorrhea. Comprehensive literature searches on primary dysmenorrhea were performed using the electronic databases PubMed, Google Scholar and the Cochrane Library. Full-text manuscripts published between the years 1944 and 2015 were reviewed for relevancy and reference lists were cross-checked for additional relevant studies. In combination with the word 'dysmenorrhea' one or more of the following search terms were used to obtain articles published in peer-reviewed journals only: pain, risk factors, etiology, experimental pain, clinical pain, adenomyosis, chronic pain, women, menstrual cycle, hyperalgesia, pain threshold, pain tolerance, pain sensitivity, pain reactivity, pain perception, central sensitization, quality of life, sleep, treatment, non-steroidal anti-inflammatory drugs. Women with dysmenorrhea, compared with women without dysmenorrhea, have greater sensitivity to experimental pain both within and outside areas of referred menstrual pain. Importantly, the enhanced pain sensitivity is evident even in phases of the menstrual cycle when women are not experiencing menstrual pain, illustrating that long-term differences in pain perception extend outside of the painful menstruation phase. This enhanced pain sensitivity may increase susceptibility to other chronic pain conditions in later life; dysmenorrhea is a risk factor for fibromyalgia. Further, dysmenorrheic pain has an immediate negative impact on quality of life, for up to a few days every month. Women with primary dysmenorrhea have a significantly reduced quality of life, poorer mood and poorer sleep quality during menstruation compared with their pain-free follicular phase, and compared with the menstruation phase of pain-free control women. The prescribed first-line therapy for menstrual pain remains non-steroidal anti-inflammatory drugs, which are effective in relieving daytime and night-time pain. Further study is needed to determine whether effectively blocking dysmenorrheic pain ameliorates risk for the development of chronic pain disorders and to explore whether it is possible to prevent the development-and not just treat-severe dysmenorrheic pain in adolescent girls. In conclusion, we demonstrate the extensive multi-factorial impact of dysmenorrhea and we encourage and direct researchers to necessary future studies.

Chronic multisite pain in adolescent girls and boys with emotional and behavioral problems: the Young-HUNT study.

The aim of this study was to assess the prevalence of chronic multisite pain with high disability in relation to emotional or behavioral problems and resilience factors in adolescence. A second aim was to investigate if resilience factors could attenuate the associations between psychiatric symptoms and chronic multisite pain. The study was based on a large cross-sectional study carried out in Norway between 2006 and 2008 and included 7,070 adolescents aged 13-19 years. Chronic multisite pain was defined as pain at least once a week during the last 3 months, scoring high on a disability index, and occurring in three or more locations. Chronic multisite pain was prevalent among adolescents with high scores (>85%) for anxiety/depression, social anxiety, conduct or attention problems (22.8-31.0 for girls, 8.8-19.0% for boys). Several coexistent psychiatric symptoms increased the prevalence of chronic multisite pain for both girls and boys. Resilience factors, including high self-esteem, seldom feeling lonely, and high scores for family cohesion or social competence, were associated with a lower prevalence and markedly attenuated the association between psychiatric symptoms and chronic multisite pain. Psychiatrists should be careful to assess and treat comorbid chronic pain in adolescents with emotional or behavioral problems.

A Qualitative Analysis of Adolescents' Experiences of Active and Sham Japanese-Style Acupuncture Protocols Administered in a Clinical Trial

Acupuncture is a complex holistic intervention in which patient-practitioner relationships and healing changes occur in interactive, iterative ways. Qualitative research is one way to capture such complexity. This study sought to understand better the experiences of adolescents involved in acupuncture treatment. We included a qualitative substudy as part of a pilot randomized sham-controlled study of the use of Japanese acupuncture to treat chronic pelvic pain in adolescent girls. Seven (7) interviews were attained. Themes were double-coded and analyzed using qualitative analysis software. Regardless of treatment arm, all subjects reported positive study-related changes, often attributed to positive qualities of the patient-practitioner relationship. Participants in both the sham and verum acupuncture treatment arms reported in the narratives that they were unsure of their study assignment. In contrast, the study's close-ended success of blinding question suggests that some participants were sure of their treatment allocation. As we continue to study acupuncture using sham controls, we need a better understanding of the possible affects of sham treatments on both treatment outcomes and success of blinding. Qualitative research is one-way to explore subtle emergent changes in participants' experiences.

After 3 months, low dose oral contraceptives reduced pain in adolescent girls with moderate to severe dysmenorrhoea

Design: randomised placebo controlled trial.Allocation: unclear concealment.Blinding: blinded (patients and healthcare providers).Follow up period: 3 months.Setting: a single academic medical centre in New York, USA.Patients: 76 healthy adolescent girls (19...

Non-gynecologic causes of unexplained lower abdominal pain in adolescent girls: two clinical cases and review of the literature

Unexplained lower abdominal pain in adolescent girls is a common complaint that can pose a challenge for even the most experienced physicians.1–3 It is also one of the most frequent conditions prompting a referral to a specialist. The differential diagnosis is lengthy, and the cost of an extensive laboratory evaluation is high.2 In many cases the pain resolves spontaneously and no cause is found.4 However, this fact should be coupled with an awareness that occasionally a serious underlying medical or psychiatric disorder exists. The purpose of this paper is to offer guidelines to the clinician caring for adolescent girls with unexplained lower abdominal pain and to stress the value of a thorough history and physical. Clues to the diagnosis and suggestions for management of non-gynecologic conditions will be presented.

Nongynecologic Causes of Unexplained Lower Abdomiinal Pain in Adolescent Girls

Unexplained lower abdominal pain in young women can present a challenge for even the most experienced clinicians. Although the cause is usually benign and self-limited, occasionally a serious underlying disorder exists. Clinicians should have an organized approach for diagnosis and management in an effort to avoid any unnecessary tests or referrals. The most important elements of the evaluation are thorough history, careful physical, and sequential follow-up as needed. Selective use of the laboratory and radiographic studies should be considered on an individual basis. This paper describes four disorders in adolescent girls that may present with pain in the lower abdominal region and closely resemble pathologic conditions within the gynecologic tract. Practitioners who provide services to young women should be aware of these entities so that the correct diagnosis is established as soon as possible and appropriate therapy initiated in a timely fashion.

Transabdominal color Doppler ultrasonography of the painful adolescent ovary.

The objective of this study was to determine if color flow Doppler ultrasonography based on patterns of perfusion can aid in providing a specific diagnosis of ovarian masses associated with pelvic pain. Color flow Doppler images of 42 ovarian lesions in 42 adolescent girls (age range, 10 to 17 years) were analyzed prospectively. The color flow patterns were classified into three main categories: lesions with no vascularity; lesions with peripheral vascularity; and lesions with internal vascularity. The diagnoses included 22 hemorrhagic ovarian cysts, seven simple cysts, three cystadenomas, seven inflamed ovaries (five with microabscesses and two with dominant cystic abscesses), and three ovarian torsions. A peripheral pattern of flow was observed in 29 of 34 (85%) cystic lesions, including 18 hemorrhagic and six simple cysts, three cystadenomas and two abscesses. Peripheral flow was also identified in four enlarged ovaries, two with inflammatory disease and two with torsion. Internal flow was noted in five patients with enlarged ovaries due to inflammatory disease. Intraovarian flow was absent in three patients with torsion and in five of 34 cystic lesions. Internal ovarian flow was identified in 90% of normal ovaries. Resistive indices, obtained in 33 abnormal ovaries, were higher in cystic lesions than in inflammatory lesions, although the values overlapped. Our findings showed that internal ovarian flow can be found in inflammatory processes and normal ovaries, but the absence of flow also is nonspecific and can be found in a variety of ovarian cystic lesions as well as in torsion. This overlap limits the usefulness of color Doppler ultrasonography for differentiating cystic ovarian lesions associated with pain in adolescent girls.

Laparoscopy for diagnosis and treatment of abdominal pain in adolescent girls: S. Kleinhaus, K. Hein, M. Sheran, and S. J. Boley. Arch Surg 112:1178–1179 (October), 1977

Laparoscopy for diagnosis and treatment of abdominal pain in adolescent girls: S. Kleinhaus, K. Hein, M. Sheran, and S. J. Boley. Arch Surg 112:1178–1179 (October), 1977

Laparoscopy for diagnosis and treatment of abdominal pain in adolescent girls.

Between 1973 and 1976, laparoscopy was performed on 50 girls aged 12 to 18 years old for evaluation of abdominal pain severe enough to warrant hospitalization. In nine patients, a pelvic mass was suspected on physical examination or ultrasonography. Twenty-three patients had histories of previous episodes of salpingitis, but negative cultures at time of admission. Eighteen patients had no significant past medical history and normal physical findings. Laparoscopy established a diagnosis in 28 of the 50 patients, and in the 32 patients in whom a specific preoperative diagnosis was entertained, laparoscopy proved it to be incorrect in 15. In all cases where laparoscopy resulted in specific treatment, the symptoms were relieved. There was no morbidity or mortality.