ArticleBJOG : an international journal of obstetrics and gynaecology2025
Dysmenorrhea and Adolescent Mental Health: A School-Based Cross-Sectional Study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Association between menstrual cycle characteristics and mental health in early adolescence.European child & adolescent psychiatry · 2026Article
- Menstrual-Related Symptoms, Early Menarche, and Their Impact on Sport Participation in Adolescent Floorball Players: A Cross-Sectional Study in Sweden.Sports (Basel, Switzerland) · 2026Article
- A cross-sectional study on menstrual health difficulties and premenstrual symptomatology in adolescent girls with intellectual disability: a salutogenic public health perspective.Frontiers in public health · 2026Article
- Long-Term Management and Prevention Strategies for Adolescent Primary Dysmenorrhea: From Precision Diagnosis to Comprehensive Intervention.International journal of women's health · 2026Review
- Dysmenorrhea Symptoms Interference Scale (DSI) in Serbian - Translation and psychometric properties evaluation.PloS one · 2026Article
- Pharmacological and nonpharmacological management of dysmenorrhea among senior high school girls in two districts in the Central Region of Ghana.SAGE open medicine · 2026Article
- Impact of Dysmenorrhea Severity on Mental Wellbeing and Quality of Life Among Saudi Women: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2025Article
- Assessment of the Impact of Chronic Pain on the Prevalence of Depressive Disorders in Patients with Endometriosis.Diseases (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
4 authors.
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Abstract
objectiveWhile active monitoring of adolescent menstrual and mental health is advocated, research on their possible bidirectional relationship is limited. This study examines the association between adolescent dysmenorrhea and psychological symptoms.
designCross-sectional study.
setting116 schools in Stockholm, Sweden. SAMPLE: 1054 postmenarchal school girls (mean age 14.1 ± 0.7) randomly sampled from a population of 10 299 lower-secondary pupils in a school-based project.
methodsA self-report health survey assessed psychological symptoms using validated instruments. A multiple-choice item identified dysmenorrhea (menstrual pain affecting everyday life) and severe dysmenorrhea (dysmenorrhea that is hard to cope with).
main outcome measuresPrevalence of dysmenorrhea and severe dysmenorrhea in girls with and without symptoms of depression (Beck's Depression Inventory-II score ≥ 20), anxiety (Generalised Anxiety Disorder 7-Item Scale score ≥ 10), self-injury (≥ 3 instances on a modified Deliberate Self-harm Inventory), and suicide ideation (recent serious thoughts/plans on the Paykel Suicide Scale).
resultsOverall, 55.1% reported dysmenorrhea while 11.7% reported severe dysmenorrhea. Prevalence was 29%-34% higher among girls with psychological symptoms compared to those without. Severe dysmenorrhea was significantly more frequent among girls with any symptom (prevalence ratio [PR] 2.25; 95% CI 1.61, 3.13), depression (PR 2.60; 95% CI 1.86, 3.63), anxiety (PR 2.89; 95% CI 2.09, 4.00), self-injury (PR 1.87; 95% CI 1.29, 2.71), and suicide ideation (PR 1.75; 95% CI 1.18, 2.58) compared to girls without the same manifestations. These findings were consistent after adjustments for age, age of menarche, country of birth, and hormonal contraception.
conclusionsThese findings emphasise the need for integrated approaches to adolescent menstrual and mental health care.
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