Premenstrual syndrome and its effect on quality of life of preclinical medical students

1. Premenstrual syndrome and its effect on quality of life of preclinical medical students Tenzin Thoesam ChinawatPhumchaisak FasineeArunrodpanya 5th Year Medical Students, Faculty of Medicine Naresuan University Hospital, Naresuan University, Thailand

2. Abbreviation PMS: Premenstrual syndrome WHOQOL: World Health Organization – Quality of life QOL: Quality of life PSST: Premenstrual Syndrome Screening Tool BMI: Body Mass Index

3. Background PMS was designated by Frank for the first time in 1931 A combination of psychological, physical and behavioral symptoms. The severity of the syndrome can have a huge effect on the quality of life.

4. Background Baskent University, Turkey concluded that 72.1% of their female medical students had PMS. A report from Poland showed that 76.39% of the female population in reproductive age had PMS. Siriraj Hospital, Mahidol University, Thailand found that 25.1% of the nurses working in the hospital had PMS.

5. Purpose The purpose of the study was to identify the relationship between effect on quality of life and risk factors of PMS in preclinical medical students.

6. Methods • A cross sectional study. • Female Preclinical Medical Students of Faculty of Medicine, Naresuan University. 188 students • Questionnaire • Basic information data. • Severity of PMS. • A Thai version of PSST.

7. Results Basic information data Symptoms of PMS Quality of Life PMS and its associated data

8. Basic information data Table – 1 Age, Body weight, Height, BMI, Menarche

9. Basic information data Table – 2 Exercise, Caffeine, Alcohol beverage, Family history of PMS

10. Symptoms of PMS

11. Symptoms of PMS

12. Symptoms of PMS Table – 5 The prevalence of PMS

13. Quality of Life Table – 6 Quality of Life

14. Quality of Life Table – 7 The quality of life divided in each part

15. Quality of Life Table – 8 The quality of life score divided in each part.

16. The Association of PMS and Quality of Life score

17. The Association of PMS and Quality of Life score

18. The Association of PMS and Quality of Life score

19. The association of risk factors and moderate to severe symptoms of PMS

20. Discussion There were 188 participants in this study, 22.8% have been found to be having premenstrual syndrome (PMS). This study found that maternal history of PMS greatly affected in the occurrence of PMS and thereby caused an increased prevalence of PMS in our participants.

21. Discussion • Other risk factors found to be of influence on the prevalence of PMS: • Age • BMI • Age of menachy • exercise • Coffee consumption However,in this study, we found no evident relationship between PMS and these factors in our participants.

22. Discussion • PMS was found to be significantly affecting the overall quality of life score, especially, • Physical part • Psychological part • Social part • However, Environmental part was not found to be affected.

23. Conclusion PMS affects daily life of women. Many women pay no attention to this syndrome. Women should know more about PMS and be given proper management. This syndrome should be evaluated more for its causes and prevention of it will be important.

24. Acknowledgement • Professor Supasit, M.D. The Dean of Faculty of Medicine, Naresuan University, Phitsanulok, Thailand. • Non, M.D. Head of Dept. of Community Family and Occupational Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand. • SurachaiDejarkom, M.D. Dept. of Obstetrics and Gynecology, Faculty of Medicine Naresuan University Hospital, Naresuan University, Phitsanulok, Thailand. • Suwit, M.D. Dept. of Community Family and Occupational Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand. • Staffs of the Dept. of Community Family and Occupational Medicine. • Preclinical medical students of Faculty of Medicine, Naresuan University.

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26. References 3.Chenchit Chayachinda, ManeeRattanachaiyanont, SucheeraPhatthayayuttwat, SiriratKooptiwoot. Premenstrual Syndrome in Thai Nurses. Journal of Psychosomatic Obstetrics & Gynecology. September2008; 29(3): 199-205.[Online]. 2008[cited 2008 September 5]. Available from:URL: http://www.ncbi.nlm.nih.gov/pubmed/18608818 (accessed 15th July,2011) 4.มณี รัตนไชยานนท์. ภาวะผิดปกติที่สัมพันธ์กับการมีระดู. กรุงเทพมหานครฯ:บริษัท พี.เอ.ลีฟวิ่ง.จำกัด; 2550 5.M. Steiner, M. Macdougall, and E. Brown. The premenstrual symptoms screening tool(PSSt) for clinicians.Arch Women’s Ment Health. 2003; 6: 203-209.[Online]. 2003[cited 2003 August].Availablefrom:URL: http://www.ncbi.nlm.nih.gov/pubmed/12920618 (accessed 16th July,2011)

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