Coping strategies of women suffering from primary dysmenorrhea

Kateřina Staňková, Alena Hricová *
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Social and Special-paedagogical Sciences, České Budějovice, Czech Republic

Korespondenční autor: Alena Hricová (ahricova@zsf.jcu.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:4. 1. 2024
Accepted: 14. 4. 2024
Published online: 30. 6. 2024

Summary

This article aims to describe the strategies that women suffering from dysmenorrhea (painful menstruation) use to cope with the pain and other physical and psychological difficulties accompanying this disease. Semi-structured interviews were conducted with eighteen women with dysmenorrhea and processed using thematic analysis. The results pointed to a significant connection between psychological and physical aspects and showed several passive and active strategies that women use. Pharmacotherapy in the form of analgesics and thermotherapy was used as first aid. What helped were rest and relaxation, reduction of external stimuli, and withdrawal into oneself, as well as emotional and physical catharsis and authentic pain relief, diversion of attention from pain, and social and emotional support of the immediate environment. Active strategies included various techniques such as yoga and breathing exercises, while passive strategies mainly included drug therapy and rest. Psychological support from family and friends also played a vital role. The study showed that a combination of these strategies can significantly contribute to better pain management and psychological well-being in women suffering from dysmenorrhea.

Keywords: Chronic pain; Coping strategies; Dysmenorrhea; Emotional catharsis; Social support

Literatura

1. Armour M, Parry K, Al-Dabbas MA, Curry C, Holmes K, MacMillan F, et al. (2019). Self-care strategies and sources of knowledge on menstruation in 12,526 young women with dysmenorrhea: A systematic review and meta-analysis. PloS One 14(7): e0220103. DOI: 10.1371/journal. pone.0220103.

2. Bruce M, Lopatina E, Hodge J, Moffat K, Khan S, Pyle P, et al. (2023). Understanding the chronic pain journey and coping strategies that patients use to manage their chronic pain: a qualitative, patient-led, Canadian study. BMJ Open 13(7): e072048. DOI: 10.1136/bmjopen-2023–072048.

3. Carroll LJ, Cassidy JD, Côté P (2004). Depression as a risk factor for onset of an episode of troublesome neck and low back pain. Pain 107(1–2): 134–139. DOI: 10.1016/j.pain­.2003.10.009.

4. Chovanec MJ, Dostálová MZ (2009). Jak ulevit ženě při menstruačních bolestech? [How to relieve a woman with menstrual pain?]. Interní Med 11(2): 92–93 (Czech).

5. Denney DR, Gerrard M (1981). Behavioral treatments of primary dysmenorrhea: a review. Behav Res Ther 19(4): 303–312. DOI: 10.1016/0005–7967(81)90051–6.

6. Fernández-Martínez E, Pérez-Corrales J, Palacios-Ceña D, Abreu-Sánchez A, Iglesias-López MT, Carrasco-Garrido P, Velarde-García JF (2022). Pain management and coping strategies for primary dysmenorrhea: A qualitative study among female nursing students. Nurs Open 9(1): 637–645. DOI: 10.1002/nop2.1111.

7. Gallant MP (2003). The influence of social support on chronic illness self-management: a review and directions for research. Health Educ Behav 30(2): 170–195. DOI: 10.1177/109019­8102251030.

8. Gorczyca R, Filip R, Walczak E (2013). Psychological aspects of pain. Ann Agric Environ Med Spec No. 1: 23–27.

9. Gracely RH, Geisser ME, Giesecke T, Grant MAB, Petzke F, Williams DA, Clauw DJ (2004). Pain catastrophizing and neural responses to pain among persons with fibromyalgia. Brain 127(Pt 4): 835–843. DOI: 10.1093/brain/aw­h098.

10. Guimarães I, Póvoa AM (2020). Primary dysmenorrhea: assessment and treatment. Rev Bras Ginecol Obstet 42(8): 501–507. DOI: 10.1055/s-0040–1712131.

11. Gureje O (2008). Comorbidity of pain and anxiety disorders. Curr Psychiatry Rep 10(4): 318–322. DOI: 10.1007/s11920–008–0051–0.

12. Hodická Z, Rejdová I, Kadlecová MJ (2015). Poruchy menstruačního cyklu u dospívajících dívek a jejich léčba [Disorders of the menstrual cycle in adolescent girls and their treatment]. Pediatr praxi 16(3): 189–192 (Czech).

13. Iacovides S, Avidon I, Baker FC (2015). What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update 21(6): 762–778. DOI: 10.1093/humup­d/dmv039.

14. Jensen MP, Turner JA, Joan M, Romano JM, Karoly P (1991). Coping with chronic pain a critical review of the literature. Pain 47(3): 249–283. DOI: 10.1016/0304–3959(91)90216-K.

15. Kolář P, Bitnar P, Dyrhonová O (2009). Rehabilitace v klinické praxi [Rehabilitation in clinical practice]. Prague: Galén, 713 p. (Czech).

16. Larson SL, Clark MR, Eaton WW (2004). Depressive disorder as a long- term antecedent risk factor for incident back pain: a 13-year follow-up study from the Baltimore Epidemiological Catchment Area sample. Psychol Med 34(2): 211–219. DOI: 10.1017/s00332­91703001041.

17. Latthe P, Mignini L, Gray R, Hills R, Khan K (2006). Factors predisposing women to chronic pelvic pain: systematic review. BMJ 332(7544): 749–755. DOI: 10.1136/bmj.38748­.697465.55.

18. Ní Chéileachair F, McGuire BE, Durand H (2022). Coping with dysmenorrhea: a qualitative analysis of period pain management among students who menstruate. BMC Womens Health 22(1): 407. DOI: 10.1186/s12905–022–01988–4.

19. Riva P, Wirth JH, Williams KD (2011). The consequences of pain: The social and physical pain overlap on psychological responses. Eur J Soc Psychol 41(6): 681–687. DOI: 10.1002/ejsp.837.

20. Rob L, Martan A, Ventura P (2019). Gynekologie [Gynecology]. Prague: Grada, 356 p. (Czech).

21. Roztočil A, Bartoš P (2011). Moderní gynekologie [Modern gynecology]. Prague: Grada, 528 p. (Czech).

22. Staňková, K (2022). Psychologická problematika žen trpících dysmenoreou (Magisterská práce) [Psychological problems of women suffering from dysmenorrhea (Master’s thesis)]. Olomouc: Univerzita Palackého v Olomouci (Czech).

23. Sullivan MJL, Stanish W, Waite H, Sullivan M, Tripp DA (1998). Catastrophizing, pain, and disability in patients with soft-tissue injuries. Pain 77(3): 253–260. DOI: 10.1016/S0304– 3959(98)00097–9.

24. Švaříček R, Šeďová K (2007). Kvalitativní výzkum v pedagogických vědách: pravidla hry [Qualitative research in educational sciences: the rules of the game]. Prague: Portál, 386 p. (Czech).

25. Vlachou E, Owens DA, Lavdaniti M, Kalemikerakis J, Evagelou E, Margari N, et al. (2019). Prevalence, wellbeing, and symptoms of dysmenorrhea among university nursing students in Greece. Diseases 7(1): 5. DOI: 10.3390/disea­ses7010005.