Impact of Perceived Injustice on the Severity of Menstrual Pain among High School Students: A Cross Sectional Study in Karachi.
DOI:
https://doi.org/10.51985/JBUMDC202197Keywords:
Adolescents, Menstrual cramps, Pelvic pain, dysmenorrhea, Menstrual discomfort, Menstrual agonyAbstract
Objective: The purpose of this research was to determine the relation between perceived injustice and severity of menstruation pain among high school students of Karachi.
Methodology: It was a cross-sectional study design conducted from March until August 2021, among high school students of Karachi (public and private) selected randomly. The calculated study sample was 426. The Bahria University Health Sciences Campus Ethical Review Committee approved ERC# 39/2021. Online self-surveys collected data. The study recruited 426 14–18-year-old high school girls who had past menarche and had no psychological disorders. mentally ill, hormonally treated, or uncooperative participants were excluded.
Results: Out of 426 survey participants, the average age was 17.2 ± 1.3 years. Participants scored an average of 14.0 ± 9.3 on the Injustice Experience Questionnaire (IEQ) out of 48 points. Menstrual pain intensity ranged from 6.8 ± 2.7 to 5.5 ± 2.5 points, with an average of 5.5 ± 2.5 points and a degree of interference of 5.9 ± 2.3 points. The IEQ was substantially connected to menstrual pain interference-related impairment, with a standardized regression coefficient (â) of 0.33 (95% CI). The standardized regression coefficients (â) for maximal and average pain intensity were 0.22 and 0.23, respectively. The variance inflation factor analysis showed no multicollinearity issues, with values ranging from 1.03 to 1.06. Conclusion: In conclusion, the study illuminates high school girls' emotions and perceptions. Many respondents described feeling misunderstood, having life changes, seeing conditions as unjust, and worrying about their future goals.
References
Daenen F, McParland J, Baert F, Miller MM, Hirsh AT,
Vervoort T. Child pain-related injustice appraisals mediate
the relationship between just-world beliefs and pain-related
functioning. Eur J Pain. 2021;25(4):757-773. doi:10.1002/
ejp.1707
Kural, M., Noor, N. N., Pandit, D., Joshi, T., & Patil, A..
Menstrual characteristics and prevalence of dysmenorrhea in
college going girls. Journal of family medicine and primary
care, 2015; 4(3), 426–431. https://doi.org/10.4103/2249-4863.
Al-Matouq, S., Al-Mutairi, H., Al-Mutairi, O., Abdulaziz, F.,
Al-Basri, D., Al-Enzi, M., & Al-Taiar, A. Dysmenorrhea
among high-school students and its associated factors in
Kuwait. BMC pediatrics,2019; 19(1), 80. https://doi.org/
1186 /s12887-019-1442-6.
Carriere, J. S., Sturgeon, J. A., Yakobov, E., Kao, M. C.,
Mackey, S. C., & Darnall, B. D. (2018). The Impact of
Perceived Injustice on Pain-related Outcomes: A Combined
Model Examining the Mediating Roles of Pain Acceptance
and Anger in a Chronic Pain Sample. The Clinical journal of
pain, 201834(8), 739–747. https://doi.org/10.1097 /AJP.
Carriere, J. S., Donayre Pimentel, S., Yakobov, E., & Edwards,
R. R. (2020). A Systematic Review of the Association Between
Perceived Injustice and Pain-Related Outcomes in Individuals
with Musculoskeletal Pain. Pain medicine (Malden,
Mass.),2020 21(7), 1449–1463. https://doi.org/10.1093 /pm/
pnaa088
Chandra-Mouli, V., & Patel, S. V. Mapping the knowledge
and understanding of menarche, menstrual hygiene and
menstrual health among adolescent girls in low- and middleincome countries. Reproductive health,2017 14(1), 30.
https://doi.org/10.1186/s12978-017-0293-6
Sullivan, M. J. L., Adams, H., & Ellis, T. A psychosocial risktargeted intervention to reduce work disability: Development,
evolution, and implementation challenges. Psychological
Injury and Law,2013 6(3), 250–257. https://doi.org/10.
/s12207-013-9171-x
Raftery, M.N., Murphy, A.W., O’Shea, E. et al. Effectiveness
of a cognitive behavioural therapy-based rehabilitation
programme (Progressive Goal Attainment Program) for patients
who are work-disabled due to back pain: study protocol for
a multicentre randomised controlled trial. Trials 2013;14, 290
(2013). https://doi.org/10.1186/1745-6215-14-290
Yamada K, Adachi T, Kubota Y, Takeda T, Iseki M. Developing
a Japanese version of the Injustice Experience Questionnairechronic and the contribution of perceived injustice to severity
of menstrual pain: a web-based cross-sectional study.
Biopsychosoc Med. 2019;13:17. Published 2019 Jul 22.
doi:10.1186/s13030-019-0158-z
Garg S, Anand T. Menstruation related myths in India:
strategies for combating it. J Family Med Prim Care.
;4(2):184-186. doi:10.4103/2249-4863.154627
Sullivan, M. J., Scott, W., & Trost, Z.. Perceived injustice: a
risk factor for problematic pain outcomes. The Clinical journal
of pain, 2012;28(6), 484–488. https://doi.org/10.1097/
AJP.0b013e3182527d13
Scott, W., Trost, Z., Bernier, E., & Sullivan, M. J. L. (2013).
Anger differentially mediates the relationship between
perceived injustice and chronic pain outcomes. Pain,2013;
(9), 1691–1698. https://doi.org/10.1016/j.pain.2013.05.015
Durand H, Monahan K, McGuire BE. Prevalence and Impact
of Dysmenorrhea Among University Students in Ireland. Pain
Med. 2021;22(12):2835-2845.
Orhan C, Çelenay ÞT, Demirtürk F, Özgül S, Üzelpasacý E,
Akbayrak T. Effects of menstrual pain on the academic
performance and participation in sports and social activities
in Turkish university students with primary dysmenorrhea:
A case control study. J Obstet Gynaecol Res. 2018;44(11):2101-
doi:10.1111/jog.13768
Michael, J., Iqbal, Q., Haider, S., Khalid, A., Haque, N., Ishaq,
R., Saleem, F., Hassali, M. A., & Bashaar, M.. Knowledge
and practice of adolescent females about menstruation and
menstruation hygiene visiting a public healthcare institute of
Quetta, Pakistan. BMC women's health, 2020;20(1), 4.
https://doi.org/10.1186/s12905-019-0874-3
Rizvi N, Ali T S. Misconceptions and Mismanagement of
Menstruation among Adolescents Girls who do not attend
School in Pakistan. JAM. 2016;3(1):46–62
Shah SF, Punjani NS, Rizvi SN, Sheikh SS, Jan R. Knowledge,
Attitudes, and Practices Regarding Menstrual Hygiene among
Girls in Ghizer, Gilgit, Pakistan. International Journal of
Environmental Research and Public Health [Internet]
;20(14):6424. Available from: http://dx.doi.org/10.
/ijerph20146424
Battison, E. A. J., Wilson, A. C., & Holley, A. L. . Perceived
Injustice Is Associated With Pain-related Function and Mood
in Youth With Acute Musculoskeletal Pain. The Clinical
journal of pain, 2021;37(8), 575–582. https://doi.org/10.1097
/AJP.0000000000000947
Philippus A, Sevigny M, Agtarap S, et al. Validation of the
Injustice Experience Questionnaire (IEQ) in a spinal cord
injury population. Spinal Cord. 2021 Nov;59(11):1177-1186.
DOI: 10.1038/s41393-021-00645-1. PMID: 34052836.
Johnson, Margaret E., Menstrual Justice UC Davis Law
Review , University of Baltimore School of Law Legal Studies
Research Paper # 2019-04 , Available at SSRN: https:
//ssrn.com/ abstract=3389773 or http://dx.doi.org/ 10.2139/
ssrn.3389773
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