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Menstrual Experience of Adolescent Girls
Hyun Sook Chung
Journal of Nurses Academic Society 1996;26(2):257-270.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.2.257
AbstractAbstract PDF

Studies on menstruation have focused only on menstruation itself and menstrual disorders. The menstruating girls or women have been neglected. So, the purpose of this study was to understand menstrual experience of adolescent girls in their perspective and build a theory on it. The specific purpose of this study were to find initial reaction of the girls, their strategies to adapt to menstruation, consequences of their efforts, influencing factor, and patterns of experience. The subjects of this study were eleven adolescent girls who experienced menarche three months to twenty-six months before the interview time. They were selected purposively. Their ages were in range of twelve and sixteen. One of them was a elementary school girls, three high school girls, and seven middle school girls. Two girls were handicapped because of cerebral palsy. All of them had some knowledge about menstrual physiology and hygiene during menstruation. Data were collected from September, 1994 to July, 1995. Data collection and analysis were done according to the grounded theory methodology by Strauss and Corbin(1990). Data collecting method was the long interviews and observation. Each interview took from 1 hour to 2 hours. Interview were tape?recorded and transcribed later by author. Data were analyzed immediately after interviews. Based on the results of previous interview, next interview were planned until gathered data reached the saturation point. Results were as follows. One hundred and six concepts were found. Those concepts were grouped into twenty eight categories and then fourteen higher categories. Twenty eight categories were as follows, "want to hide", "bewildered", "sense of burden", "sense of heterogeneity", "gladness", "sense of superiority", "negative empathy", "positive empathy", "limited hygenic control", "sense of timing", "lack of knowledge", "lack of support", "advance knowledge", "informational support", "emotional support", "edurance", "prayer", "disclosing", "avoidance", "diversion", "sense of powerlessness", "discovery of sex identity", "sense of maturation", "sense of stability", "acceptance of menstruation". Fourteen higher categories were as follows, "negative feeling", "posive feeling", "exchange of feeling", "limited hygenic control", "sense of timing", "accumulated experience", "dysmen-orrhea", "level of knowledge", "need for support", "perceived support", "sharing of feeling", "self-control", "passive acceptance", "active acceptance". The core category was "emotional shaking", which consisted of "positive feeling" and "negative feeling". "Emotional shaking" comes up to every adolescent girls experiencing menarche, independently of any contextual conditions, and its demension has two directions: positive one and negative one. Its influencing factors were time of menarche, advance knowledge, support from the significant persons, expression and self?regulation. Even if they showed different process of adaptation to menstruation, general process of adaptation were as follows: 1. stage of emotional shaking 2. stage of acceptance 3. stage of internalization of the menstrual experience. Seven patterns existed on the process of adaptation to menstruation after menarche. Those are as follows. 1. If girls thought their menarche came too early and they had not much knowledge on menstruation, they had a kind of negative feeling. If they did not get enough support and dysmenorrhea superimposed, they came to accept menstruation passively. 2. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge. But support helped them accept menstruation easily. 3. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. But by experiencing subsequent menstruations and disclosing feeling, they began to accept menstruation. 4. If girls had menarche too lately and they had enough advance knowledge on menstruation, they had positive feeling. If dysmenorrhea superimposed later, their feeling turned in to negative one. But they came to accept menstruation positively by disclosing feeling and getting support. 5. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. In addition to this, if dysmenorrhes superimposed while they did not get enough support, they felt powerless and came to accept menstruation passively. 6. If girls had menarche too early and did not get enough advance knowledge, they had negative feeling. But disclosing feeling and support made them get sense of homogeneity and began to accept menstruation. 7. If girls had handicap, they had negative feeling, even though they had enough advance knowledge and menarche was late. But Menarche made them get feel sexual identity. Their limited hygenic control and negative empathy from their mothers made them accept menstruation passively. To let adolescent girls take their menstrual experience as a part of their lives forming a positive sense of feminine identity, it needs qualified teaching and, support and deep concern of the significant others. Nurses including school nurses should try to develop an educational program, which include menstrual physiology, hygiene during menstrual period, meaning of menstruation and impact of menstruation on the development of female sexual identity.

Citations

Citations to this article as recorded by  
  • Effect of Early Menarche on Sexual Experience among Korean High School Girls
    Jaeyoung Lee
    Child Health Nursing Research.2017; 23(2): 137.     CrossRef
  • Lived Experience of Women with Severe Dysmenorrhea
    Hyun Kyoung Kim
    Korean Journal of Women Health Nursing.2011; 17(3): 304.     CrossRef
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A Structural Equation Modeling on Premenstrual Syndrome in Adolescent Girls
Jung-hee Jeon, Sun-kyung Hwang
J Korean Acad Nurs 2014;44(6):660-671.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.660
AbstractAbstract PDF
Purpose

The aims of this study were to construct a hypothetical structural model which explains the premenstrual syndrome (PMS) in adolescent girls and to test the fitness with collected data.

Methods

The participants were 1,087 adolescent girls from 3 high schools and 5 middle schools in B city. Data were collected from July 3 to October 15, 2012 using self-reported questionnaires and were analyzed using PASW 18.0 and AMOS 16.0 programs.

Results

The overall fitness indices of hypothetical model were good (χ2 =1555, p<.001), χ2/df=4.40, SRMR=.04, GFI=.91, RMSEA=.05, NFI=.90, TLI=.91, CFI=.92, AIC=1717). Out of 16 paths, 12 were statistically significant. Daily hassles had the greatest impact on PMS in the adolescent girls in this model. In addition, PMS in adolescent girls was directly affected by menarche age, Body Mass Index (BMI), amount of menstruation, test anxiety, social support, menstrual attitude and femininity but not by academic stress. This model explained 27% of the variance in PMS in adolescent girls.

Conclusion

The findings from this study suggest that nursing interventions to reduce PMS in adolescent girls should address their daily hassles, test anxiety, menstrual attitude and BMI. Also, social support from their parents, friends, and teachers needs to be increased.

Citations

Citations to this article as recorded by  
  • Premenstrual Sendrom ile Algılanan Stres ve Gece Yeme Sendromu İlişkisi
    Rabia Kahvacı, Keziban Amanak
    Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi.2024; 2(2): 102.     CrossRef
  • Factors influencing health-related quality of life in adolescent girls: a path analysis using a multi-mediation model
    Hyunjeong Shin, Songi Jeon, Inhae Cho
    Health and Quality of Life Outcomes.2022;[Epub]     CrossRef
  • According to Some Variables in Girls A High School Determining the Premenstrual Syndrome Violence and Perceped Stress Level
    Nuriye ERBAŞ, Nermin ALTUNBAŞ
    Acibadem Universitesi Saglik Bilimleri Dergisi.2021;[Epub]     CrossRef
  • The Influence of Female University Students' Life Style, Women's Health Characteristics, and Endocrine Disrupting Chemicals on Menstrual Symptoms
    Bo Gyeong Lee, Nam Hee Kim
    Journal of The Korean Society of Maternal and Child Health.2021; 25(2): 88.     CrossRef
  • Do depression, fatigue, and body esteem influence premenstrual symptoms in nursing students?
    Eun Joo Lee, Seung Kyoung Yang
    Korean Journal of Women Health Nursing.2020; 26(3): 231.     CrossRef
  • Secondary Data Analysis on the Factors Influencing Premenstrual Symptoms of Shift Work Nurses: Focused on the Sleep and Occupational Stress
    Jihyun Baek, Smi Choi-Kwon
    Journal of Korean Academy of Nursing.2020; 50(4): 631.     CrossRef
  • Effects of Sleep Pattern, Stress, Menstrual Attitude, and Behavior That Reduces Exposure to Endocrine Disrupting Chemicals on Premenstrual Syndrome in Adolescents
    Hye Jin Kim, So Young Choi, Haeyoung Min
    Korean Journal of Women Health Nursing.2019; 25(4): 423.     CrossRef
  • Factors Influencing Functional Health of Patients with Chronic Insomnia based on Theory of Unpleasant Symptoms
    Eun Kyoung Han, Sunah Kim, In-Young Yoon
    Korean Journal of Adult Nursing.2019; 31(2): 165.     CrossRef
  • Relationship between Menstrual Distress and Sleep Disturbance in Middle-school Girls
    Se Yeong Park, SoMi Park
    Korean Journal of Women Health Nursing.2018; 24(4): 392.     CrossRef
  • Development and psychometric validation of the Menstrual Health Instrument (MHI) for adolescents in Korea
    Hyunjeong Shin, Young-Joo Park, Inhae Cho
    Health Care for Women International.2018; 39(10): 1090.     CrossRef
  • A Structural Model for Premenstrual Coping in University Students: Based on Biopsychosocial Model
    Myung-Ock Chae, Hae Ok Jeon, Ahrin Kim
    Journal of Korean Academy of Nursing.2017; 47(2): 257.     CrossRef
  • 185 View
  • 2 Download
  • 11 Crossref
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