Association between Primary Dysmenorrhea and Functioning in adults women: a cross-sectional study
Keywords: Dysmenorrhea; International Classification of Functioning, Disability and Health; Women's Health.
Introduction: In the literature, as far as we know there are no studies that allow functionality or deficiencies associated with primary dysmenorrhea (PD) in any age group. In addition, studies that address dysmenorrhea are restricted to adolescents or young adult women. Objective: To analyze whether a primary dysmenorrhea is associated with deficiencies in the performance of activities and participation in adult women. Methodology: this is a cross-sectional study conducted with adult women recruited from basic health services. A DP was measured using an automatic relationship and the World Health Disability Assessment Program (WHODAS2.0), which underwent changes. The Numerical Pain Rate Scale and the International Physical Activity Questionnaire (IPAQ), short version, assess the level of physical activity, respectively. Mean difference tests, Mann Whitney test, effect size measures and 95% confidence interval analyzed between groups with and without PD and WHODAS scores. Statistical significance was determined when p <0.05. Results: Of the 136 women included, 54% had PD. Among women with and without PD, there may be a difference in the domain of interpersonal relationships, with little effect (η2 = 0.012). The average pain intensity, without a crisis period, in this study was 6.10 ± 2.57, as women who complain of severe pain associated with more difficulties in the domains of mobility (p = 0.003) and participation (p = 0.030 ), moderate effect size (η2 = 0.115) and (η2 = 0.063), respectively. Most women said that the pain condition loses for three or more days. This duration of the scientific framework had a small effect on the participation domain (η2 = 0.021). Result: 136 women were included in the study, of which 53.7% had primary dysmenorrhea. Comparison between groups in relation to WHODAS domain scores. The average pain intensity, in the crisis, was 6.10 ± 2.57 and 43.8% reported experiencing severe pain. In the present study, severe painful complaints are associated with more difficulties in the domains of mobility (p = 0.003) and participation (p = 0.030) of women. The majority of women (65.7%) stated that pain was lost for three or more days. However, a pain duration variable was associated only with a small difficulty in the participation domain (η2 = 0.021), in women with crises lasting three days or more. Conclusion: Primary dysmenorrhea in adult women was associated with more disability. Women who face more intense crises presents more difficulties to domain of mobility, cognition and participation, when compared to women with mild or moderate complaints. The duration of dysmenorrhea for more than two days negatively affected the participation of these women.