Association between primary dysmenorrhoea on quality of life, mental health and academic performance among medical students in Indonesia: a cross-sectional study

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Publicado en:BMJ Open vol. 15, no. 1 (2025), p. e093237
Autor principal: Situmorang, Herbert
Otros Autores: Sutanto, Reynardi Larope, Tjoa, Kevin, Rivaldo, Rivaldo
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BMJ Publishing Group LTD
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LEADER 00000nab a2200000uu 4500
001 3151922096
003 UK-CbPIL
022 |a 2044-6055 
024 7 |a 10.1136/bmjopen-2024-093237  |2 doi 
035 |a 3151922096 
045 2 |b d20250101  |b d20251231 
084 |a 269834  |2 nlm 
100 1 |a Situmorang, Herbert  |u Reproductive Health Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Reproductive Health Division, Department of Obstetrics and Gynecology, dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia 
245 1 |a Association between primary dysmenorrhoea on quality of life, mental health and academic performance among medical students in Indonesia: a cross-sectional study 
260 |b BMJ Publishing Group LTD  |c 2025 
513 |a Journal Article 
520 3 |a ObjectivesTo investigate the association between primary dysmenorrhoea and quality of life, mental health and academic performance among medical students in Indonesia.DesignA cross-sectional study using an online survey was conducted among Indonesian medical students. Primary dysmenorrhoea occurrence and severity, as well as their associations with quality of life, mental health and academic performance, were assessed using validated questionnaires. The associations of dysmenorrhoea occurrence and severity were analysed alongside other potential independent variables, including age, region, stage of study and parental income. Statistical analyses included χ2 tests, t-tests and multiple regression models to adjust for confounders (p<0.05).Setting and participantsIndonesia (June–July 2021: n=630 medical students).OutcomesThe primary outcomes were quality of life, mental health and academic performance, assessed as dependent variables. Quality of life was measured using the Quality of Life Scale, mental health was assessed through depression and stress scores from the Depression Anxiety Stress Scales-42; and academic performance was evaluated through concentration and activity disruption, absenteeism and cum laude grade point average (GPA). The independent variables were primary dysmenorrhoea occurrence and severity, categorised as mild or moderate-to-severe using the Verbal Multidimensional Scoring System.ResultsPrimary dysmenorrhoea was significantly associated with reduced quality of life, mental health challenges and academic disruptions. Students with dysmenorrhoea had significantly lower Quality of Life scores (–1.82, 95% CI: –2.63 to –1.02; p<0.001), with moderate-to-severe pain linked to an even more significant reduction (–2.09, 95% CI: –2.54 to –1.63; p<0.001). Dysmenorrhoea occurrence was significantly associated with depression (OR 2.16, 95% CI: 1.23 to 3.81; p=0.007), while severity was associated with both depression (OR 2.07, 95% CI: 1.47 to 2.92; p<0.001) and stress (OR 1.82, 95% CI: 1.26 to 2.62; p<0.001). Dysmenorrhoea occurrence and severity significantly disrupted concentration (OR 12.92, 95% CI: 6.14 to 27.22; p<0.001 and OR 7.24, 95% CI: 4.68 to 11.19; p<0.001, respectively), activities (OR 34.95, 95% CI: 4.77 to 256.16; p<0.001 and OR 6.92, 95% CI: 4.63 to 10.36; p<0.001) and absenteeism (OR 12.10, 95% CI: 1.65 to 88.83; p=0.014 and OR 5.65, 95% CI: 3.32 to 9.63; p<0.001). Cum laude GPA was not significantly associated.ConclusionsPrimary dysmenorrhoea is significantly associated with the quality of life, mental health and academic performance of medical students in Indonesia. Addressing its implications can enhance student well-being and academic outcomes. 
651 4 |a Indonesia 
653 |a Population 
653 |a Womens health 
653 |a Menarche 
653 |a Regression analysis 
653 |a Investigations 
653 |a Body mass index 
653 |a Mental disorders 
653 |a Questionnaires 
653 |a Absenteeism 
653 |a Medical students 
653 |a Quality of life 
653 |a Perceptions 
653 |a Stress 
653 |a Age 
653 |a Menstruation 
653 |a Academic achievement 
653 |a Sociodemographics 
653 |a Variables 
653 |a Mental depression 
653 |a Mental health 
653 |a Females 
653 |a Cross-sectional studies 
700 1 |a Sutanto, Reynardi Larope  |u Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia 
700 1 |a Tjoa, Kevin  |u Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia 
700 1 |a Rivaldo, Rivaldo  |u Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia 
773 0 |t BMJ Open  |g vol. 15, no. 1 (2025), p. e093237 
786 0 |d ProQuest  |t Consumer Health Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3151922096/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3151922096/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3151922096/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch