Abstract:
Regular menstruation is a key indicator of general health and irregular menstrual parameters have been associated with elevated risk of adverse health outcomes. While psychological stress is believed to contribute to abnormal menstruation, little is known of the effects of discrete psychological stressors, including the COVID-19 pandemic, on menstrual function. A systematic database search was performed and studies investigating the relation between psychological stress and menstrual cycle irregularity in otherwise healthy adults were included. Two independent investigators completed abstract and full-text screening, data extraction, and risk of bias assessment. In the 41 included studies, a variety of stressors were assessed, namely COVID-19 pandemic stress, academic stress, and occupational stress. Our review found most studies report an association between psychological stress and menstrual dysfunction, with the most common disruptions being irregular menstruation and abnormal menstrual flow. Our findings also underlined notable discrepancies in the operational definitions used in the study of menstrual disorders. These observations emphasize the importance of psychological stress as a modifiable risk factor associated with irregular menstruation.
摘要:
月经规律是总体健康的关键指标,而月经不调参数与不良健康结果的风险升高有关。虽然心理压力被认为会导致月经异常,对离散心理压力源的影响知之甚少,包括COVID-19大流行,月经功能。进行了系统的数据库搜索,并纳入了调查健康成年人心理压力与月经周期不规则之间关系的研究。两名独立调查人员完成了摘要和全文筛选,数据提取,和偏见风险评估。在41项纳入的研究中,评估了各种压力源,即COVID-19大流行压力,学术压力,职业压力。我们的评论发现,大多数研究报告了心理压力和月经功能障碍之间的关联,最常见的中断是月经不调和月经量异常。我们的发现还强调了月经失调研究中使用的操作定义的显着差异。这些观察结果强调了心理压力作为与月经不调相关的可改变的危险因素的重要性。
■背景:月经规律是总体健康的关键指标,而月经不调参数与不良健康结果的风险升高有关。虽然心理压力被认为会导致月经异常,对离散心理压力源的影响知之甚少,包括COVID-19大流行,月经功能。因此,我们旨在系统回顾关于成年心理压力与月经不调之间关联的证据.
方法:MEDLINE的系统数据库搜索,APAPsycInfo,Embase,科克伦中部,CINAHL,和WebofScience于2023年5月18日进行,纳入了调查心理压力与其他健康成年人月经周期不规则之间关系的研究(PROSPERO记录:CRD42023428005).两名独立调查人员完成了摘要和全文筛选,数据提取,以及使用JBI关键评估清单进行分析性横断面研究的偏倚风险评估。研究结果使用描述性统计进行总结。
结果:该综述包括41项研究,共有39,756名与会者,他们从世界各地的30个国家招募。评估了各种压力源,即COVID-19大流行压力,学术压力,职业压力。我们的综述发现,大多数研究报告了心理压力和月经功能障碍增加之间的关联,最常见的中断是月经不调和月经量异常。
结论:我们的综述强调了月经紊乱研究中使用的操作定义的显著差异。总的来说,这些观察结果强调了心理压力作为与月经不调相关的可改变的危险因素的重要性.