Psychovegetative disorders and pain at women with dysmenorrhea

The aim: to identify the relationship between the severity of psychovegetative and pain in women with dysmenorrhea. Patients and methods: 46 women (mean age 22.3±6.2 years old) with dysmenorrhea. 3 groups: mild, moderate and severe dysmenorrhea were distinguished as symptoms severity. Results. The correlations between the pain severity according to numerical pain intensity scale (NPIS) and the values of other parameters: with the anxiety severity Sheehan scores (r=0.644, p <0.01), depression on the Hamilton scale (r=0.824, p <0.01), disorders the autonomic nervous system by questionnaire Wayne (r=0,442, p <0.05), reproductive system functioning satisfaction numerical scale (r=0.702, p <0.01), and the overall life quality on the SF-36 questionnaire (r=0.615, p <0.01) were identified. Patients with severe dysmenorrhea score on the Hamilton scale and severity of psycho-vegetative syndrome was significantly higher it was found when variance analysis depending on the Hamilton scale score and score on the questionnaire Wayne from a group at the prevailing sex hormones concentration changes, clustering parameter for the severe dysmenorrhea presence. Conclusion. Severe dysmenorrhea is probably a "yellow flag" patient psychosocial distress and requires the development of specific therapeutic strategies. The article also shows the relationship between the pathophysiological mechanisms of psycho-vegetative syndrome, pain and disorders of regulate the menstrual cycle hormones.

psychovegetative disorders, pain, dysmenorrheal