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Kap Study - for Pms Among College Students

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Kap Study - for Pms Among College Students
INTRODUCTION

1.1. Introduction: Women experience a lot of changes (symptoms) during their menstrual cycle, which markedly compromises their quality of life and ability to function, leading to higher direct medical costs for increased physician visits and laboratory tests, and higher indirect costs to employers through lower productivity at work. This group of symptoms form the Pre Menstrual Syndrome which varies in severity from person to person. Premenstrual syndrome (PMS) is a cyclic, complex, interactive disorder, which includes physical, emotional and behavioral symptoms.
Premenstrual syndrome is characterized by mental and physical symptoms that vary with different phases of the menstrual cycle. Symptoms start shortly after ovulation, increase in severity, and reach a maximum during the last five premenstrual days.
After the onset of menstrual bleeding, the symptoms rapidly disappear and are usually gone within three to four days. Diagnostic procedures using prospective daily symptom ratings have recently been developed, allowing a more precise diagnosis of the cyclical mood changes and leading to a clearer picture and definition of the condition.( Robinson et al., 2000).
Results from community studies show that the severity of the cyclical mood changes varies within a population of women of fertile age, from those having no cyclical mood changes to those severely handicapped by the symptoms for 14 days of the month. The severity assessment of subjective symptoms is difficult since severity is difficult to compare among individuals.
Premenstrual emotional and physical changes occur in nearly 80% of menstruating women. The symptoms vary from woman to woman and from cycle to cycle. Their intensity ranges from mild to incapacity. About 20% to 40% of women who have PMS experience symptoms that make life difficult and 2.5% to 5% experience PMS that is debilitating. PMS leads to substantial impairment in normal daily activities and



References: 1. Abraham, G. E. Nutritional factors in the etiology of the premenstrual tension syndromes. The Journal of Reproductive Medicine. 1983;28, 446–464. 2. Abraham, G. E. Premenstrual Blues. 1991; Martin Press, Torrance, CA. 7. Fikrat I. Abdullaev. Cancer Chemopreventive and Tumoricidal Properties of Saffron (Crocus sativus L.).Exp. Biol. Med. 2002;227:20-25. 8. Freeman  EW, Sondheimer  SJ, Rickels  K. Gonadotropin-releasing hormone agonist in the treatment of premenstrual symptoms with and without ongoing dysphoria: a controlled study. Psychopharmacol Bull.  1997;33:303–9. 9. Giannini AJ, Martin DM, Turner CE ."Beta-endorphin decline in late luteal phase dysphoric disorder". Int J Psychiatry Med (1990). 20 (3): 279–84. 10. Halas, M. A. Premenstrual syndrome in adolescents: a critical role for mental health counselors. American Mental Health Counselors Association Journal. (1987) 11 16. K. Kaliyaperumal , I.E.C. Expert, Diabetic Retinopathy Project, Guideline for Conducting a Knowledge, Attitude and Practice (KAP) Study, Community ophthalmology, 2000. 17 18. M. Dickerson, Pharm. D., Pamela J. Mazyck, Pharm. D., and Melissa H. Hunter, M.D. "Premenstrual Syndrome.” (2003). 19 20. O 'Brien, P. M. S. (1982) The premenstrual syndrome: a review of the present status of therapy. Drugs, 24, 140–151. 23. Reeder, S. J. and Martin, L. L. (eds) Maternity Nursing: Family Newborn and Women 's Health Care, 16th edn. (1987) Lippincott, Philadelphia, PA. 24. Robinson R L and Swindle W R. A study about the PMS symptom severity impact on social functioning and treatment seeking behavior. Journal of woman’s health and gender based medicine, 2000, 9 . 25 26. Seideman, R. Y. Effects of a premenstrual syndrome education program on premenstrual symptomatology. Health Care for Women International, (1990) 11, 491–501. 27. Steege JF, Blumenthal JA, The effects of aerobic exercise on premenstrual symptoms in middle-aged women: a preliminary study, J Psychosom Res. 1993;37(2):127-33. 28. Steiner  M, Born  L, Diagnosis and treatment of premenstrual dysphoric disorder: an update,  Int Clin Psychopharmacol.  2000;15(suppl 3):S5–17. 29. Thys-Jacobs  S, Starkey  P, Bernstein  D, Tian  J, Calcium carbonate and the premenstrual syndrome: effects on premenstrual and menstrual symptoms. Premenstrual Syndrome Study Group,  Am J Obstet Gynecol.  1998;179:444–52. 30. Wyatt  KM, Dimmock  PW, Jones  PW, O 'Brien  PM, Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic review, BMJ.  1999;318:1375–81.

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