The Effects Of Relaxation Training In Women With Primary Dysmenorrhea

Study Overview
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Brief Summary
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The aim of this study was to investigate the effects of relaxation training on menstrual pain severity, menstrual symptoms, impact of quality of life, impact of work/academic performance, impact of social activity level and anxiety level in women with primary dysmenorrhea (PD) complaints.

Detailed Description
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PD is the cramping pain that comes before or during a menstrual period. Relaxation training contributes to the reduction of stress and pain. Thus, there is a need to investigate the effects of relaxation training in dysmenorrhea.

Official Title
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The Effects Of Relaxation Training In Women With Primary Dysmenorrhea

Conditions
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Primary Dysmenorrhea

Intervention / Treatment
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* Other: Relaxation training
* Other: No intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women with primary dysmenorrhea complaint according to the Primary Dysmenorrhea Consensus Guide, Over 18 years of age, Having a mean pain intensity of moderate and higher according to the Visual Analogue Scale in the last 6 months, Having a regular menstrual cycle (28±7 days), Volunteered to participate in the study. Exclusion Criteria: Having a pathological history and radiological findings pointing to secondary dysmenorrhea, Using oral contraceptives/antidepressants at least 6 months, Receiving hormone therapy, Undergoing pelvic surgery, Pregnant, Giving birth, Using an intrauterine device, Having neurological, orthopedic and/or rheumatological diseases Having a psychiatric disease, Having a history of malignancy

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Relaxation group<br>Jacobson progressive relaxation training will be applied | Other: Relaxation training<br>* Relaxation training will be performed under the supervision of a physiotherapist. The training is carried out from the estimated day of ovulation (cycle length in days minus 14) until the next menstrual period begins<br>|
| Other: Control group<br>No intervention will be applied | Other: No intervention<br>* No intervention will be applied. The natural process will be followed from the estimated day of ovulation (cycle length in days minus 14) until the next menstrual period begins<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Menstrual pain intensity | Menstrual pain intensity will be evaluated with Visual Analogue Scale. This scale consists of a 10 cm horizontal line. The starting point 0 = no pain, while 10 = unbearable pain. Individuals will be asked to mark on a 10 cm straight line according to the level of pain they feel. Pain intensity will be recorded by measuring the distance between the beginning of the line and the marked place. | change from baseline at an average of 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Menstrual symptoms | Menstrual symptoms will be measured with the menstrual symptom questionnaire. Menstrual Symptom Questionnaire is a 24-item self-report scale and each item is scored between 1 (never) and 5 (always). An increase in the mean score indicates an increase in the severity of menstrual symptoms. The total score is 120 points. | change from baseline at an average of 2 weeks | 
| Impacts of academic/work performance | Impacts of academic/work performance will be evaluated with Visual Analogue Scale. This scale consists of a 10 cm horizontal line. The starting point 0= means my work/school performance is not affected in any way, while 10= means my work/school performance is greatly affected | change from baseline at an average of 2 weeks | 
| Impacts of life quality | Impacts of life quality will be evaluated with Visual Analogue Scale. This scale consists of a 10 cm horizontal line. The starting point 0 = my quality of life is not affected in any way, while 10 = my quality of life is greatly affected. Individuals will be asked to mark on a 10 cm straight line according to the quality of life they think. | change from baseline at an average of 2 weeks | 
| Impacts of social activity | Impacts of social activity will be evaluated with Visual Analogue Scale. This scale consists of a 10 cm horizontal line. The starting point 0 = my social activity is not affected in any way, while 10 = my social activity is greatly affected. Individuals will be asked to mark on a 10 cm straight line according to the social activity they think. | change from baseline at an average of 2 weeks | 
| Anxiety level | Anxiety level will be assessed with the Spielberger State Trait Anxiety Inventory. This inventory is a 40-item self-report inventory designed to measure both state anxiety section (current feelings of apprehension, worry, etc.) and trait anxiety section (continuous feelings of apprehension, worry, etc.). Each section is scored on four levels of anxiety intensity from 1=not at all to 4=very much and with a sum score between 20 and 80. A higher total score indicates more severe anxiety level. | change from baseline at an average of 2 weeks |