Psychoemotional state and sleep disorders in adolescent girls with menstrual dysfunction

Background. The analysis of the mental well-being of girls during puberty is an important factor in predicting their reproductive potential. The assessment of emotional status in the detection of comorbid sleep disorders and menstrual function is of particular relevance.
The aim. To assess the psychoemotional state of adolescent girls with irregular menstrual cycles and sleep disorders.
Materials and methods. Eighty nine girls aged 15–17 were examined. Three study groups were formed: 1 – girls with irregular menstrual cycles complaining of sleep disorders (n = 31), 2 – girls with irregular menstrual cycles without complaints of sleep disorders (n = 42), 3 – girls without menstrual disorders and complaints of sleep disorders (n = 16). An adapted version of the ASHS questionnaire was used to assess sleep quality. In order to assess the psychological status, the methods of Spielberger – Khanin, Bass – Darki, and Beck were used.
Results. Patients with menstrual dysfunction and sleep disorders showed increased indicators of personal and situational anxiety, a high index of hostility dominated by resentment, and more pronounced depressive symptoms.
Conclusions. The mental health of adolescents is closely related to their reproductive function. Stress and sleep disorders provoke menstrual dysfunctions, which worsen the psychological state. It is especially important to take this into account during puberty. An integrated approach to the diagnosis and treatment of these interrelated disorders helps to prevent complications.

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