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HOME > J Korean Acad Community Health Nurs > Volume 24(3); 2013 > Article
Original Article
A Study on Coping Styles for Dysmenorrhea and Affecting Factors in Middle School Students
Young Im Kim, En Hee Lee, Ga Eul Jeon, Sook Ja Choi
Journal of Korean Academy of Community Health Nursing 2013;24(3):264-272.
Published online: September 30, 2013
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1Department of Nursing, Korea National Open University, Seoul, Korea.

2Department of Nursing, Gangneung-Wonju National University, Gangneung, Korea.

3Department of Nursing, International University of Korea, Jinju, Korea.

4Graduate School of Public Health, Seoul National University, Seoul, Korea.

• Received: May 15, 2013   • Accepted: August 8, 2013

© 2013 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • Purpose
    The aim of this study was to investigate coping styles for dysmenorrhea and explore factors related with their coping styles according to different health loci of control in middle schoolers.
  • Methods
    Data were collected by using a structured questionnaire for 572 students from three middle schools in Seoul from March 22 to April 2, 2010. The measurement included menstrual distress, coping method questionnaire and health locus of control. The data were analyzed by using t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis.
  • Results
    Middle school students used the active behavioral coping style more often than the avoidance style. There was a significant difference in means within each coping style including levels of stress, levels of health, and regular exercise. There were also significant correlations between each coping style and health locus of control. Regression analyses indicated that the health locus of control factor is the most powerful factor in each coping style.
  • Conclusion
    We observed that various coping methods are used for dysmenorrhea in middle school students. However, the active behavioral coping style is dominant in such a condition. Based on these results, we need to develop a health locus of control to improve coping styles for dysmenorrhea.
Table 1
Means and Standard Deviations on Coping Reponses by Coping Styles (N=572)
Table 2
The Differences of Mean in Coping style according to General Characteristics (N=572)

*Post-hoc test : Duncan's test A>B.

Table 3
Means and Standard Deviations on The Multidimensional Health Locus of Control Scales

HLOC=health locus of control.

Table 4
Correlation between HLOC and Coping Styles (N=572)

HLOC=health locus of control.

Table 5
Multiple Regression Analysis of Coping Styles on Personal Characteristics, Health Behaviors, and Health Locus of Control

Note. Dummy variables (reference group): level of stress (low), level of health (low), regular exercise (not at all), menstrual period (1~2 days), regularities of menstruation cycle (regular), regularities of dysmenorrhea (regular); HLOC=health locus of control.

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