Menstrual attitude dimensions, Anxiety and Body Esteem in adolescent girls

Psychol Health Med. 2020 Apr;25(4):418-425. doi: 10.1080/13548506.2019.1640885. Epub 2019 Jul 8.

Abstract

One of the horrifying experiences that adolescent girls endure is menstruation. Understanding how some individual-related factors affect menstrual attitudes has substantial implications for coping with difficulties that come with it. We tested the direct and interactive effect of anxiety and body esteem dimensions (attribution, weight & appearance) on dimensions of menstrual attitudes (debilitating, bothersome, natural, prediction & denial) among adolescent girls in Ibadan, Nigeria. This is a cross- sectional survey of 276 secondary schools girls aged 12-19 years (M= 14.89, SD= 1.46). Multivariate Analysis of Variance results revealed adolescent girls with lower anxiety reported positive menstrual attitude by anticipating the onset of menstruation. Body esteem-appearance directly influenced both debilitating and bothersome dimensions of menstrual attitude; suggesting girls with higher body esteem for appearance positively accept menstrual experience as weakening and inconvenient. Interactively, anxiety and appearance dimension of body esteem influenced prediction dimension; likewise anxiety, weight and attribution dimensions of body esteem. It is concluded that body esteem and less anxiety are important for adolescent girls' positive menstrual attitudinal change. Thus, reduced apprehension and high self-respect for body appearance and weight are recommended for accepting menstruation as a normal bodily function occurrence during a woman's reproductive lifespan.

Keywords: Adolescent girls; anxiety; body esteem; menstrual attitude.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / psychology*
  • Body Image / psychology*
  • Child
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Menstruation / psychology*
  • Nigeria
  • Young Adult