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1 VAT Relationship between the gender role /an interpersonal relation index VAT and menstruation-related symptoms in young women Takako SHIMAMOTO QOL : quality of life QOL A
2 QOL : quality of life QOL QOL 1 1
3 VAT QOL
4 Lopez VAT Valency Assessment Test
5 VAT B 1 dysmenorrhea 2013 WHO Latte /3 1/ PG PG
6 ACOG premenstrual syndrome : PMS Guidelines for women s health care : a resource manual 4 th ed. 2013
7 VAT DSM- Premenstrual Dysphoric Disorder : PMDD American Psychiatric Association PMDD PMS PMS/PMDD 2 Premenstrual Dysphoric Disorder DSM-V A B C 1 B A C 1 D E F A 2 G 2016
8 PMS PMS PMDD 5 8Yonkers 2008 PMS PMS Yonkers 2008 PMS/PMDD C Bem s Sex Role Inventory BSRI Bem s Sex Role Inventory BSRI BSRI 1974 Sandra Bem masculinity femininitysex role Bem 1974 Bem BSRI Bem 2008Bem Bem BSRI 30 short form masculinity femininity masculine feminine androgynous undifferentiated BSRI 40 Lips, 2016
9 VAT D Valency Assessment Test Valency Assessment Test, VAT Hafsi Hafsi, 1997 ; 2007 Stock 1958 Reaction to Group Situation Test valencywilfred Bion 1961 VAT C 4 C Bion 1961 basic assumption readiness Hafsi Hafsi, 2006, 2008, 2009 Hafsi Hafsi, 1997 ; dependency valency fight valency flight valencypairing valency polyvalencyhafsi, valency constitution Hafsu active valency ACV auxiliary valency AXVHafsi, 1997 ; 2006 ACV AXV ACV ACV VAT Hafsi Hafsi,
10 1997 ; 2006 VAT Hafsi VAT Hafsi, VAT Hafsi, 2015 hypo-valency hyper-valency 3 -DV - FV -FIV -PVundifferentiated valency Hafsi VAT VAT 2017 VAT VAT VAT VAT VAT VAT A B
11 VAT SPSS C 1 BSRI masculinityfemininity MF masculine U undifferentiated MM androgynous FF feminine
12 2 General Health Questionnaire, GHQ GHQGoldberg VAT Hafsi 4 4 Hafsi VAT Valency Assessment Test D dependency F fight P pairing FL flight Hafsi 2017 VAT VAT Hafsi
13 VAT D fight F flight FL pairing valency P Hafsi, 2007 A VAT Hafsi D 65 VAT Hafsi 4 D D 2 D D 3 3 D 39F 18P 35Fl 3 5 B 1 VAT BSRI A 4 D F p D P p 0.019
14 4 C VAT D F P FL 2 BMI Body Mass Indexkg m D P p 0.17 F FL D p 0.12 GHQ D P p 0.33FL D p D 4 VAT D F P FL p BMI GHQ * 3.30 *p 0.035
15 VAT F D 5 6 F F P D F D P D F D P D 6
16 VAT FL 3 8 P F F D P
17 VAT 8 A VAT 2017 VAT D 47 F 17P 17Fl VAT D53F 15P 16FL 9 7 D64F 13 P 20FL 3 D 2/3 D VAT D 2 D 39F 18P 35Fl 3 5
18 FL FL Hafsi FL VAT FL VAT D F P FL D B VAT 1 1 D P p 0.17FL D p , 2014 VAT 18 D 7.54 F 7.08 P 7.50 FL 8.75 FL FL D F P 2017F FL 2 GHQ D P p 0.33FL D p GHQ D F P FL F P F P FL D FL P DF BMI
19 VAT Hafsi P C VAT BSRI D F p D P p F Bem P 2017BSRI MF MM FF U 4 D 7 F MF MM 65 MM 4 P FF U 9 FF 5 F P Alonzo-Arbiol et al., 2002 ; Uzzell and Horne, 2006 BSRI androgyny Wiggins and Holzmuller, 1981 BSRI VAT F BSRI Hafsi F BSRI F D P FL Hafsi VAT P 3Hafsi VAT F Bem
20 F D P FL Bem D 1 F D F F P D F D P D F D P D F P P P F F D
21 VAT P D F P D F P Terauchi 2014 VAT P 9 D F D 5 D P D F D P D P F
22 VAT F P D Fl 3 Fl 3 VAT 2014 VAT 2001 Barnard 2003
23 VAT 2014 Vines Valency theory valency theory
24 Hafsi VAT 2017VAT VAT VAT VAT Hafsi E QOL VAT
25 VAT 2009 QOL QOL quality of life, QOL VAT VAT 2015 Hafsi
26 C GHQ et al et al : : Hafsi Med2014 VAT 1 22 : VAT 45 : : : ACOG 2005 Committee Opinion. Endometriosis in adolescents. Obst Gynecol 2005 ; 105 : Alonso-Arbiol, I., Shaver, P. R., and Yarnoz, S Insecure attachment, gender roles, and interpersonal dependency in the Basque Country. Person. Relationships 9 : American Psychiatric Association 2013Diagnostic and statistical manual of mental disorders. 5 th ed. American Psychiatric Publishing. Washington DC. pp Barnard K et al 2003 Health status among women with menstrual symptoms. J Women Health Bem, S. L The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology,
27 VAT 42 : Bion, W Learning from experience. Heinemann Medical Books, London. Hafsi, M Valency and its measurement ; validating a Japanese version of reaction to group situation test RGST. psycholo 8 ia, 40 : Hafsi, M Hafsi, M The chemistry of interpersonal attraction : Developing of further Bion s concept of valency. Memoirs of Nara University, 34 : Hafsi, M The valency theory : The human bond from a new psychoanalytic perspective. Memoirs of Nara University, 36 : Hafsi, M : Hafsi, M Personality under the light of valency theory : A shift to sociality. 18 : Hafsi, M The anatomy of the relatedness means : Valency theory revisited and compared. Memoirs of Nara University, 41 : Latte P etal WHO systematic review of prevalence of chronic pelvic pain : a neglected reproductive health morbidity. BMC Public Health ; 6 : 177 Lips,H.M Sandra Bem : Naming the impact of gendered categories and identities. Sex Roles, doi : /s Lopez, F. J Regulation of the hypothalamic-pituitary-gonadal axis : role of gonadal steroids and implication for the menopause. Menopause : biology and pathobiology. Academic Press. San Diego, California Terauchi, M., Terauchi, M., Hiramitsu, S., Akiyoshi, M., Owa, Y., Kato, K., Obayashi, S., Matsushima, E., and Kubota, K Effects of the kampo formula Tokishakuyakusan on headaches and concomitant depression in middle-aged women. Evid. Based Complement Alternat. Med. Article ID , doi : /2014/ The American College of Obstetricians and Gynecologists 2014Guidelines for women s health care : a resource manual 4 th ed. The American College of Obstetricians and Gynecologists, Washington DC, Uzzell, D. and Horne N The influence of biological sex, sexuality and gender role on interpersonal distance. Br. J. Soc. Psychol. 45 : Vines AI, Esserman DA 2010The association between self-reported major life events and the presence of urine fibroids. Women Health Issues Wiggins, J. S. and Holzmuller, A Further evidence on androgyny and interpersonal flexibility. J. Res. Personal. 15 : Yonkers K A. et al Premenstrual syndrome. Lancet 2008 ; 371 :
28 Summary During their lifetime, women experience female-specific subjective symptoms and general malaise such as menopausal symptoms, functional dysmenorrhea, premenstrual syndrome, postpartum depression, autonomic dysfunction due to the biological background of fluctuating female hormones and the psychological and social background of their individual life styles. The impairment in the quality of life QOL due to these symptoms and malaise cannot be sufficiently managed by traditional health care focusing on diseases in specialized medical disciplines. A comprehensive lifetime health care model that takes into consideration female-specific health issues and life events is required. Previous studies by the author suggest that knowing the relationship between the personality of patients and their complaints of subjective symptoms helps to implement more effective management of subjective symptoms and general malaise in women in menopausal periods. In this study, we focus on menstruation-related symptoms dysmenorrhea, premenstrual syndrome in young women as research subjects, and analyzed the relationship between the types and severity of symptoms and the gender role and interpersonal relation tendency of the subjects. To accomplish total care of women in the early period of sexual maturation, we examined the possibility of using psychological indicators representing gender roles and interpersonal relationships to predict the pattern of symptom expression, thereby contributing to improved self-care by young women. Key words dysmenorrhea, PMS premenstrual syndrome, women s health, Quality of life, personality
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