Comparison of cortisol, depression and stress hormone levels in primary dysmenorhore adolescents with the application of a combination of facial acupressure with classic music therapy

Fitrya Ayu Anggraini

doi:10.21927/jnki.2024.12(3).310-319

Comparison of cortisol, depression and stress hormone levels in primary dysmenorhore adolescents with the application of a combination of facial acupressure with classic music therapy

Fitrya Ayu Anggraini

Abstract

Background : Constant chronic dysmenorrhea pain, should be screened with a single morning serum cortisol concentration. Uncontrolled pain (acute and chronic) initially indicates high serum cortisol concentrations. Then, one of the factors that can influence pain during menstruation is stress.

Objectives : This study aims to assess non-pharmacological interventions for facial acupressure (BL-2, Yin Tang, GV 23, GB 15, Tai Yang, GB 14, Ex Hn4, TE 23, Sang Ming , LI-20, Ex Hn 8, ST-3, Si 18, Du 26, REN 24, JiaCenjiang, SJ21, SJ17, GB-2) combined with Mozart classical music in reducing cortisol levels, depression and stress in dysmenorrhea primary.

Methods: This is quantitative research with a quasi-experimental design. The research approach used is pre-post test design. In November 2021-January 2022 at Megarezky University Makassar. There were 42 Adolescents with Primary Dysmenorrhea for respondents to this research. The sample in this study was divided into three groups, namely an intervention group (combination of facial acupressure with classical music) and 2 control groups which were only given classical music and facial acupressure treatment. Data collected included depression and stress. In addition, cortisol levels were checked using an ELISA Kit. Then the data was analyzed using the Paired T-test, while to see the differences if it was normally distributed using the One Way Anova test and if it was not normally distributed using Kruskal-Wallis.

Results: The results of the study found that there was a decrease in cortisol levels, depression and stress when given facial acupressure and classical music, but the reduction was more effective if a combination of facial acupressure and classical music.

Conclusions: Among the variables of cortisol levels, depression and stress, the combination of facial acupressure and classical music was significantly more effective in improving stress than just giving facial acupressure and classical music.

Keywords

dysmenorrhea; cortisol; depression; stress; face acupressure; classical music

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References

F. Gary Cunningham, Leveno, Bloom H Auth R, Spong. Williams Obstetrics. 25th ed. Philadelpia.McGraw Hill. 2018.

Kazama M, Maruyama K, Nakamura K. Prevalence of Dysmenorrhea and Its Correlating Lifestyle Factors in Japanese Female Junior High School Students. Tohoku Journal of Experimental Medicine (TJEM) 2015;107–13. doi : https://doi.org/10.1620/tjem.236.107

Ling, Fang, Caiyun Gu, Xinyu Liu, Jiabin Xie ZH, Meng Tian, Jia Yin AL and YL. Metabolomics study on primary dysmenorrhea patients during the luteal regression stage based on ultra performance liquid chromatography coupled with quadrupole ‑ time ‑ of ‑ flight mass spectrometry. Molecular Medicine Reports. 2017;1043–50. doi : https://doi.org/10.3892/mmr.2017.6116

Charla E, Bingan S. Terapi Musik Instrumental Dayak Terhadap Pengurangan Nyeri Haid ( Dismesnorhoe ) Pada Remaja Putri Kota Palangka Raya. Jurnal Kesehatan Poltekkes Palembang (JPP). 2020;15(1):14–20. doi : https://doi.org/10.36086/jpp.v15i1.454

Gebeyehu MB, Mekuria AB, Tefera YG, Andarge DA, Debay YB, Bejiga GS, et al. Prevalence, Impact, and Management Practice of Dysmenorrhea among University of Gondar Students, Northwestern Ethiopia: A Cross-Sectional Study. International Journal of Reproductive Medicine [Internet]. 2017;2017:1–8. Available from: https://doi.org/10.1155/2017/3208276

Nadine SO, Dabou S, Gaelle Djoueudam F, Natheu Kamhoua C, Lienou Lienou L, Njina Nguedia S, et al. Title: Primary Dysmenorrhea: Associated Symptoms, Impact and Management among Females in the Menoua Division of the West Region of Cameroon. Cross-sectional Study Running Title: Primary Dysmenorrhea in the Menoua Division. American Scientific Research Journal for Engineering, Technology, and Sciences [Internet]. 2020;66(1):26–34. Available from: http://asrjetsjournal.org/

Yanti I, Marlina R. Pengaruh Stres, Status Gizi Dan Aktivitas Fisik Terhadap Kejadian Dismenore Primer Pada Remaja Puteri. HSG Journal (Health Science Growth) 2018;3(2):72–80. Available from: https://journal.unsika.ac.id/index.php/HSG/article/view/1563

Mohamed, Shimaa A., Soheir M. El-kosery MFAE and DAO. Effect of Acupressure on Plasma Cortisol Levels in Effect of Acupressure on Plasma Cortisol Levels in Primary Dysmenorrhea: A Randomized Controlled Trial. European Journal of Applied Sciences. 2020;(August):12 (3): 74-80, 2020. doi : 10.5829/idosi.ejas.2020.74.80

Septianingrum Y, Hatmanti NM. Correlation Between Menstrual Pain and Level of Cortisol Among Nursing Student of Nahdatul Ulama University, Surabaya. International Conference of Kerta Cendekia Nursing Academy. 2019;163–8.

Jeon, G.E., Cha, N.H. & Sok SR. Factors Influencing the Dysmenorrhea among Korean Adolescents in Middle School. Journal of Physical Therapy Science. 2014;26(9):1342.

Maia, H.Jr., Haddad, C., Coelho, G. & Casoy J. Role of inflammation and aromatase expression in the eutopic endometrium and its relationship with the development of endometriosis. ResearchGate. 2012;647–58. doi : http://dx.doi.org/10.2217/whe.12.52

Rejeki S. Gambaran Tingkat Stres Dan Karakteristik Remaja Putri Dengan Kejadian Dismenore Primer. Jurnal Kebidanan. 2019;8(1):50. doi : https://doi.org/10.26714/jk.8.1.2019.50-55

Mantolas, Santi L, Trifonia Sri Nurwela RG. Hubungan Tingkat Stres Dengan Kejadian Dismenorea Pada Mahasiswi Keperawatan Angkatan Vi Sekolah Tinggi Ilmu Kesehatan (Stikes) Citra Husada Mandiri Kupang. CHMK MIDWIFERY Scientific Journal. 2019;2:494–494.

Sari D, Nurdin AE, Defrin D. Hubungan Stres dengan Kejadian Dismenore Primer pada Mahasiswi Pendidikan Dokter Fakultas Kedokteran Universitas Andalas. Jurnal Kesehatan Andalas. 2015;4(2):567–70.

Ismail, Indria F, Rina Kundre Jl. Hubungan Tingkat Stres Dengan Kejadian Dismenorea Pada Mahasiswi Semester Viii Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado. E-Journal Keperawatan (E-Kp). 2015;3(2):1–8. doi : https://doi.org/10.35790/jkp.v3i2.9600

Tennant F. The Physiologic Effects of Pain on the Endocrine System. Pain Ther. 2013;2(2):75–86. doi : https://doi.org/10.1007/s40122-013-0015-x

Tennant F. Cortisol Screening in Chronic Pain Patients. Med Central 2017;12(1):36–42.

Bahrudin M. Patofisiologi Nyeri (Pain). Saintika Medika. 2018;13(1):7. doi : https://doi.org/10.22219/sm.v13i1.5449

Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. Journal of Family Medicine and Primary Care 2015;4(3):426–31. doi : https://doi.org/10.4103%2F2249-4863.161345

Jaremka, L.M., Glaser, R., Loving, T.J., Malarkey WB, Stowell, J.R., Kiecolt-Glaser J. Attachment Anxiety is Linked to Alterations in Cortisol Production and Cellular Immunity. Psychological Science. 2013 March 1; 24(3). 2014;24(3):1–13. doi : https://doi.org/10.1177%2F0956797612452571

Nugroho RA. Dasar-Dasar Endokrinologi. Mulawarman Univ Press. 2016;53(9):1689–99.

Yao LZ. akupresur mandiri estetika wajah dan tubuh. Jakarta: PT Legacy Utama Kreasindo; 2016.

Ertiana D, Akhyar M, Budihastuti UR. Path Analysis of Factors which Correlated with Dysmenorrhea. Indonesian Midwifery and Health Sciences Journal 2016;1:136–45. Available from: https://doi.org/10.26911/theijmed.2016.01.02.08%0APath

Ertandri Yodi, Syahredi S. Adnani HB. Cortisol Levels in Chronic Primary Dysmenorrhoea Patients and Non- Dysmenorrhoea : A Cross- Sectional Study. Indonesian Journal of Obstetric and Gynecology.2020;8(2). doi : https://doi.org/10.32771/inajog.v8i2.1128

Vanessa A. van Ast, Sandra Cornelisse, Marie-France Marinc, Sandra Ackermanne, Sara Garfinkelf and HCA. Modulatory mechanisms of cortisol effects on emotional learning and memory: Novel perspectives. Psychoneuroendocrinology. 2013;23(1):1–7. doi : https://doi.org/10.1016/j.psyneuen.2013.06.012

Heryani R, Utari MD. Efektivitas Pemberian Terapi Musik (Mozart) Dan Back Exercise Terhadap Penurunan Nyeri Dysmenorrhea Primer. Jurnal IPTEKS Terapan 2017;11(4):283. doi : https://doi.org/10.22216/jit.2017.v11i4.2486 Abstract

DOI: http://dx.doi.org/10.21927/jnki.2024.12(3).310-319