THE RELATIONSHIP BETWEEN STRESS LEVELS AND THE MENSTRUAL CYCLE AMONG LATE ADOLESCENT GIRLS AT MA AL-HUDA WAJAK

Main Article Content

Nurul Anjarwati
Tauhid Riski Akbar
Frastiqa Fahrany
Galuh Kumalasari

Abstract

Irregular menstrual cycles in late adolescent girls can occur because of stress. Stress in adolescence is something that must be given attention under current conditions. The aim of this study was to determine the relationship between stress levels and the menstrual cycle in late adolescents. This study used a correlational (non-experimental) design. The subjects were female adolescents aged 15 to 18 years. The sample comprised 68 respondents selected by purposive sampling on 11 March 2024. The instruments used were the Depression Anxiety Stress Scale (DASS) questionnaire and the Menstrual Cycle Questionnaire. Data were analysed using the Spearman rank test. The results showed that stress levels were mostly in the moderate category (50%) and menstrual cycles were mostly in the irregular category (66.2%). There was a relationship between stress levels and the menstrual cycle in late adolescents, with a p value of 0.001 (< 0.05), meaning that H1 was accepted, with a correlation coefficient of 0.868 (very strong) and a positive direction of association. The conclusion of this study is that stress conditions in female adolescents can affect their menstrual cycles, which can be caused by personal, academic or social environments. Nurses are expected to provide support to students through health education on stress and the menstrual cycle. Schools and parents are expected to provide mental support to students by facilitating service facilities such as the Guidance Counselling (BK) room.

Article Details

Section

Articles

References

Aisyah, I. S., Neni, N., & Muharry, A. (2025). Analysis of the Relationship between Nutritional Status and Stress with the Menstrual Cycle in Adolescent Girls. Jurnal Ilmiah Kesehatan (JIKA), 7(3), 498–508. https://doi.org/10.36590/jika.v7i3.1305

Angrainy, R., Yanti, P. D., & Oktavia, E. (2020). Hubungan tingkat stres dengan siklus menstruasi pada remaja putri di sman 5 pekanbaru tahun 2019. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences), 9(2), 114–120. https://doi.org/10.35328/kebidanan.v9i2.719

Ansong, E., Arhin, S. K., Cai, Y., Xu, X., & Wu, X. (2019). Menstrual characteristics, disorders and associated risk factors among female international students in Zhejiang Province, China: a cross-sectional survey. BMC Women's Health, 19(1). https://doi.org/10.1186/s12905-019-0730-5

Armayanti, L. Y., Damayanti, P. A. R., & Damayanti, P. A. R. (2021). Faktor-faktor yang mempengaruhi keteraturan siklus menstruasi pada remaja putri di SMA negeri 2 singaraja. Jurnal Media Kesehatan, 14(1), 75–87. https://doi.org/10.33088/jmk.v14i1.630

Armour, M., Parry, K., Manohar, N., Holmes, K., Ferfolja, T., Curry, C., MacMillan, F., & Smith, C. A. (2019). The Prevalence and Academic Impact of Dysmenorrhea in 21,573 Young Women: A Systematic Review and Meta-Analysis. Journal of Women's Health, 28(8), 1161–1171. https://doi.org/10.1089/jwh.2018.7615

Batubara, F. R., Sirait, G. L. A., & Achmad, L. N. (2022). Relationship between Menstrual Stress Levels and Menstrual Cycle in Medical Students. Journal of Drug Delivery and Therapeutics, 12(4-S), 140–146. https://doi.org/10.22270/jddt.v12i4-s.5560

Fadillah, R. T., Usman, A. M., & Widowati, R. (2022). Hubungan Tingkat Stres Dengan Siklus Menstruasi Pada Siswi Putri Kelas X Di SMA 12 Kota Depok. MAHESA: Malahayati Health Student Journal, 2(2), 258–269. https://doi.org/10.33024/mahesa.v2i2.5907

Fitri Kumalasari, M. L., Hadi, M. I., & Munir, M. (2019). Hubungan tingkat stres psikologis dengan siklus menstruasi pada mahasiswa. Jurnal Kesehatan, 12(2), 131. https://doi.org/10.24252/kesehatan.v12i2.10842

Hu, Z., Tang, L., Chen, L., Kaminga, A. C., & Xu, H. (2020). Prevalence and Risk Factors Associated with Primary Dysmenorrhea among Chinese Female University Students: A Cross-sectional Study. Journal of Pediatric and Adolescent Gynecology, 33(1), 15–22. https://doi.org/10.1016/j.jpag.2019.09.004

Ignasia, S., Purwati, A., & Safitri, R. (2024). Hubungan tingkat stres dengan pola siklus menstruasi pada remaja putri di smpn 17 Malang. Jurnal Kesehatan Hesti Wira Sakti, 12(2), 149–163. https://doi.org/10.47794/jkhws.v12i02.649

Indriyani, L., & Aniroh, U. (2023). Hubungan Tingkat Stres dengan Siklus Menstruasi pada Remaja Putri. Jurnal Keperawatan Berbudaya Sehat, 1(1), 16–21. https://doi.org/10.35473/jkbs.v1i1.2157

Itani, R., Soubra, L., Karout, S., Rahme, D., Karout, L., & Khojah, H. M. J. (2022). Primary Dysmenorrhea: Pathophysiology, Diagnosis, and Treatment Updates. Korean Journal of Family Medicine, 43(2), 101–108. https://doi.org/10.4082/kjfm.21.0103

Kocabey, H. A., Oden Akman, A., & Kasim, İ. (2024). The Impact of Menstrual Disorders on Sleep Quality in Adolescents: An Observational Study. Journal of Pediatric and Adolescent Gynecology, 37(6), 579–585. https://doi.org/10.1016/j.jpag.2024.08.005

Krishnaveni, S., Jayanthi, V., & Viji, A. (2019). Stress experience during menstrual cycle among adolescent girls at selected schools, Kadapa, Andhra Pradesh. Narayana Nursing Journal, 8(4), 30. https://doi.org/10.5455/nnj.2019.8.4.30-32

Larasati, N. A. (2023). Hubungan Tingkat Stres dengan Keteraturan Siklus Menstruasi pada Remaja. Jurnal Riset Kesehatan Masyarakat, 3(2), 71–79. https://doi.org/10.14710/jrkm.2023.18720

Maedy, F. S., Permatasari, T. A. E., & Sugiatmi, S. (2022). Hubungan Status Gizi dan Stres terhadap Siklus Menstruasi Remaja Putri di Indonesia. Muhammadiyah Journal of Nutrition and Food Science (MJNF), 3(1), 1. https://doi.org/10.24853/mjnf.3.1.1-10

Martini, S., Putri, P., & Caritas, T. (2021). Hubungan Tingkat Stres Akademik dengan Siklus Menstruasi Pada Masa Pandemi Covid-19 di SMA Muhammadiyah 2 Palembang. JKM: Jurnal Keperawatan Merdeka, 1(1), 17–23. https://doi.org/10.36086/jkm.v1i1.978

Mayasari, A. T., & Fauziah, N. A. (2022). The Relationship of Stress Levels on Menstrual Cycle Disorders in Adolescent Girls. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 7(S1). https://doi.org/10.30604/jika.v7is1.1193

Nurhayati, N., & Yuliwati, N. (2023). Hubungan Tingkat Stres dengan Gangguan Siklus Menstruasi pada Remaja Putri. Journal of Pharmaceutical and Health Research, 4(1), 74–78. https://doi.org/10.47065/jharma.v4i1.3182

Perović, M., & Mack, M. L. (2025). Menstrual cycle and perceived stress predict performance on the mnemonic similarity task. PLOS One, 20(5), e0322652. https://doi.org/10.1371/journal.pone.0322652

Putwain, D. W., & von der Embse, N. P. (2020). Cognitive–behavioral intervention for test anxiety in adolescent students: do benefits extend to school-related wellbeing and clinical anxiety. Anxiety, Stress, & Coping, 34(1), 22–36. https://doi.org/10.1080/10615806.2020.1800656

Revankar, S. S., Jadhav, V. S., & Naik, P. R. (2025). Effect of Nurse-Led Intervention on Stress and Menstrual Parameters Regarding Menstrual Health Management Among Adolescent Girls. Cureus. https://doi.org/10.7759/cureus.83478

Schoep, M. E., Adang, E. M. M., Maas, J. W. M., De Bie, B., Aarts, J. W. M., & Nieboer, T. E. (2019). Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women. BMJ Open, 9(6), e026186. https://doi.org/10.1136/bmjopen-2018-026186

Silva, M. R. (2021). Nutritional status, menstrual cycle, food habits and stress of university students among the academic season. Clinical Nutrition ESPEN, 46, S597. https://doi.org/10.1016/j.clnesp.2021.09.157

Sun, P., Wang, L., & Yan, L. (2025). Mediation of coping style between academic self-efficacy and academic stress in middle school students. Frontiers in Psychology, 16. https://doi.org/10.3389/fpsyg.2025.1496528

Yaşar, Ö. (2024). The effect of perceived stress on menstrual complaints in university students. Women & Health, 64(4), 341–349. https://doi.org/10.1080/03630242.2024.2337705