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Data were collected using a self\u2010administered questionnaire. Unadjusted and adjusted odds ratios (aOR) were calculated at a 5% level of significance to identify factors associated with depression, anxiety and stress. Of 270 adolescent girls, 28.9% (95% CI: 23.5%\u201335.2%) experienced anxiety, 14.4% (95% CI: 10.0%\u201318.5%) experienced stress and 32.2% (95% CI: 26.6%\u201337.4%) experienced depression. Low perceived family support during menstruation (aOR: 2.87, 95% CI: 1.03\u20137.97), low perceived support from friends during menstruation (aOR: 4.09, 95% CI: 1.66\u201310.07) and experiencing moderate\/severe dysmenorrhea (aOR: 2.31, 95% CI: 1.105\u20135.08) were associated with anxiety. Those with moderate\/severe dysmenorrhoea had higher odds (aOR: 5.60, 95% CI: 1.56\u201320.05) of experiencing stress. Low perceived family support (aOR: 3.07, 95% CI: 1.08\u20138.67), low perceived support from friends (aOR: 2.77, 95% CI: 1.11\u20136.89) and experiencing moderate to severe dysmenorrhoea (aOR: 3.56, 95% CI: 1.63\u20137.79) were associated with depression. The findings underscore the importance of proper management of dysmenorrhoea and need for social support from both family and friends during menstruation as these factors are associated with psychological distress among adolescent girls.<\/jats:p>","DOI":"10.1111\/bjdp.12531","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T01:23:18Z","timestamp":1730856198000},"page":"161-173","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Menstruation experiences and its association with psychological distress among school\u2010going adolescent girls of Nepal: A cross\u2010sectional study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6595-1870","authenticated-orcid":false,"given":"Sadikshya","family":"Niroula","sequence":"first","affiliation":[{"name":"Department of Public Health CiST College, Pokhara University  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3077-6697","authenticated-orcid":false,"given":"Shishir","family":"Paudel","sequence":"additional","affiliation":[{"name":"Department of Public Health CiST College, Pokhara University  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1478-454X","authenticated-orcid":false,"given":"Anisha","family":"Chalise","sequence":"additional","affiliation":[{"name":"Center for Research on Environment, Health and Population Activities (CREHPA)  Lalitpur Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7956-0767","authenticated-orcid":false,"given":"Sophiya","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Public Health CiST College, Pokhara University  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4353-382X","authenticated-orcid":false,"given":"Nirmal Raj","family":"Marasine","sequence":"additional","affiliation":[{"name":"Department of Pharmacy CiST College, Pokhara University  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0218.62586"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2020.e04018"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.37107\/jhas.182"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3126\/bibechana.v14i0.16019"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044042"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-015-0258-4"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001544"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-021-10005-1"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.59779\/jiomnepal.1234"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2013.06.018"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/7495141"},{"issue":"1","key":"e_1_2_11_13_1","first-page":"37","article-title":"A study to examine the relationship of stress and dysmenorrhea among adolescent girls","volume":"1","author":"George A.","year":"2011","journal-title":"International Journal of BioEngineering, NeuroSciences and Technology"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18219-0"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0002826"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1429.007"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2019.09.004"},{"key":"e_1_2_11_18_1","unstructured":"Institute of Health Metrics Evaluation. 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