MEDIS (Mindfulness Meditation Combined with Tibetan Singing Bowls) for Dysmenorrhoea Among Adolescents: A Pre-experimental Study

  • I Gusti Agung Manik Karuniadi Bachelor of Midwifery and Midwifery Study Program of STIKES Bina Usada Bali, Badung, Bali, Indonesia
  • Luh Putu Widiastini Bachelor of Midwifery and Midwifery Study Program of STIKES Bina Usada Bali, Badung, Bali, Indonesia
  • Gusti Gede Mayun Surya Darma Bachelor of Midwifery and Midwifery Study Program of STIKES Bina Usada Bali, Badung, Bali, Indonesia
DOI: https://doi.org/10.56338/mppki.v9i8.9013
Keywords: Dysmenorrhoea, Mindfulness Meditation, Tibetan Singing Bowls, Adolescents, Complementary Therapy

Abstract

Introduction: Dysmenorrhoea is one of the most prevalent menstrual disorders among adolescents. Non-pharmacological approaches, including mindfulness meditation and sound-healing therapies, are increasingly being explored as complementary pain-management strategies. Tibetan singing bowl therapy may promote relaxation through sound vibration and meditative effects, potentially reducing tension, anxiety, and pain. Combining these modalities may provide complementary psychophysiological benefits. This study examined changes in dysmenorrhoea pain scores before and after mindfulness meditation combined with Tibetan singing bowls among adolescents at SMPN 3 Abiansemal.

Methods: This pre-experimental study used a one-group pre-test-post-test design. Forty adolescent girls aged 10-14 years who experienced dysmenorrhoea were recruited by purposive sampling. The intervention was delivered three times per week for two weeks before menstruation, with each session lasting 15 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS). Data were analysed using the Wilcoxon signed-rank test.

Results: Before the intervention, most participants experienced mild pain (67.5%), and the mean pain score was 2.57 ± 1.83. After the intervention, 57.5% of participants experienced mild pain and 37.5% reported no pain; the mean pain score was 1.17 ± 1.31. The Wilcoxon signed-rank test indicated a statistically significant reduction in dysmenorrhoea pain scores (Z = -4.916, p < 0.001).

Conclusion: MEDIS was associated with a statistically significant reduction in dysmenorrhoea pain scores. Pending confirmation in more rigorous studies, the intervention may offer an accessible complementary approach to dysmenorrhoea pain management in adolescents.

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Published
2026-08-19
How to Cite
Karuniadi, I. G. A. M., Luh Putu Widiastini, & Gusti Gede Mayun Surya Darma. (2026). MEDIS (Mindfulness Meditation Combined with Tibetan Singing Bowls) for Dysmenorrhoea Among Adolescents: A Pre-experimental Study. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 9(8), 1562-1567. https://doi.org/10.56338/mppki.v9i8.9013
Issue
Vol. 9 No. 8 (2026)
Section
Research Article

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