Severity Of Premenstrual Symptoms Research Articles

Association of dysmenorrhea with stress among female students at Universal College of Medical Sciences, Bhairahawa

Background: Dysmenorrhea, the cramping pain experienced by women during menstruation, can significantly impact their daily lives and academic performance. Mental stress is a potential trigger for dysmenorrhea, but their association remains to be precisely determined. This study aims to explore the prevalence of dysmenorrhea among undergraduate female students at Universal College of Medical Sciences and investigate its association with perceived stress.Methods: A descriptive cross-sectional study was conducted among undergraduate female students at Universal College of Medical Sciences, Bhairahawa. Participants were selected using a simple random sampling method. A structured questionnaire, including anthropometric data, menstrual history, and the Perceived Stress Scale (PSS), were used for data collection. PSS scores were used to categorize stress levels as low, moderate, or high.Results: Total 196 female students participated in the study. Dysmenorrhea was present in 80.1% of the participants, with 34.7% seeking treatment for the condition. Additionally, 29.6% of the students reported moderate to severe premenstrual symptoms. Most students (81.6%) had a moderate level of perceived stress. Statistical analysis revealed a significant association between dysmenorrhea and level of perceived stress (p < 0.001).Conclusion: The study findings highlight a considerable prevalence of dysmenorrhea among female students at Universal College. The association between dysmenorrhea and perceived stress underscores the importance of addressing the psychosocial well-being of these students. Implementing supportive measures, such as mental health support and stress management programs, can create a more conducive environment for students to manage dysmenorrhea and its impact on their academic performance.

Association between receiving Covid-19 vaccine and menstrual cycle patterns among childbearing women: A cross-sectional study.

Many women reported experiencing abnormalities in their cycle after being vaccinated with Covid-19 vaccination. To understand this issue further, our study aimed to evaluate the menstrual cycle patterns among women of childbearing age after receiving COVID-19 vaccinations. A cross-sectional study was conducted to investigate the impact of COVID-19 vaccine on women aged 18 years and above in Saudi Arabia. A self-administered online questionnaire was distributed among participants who had received at least one dose of COVID-19 vaccine. The questionnaire included questions about the participants' demographic characteristics, medical history, and vaccine-related adverse events. The study included 383 female participants with an average age of 30.8 ± 8.1 years. The majority of participants, 92.7%, were Saudi, and more than half, 51.4%, were single. Of the participants, 78.9% were disease-free, and a majority of 67.9% had no history of Coronavirus Disease 2019 infection. A significant proportion of participants reported postvaccination changes in the menstrual cycle. Specifically, 43.1% reported changes after the first dose, and 38.4% reported changes after the second dose (p = 0.044). The severity of premenstrual symptoms increased from 44 (11.5%) to 113 (29.5%) after the first dose. Reported pain on the (WONG-BAKER) scale was also significantly elevated from 34 (8.9%) to 87 (22.7%) (p < 0.001) after the first dose. A relatively high prevalence of menstrual cycle irregularities was reported by Saudi vaccinated women, particularly young adults. These findings suggest the need to further research and explore the underlying causes of these irregularities and develop interventions that may help mitigate their impact on women's health. It is also recommended that women who observe long-term changes in their menstrual cycles seek follow-up and consultation with healthcare providers to ensure that any potential health concerns are addressed promptly.

Association Between Shift Work and Clean Room Environment on Self-reported Premenstrual Symptoms and Menstrual Pain in Taiwan

BackgroundLimited research has delved into the effects of work characteristics on premenstrual symptoms (PMS) in women, which can influence work performance and overlook potential hazards for women in their work environments. This study aimed to investigate the impact of shift work and working in a clean room on premenstrual symptoms, menstrual status, and menstrual pain among employed females in an electronics manufacturer. MethodsA retrospective cohort study was conducted on menstruating female employees between August and December 2014, aged 18–55, who received regular employee health checks. Questionnaires were designed to collect information on demographics, personal lifestyle, menstrual status, menstrual pain scores, and self-reported premenstrual symptoms. ResultsAmong 7,193 participants, 18.6% reported moderate to severe menstrual pain affecting their work. Female workers who reported shift work showed an increased prevalence of moderate to severe premenstrual symptoms, including fatigue (RR = 1.20), somatic discomforts (RR = 1.04), diarrhea (RR = 1.04), and tension (RR = 1.05). Additionally, shift work was associated with an elevated risk of experiencing a moderate or significant impact of menstrual pain on work (RR = 1.03), menstrual irregularity (RR = 1.30), and high menstrual pain (RR = 1.23). Working in a clean room was associated with an increased risk of high menstrual pain (RR = 1.13). Subjects working shifts in a clean room had the highest pain scores compared to the other groups. ConclusionThis study underscores the association of work-related factors on PMS in female employees. Our findings contribute to a better understanding of premenstrual symptoms in female workers with different work characteristics, emphasizing the potential hazards of work-related factors on female employees.

The effect of hydrogen-rich water consumption on premenstrual symptoms and quality of life: a randomized controlled trial

BackgroundPremenstrual syndrome (PMS) consists of psychiatric or somatic symptoms negatively affecting the daily life. PMS treatment can involve the use of complementary-alternative approaches. Hydrogen-rich water (HRW) has antioxidant and anti-inflammatory properties that may treat PMS. This study aimed to investigate the effect of drinking HRW on the severity of premenstrual symptoms and the quality of life of women who suffer from PMS.MethodsThis study is a randomized controlled trial. Participants were randomized into two groups (intervention group=33, control group=32) using the block randomization method. Participants were requested to consume 1500-2000 mL of HRW daily in the intervention group and drink water in the placebo group. Participants began drinking either HRW or placebo water from day 16 of their menstrual cycle until day 2 of the following cycle for three menstrual cycles. The research data were collected using a Demographic Information Form, Premenstrual Syndrome Scale (PMSS), and Short form of the World Health Organization Quality of Life Questionnaire (WHOQOL- BREF).ResultsThe intervention group had significantly lower mean scores than the control group in both the first and second follow-ups on the PMSS (P<0.05). In the first follow-up, the intervention group had significantly higher mean scores in the Physical Health and Psychological domains of the WHOQOL-BREF compared to the control group (P<0.05). Group × time interaction was significant for PMSS (F = 10.54, P<0.001). Group × time interaction was insignificant for WHOQOL- BREF (P>0.05).ConclusionsThe consumption of HRW reduces the severity of premenstrual symptoms and improves individuals' quality of life in physical and psychological domains.

The Japanese Version of the Daily Record of Severity of Problems for Premenstrual Symptoms: Reliability and Validity Among the General Japanese Population.

The validity and reliability of the Japanese version of the Daily Record of Severity of Problems (DRSP-J) have already been confirmed in a population with premenstrual symptoms. This study aimed to assess the validity and reliability of the DRSP-J in the general population. We analyzed data from 113 Japanese women with regular menstrual cycles who applied to participate in an ongoing study. Participants were recruited regardless of the severity of premenstrual symptoms, and their menstrual cycles were monitored using the DRSP-J for two cycles. Reliability was examined using Cronbach's α, a measure of internal consistency, and test-retest reliability. Structural validity was assessed using a principal component analysis (PCA). The Hospital Anxiety and Depression Scale (HADS) and EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) were used to examine concurrent validity. The agreement between the clinical diagnoses based on the diagnostic criteria for premenstrual syndrome/premenstrual dysphoric disorder and that based on the DRSP-J score was examined using the kappa coefficient. Cronbach's α for DRSP-J total score was 0.96. The DRSP-J total score showed high test-retest reliability. The PCA showed a two-factor model describing "Mood" and "Behavior/Physical" symptoms. The DRSP-J total score was highly correlated with the HADS total and EQ-5D-5L scores. The classification of "moderate to severe premenstrual syndrome" and "premenstrual dysphoric disorder" by clinical methods and the criteria based on the DRSP-J were in good agreement (kappa values = 0.78). The DRSP-J is a reliable and valid measure of premenstrual symptoms in the general Japanese population, including those with few or no symptoms.

Attachment style and premenstrual symptom severity: the mediating role of maladaptive emotion regulation

ABSTRACTObjectiveThe present study examined the relationship between attachment and premenstrual symptoms, and the mediating role of maladaptive emotion regulation.MethodAttachment orientation, maladaptive emotion regulation, and premenstrual symptom severity were measured using a cross-sectional design among female university students who were naturally cycling (n = 165) or currently using hormonal contraception (HC) (n = 124).ResultsPartial correlations, controlling for age, cycle regularity, and general symptoms of psychopathology (depression, anxiety, and stress), revealed positive associations between maladaptive emotion regulation and premenstrual symptoms, and between anxious attachment and maladaptive emotion regulation for both groups of women. Moreover, among women who were naturally cycling, maladaptive emotion regulation positively mediated the relationship between anxious (but not avoidant) attachment and premenstrual symptom severity; anxious attachment was associated with more severe premenstrual symptoms via increased maladaptive emotion regulation. This same mediation pathway was not observed for participants currently using HC.ConclusionsThe findings highlight that a negative model of the self, which is characteristic of an anxious attachment style, may be a useful psychotherapeutic target for naturally cycling women who experience premenstrual symptoms. Further research and replication are required to confirm the potential moderating effect of HC and hormonal changes on these relationships.

Effect of Progressive Muscle Relaxation Technique on Signs and Symptoms of Premenstrual Syndrome Among Female Nursing Students

Introduction: Premenstrual syndrome (PMS) stands as one the most prevalent health issues, especially among female university students. The syndrome substantially impacts their quality of life and academic performance. The progressive muscle relaxation technique is a calming method that can help lower anxiety, cultivate a sense of pain control, and divert away from the painful body part. Objective: The study sought to determine the effect of progressive muscle relaxation technique on premenstrual syndrome among female nursing students. Materials and Methods: A quasi-experimental study was conducted on 80 female students (40 students in the study group and 40 in the control group) enrolled in the third and fourth academic years (2020-2021). Students were randomly assigned to either the control or study group using a random number generator program. The progressive muscle relaxation technique was performed 30 minutes daily for 4 weeks. Baseline data were collected from all students. The premenstrual syndrome scale assessed the intensity of PMS before and after the intervention. Data analysis was performed using the chi-square test, the student t-test, the Monte Carlo test, the Mann-Whitney test, and the marginal homogeneity test. P&lt;0.05 were considered significant. Results: The study found that the Mean±SD age of the study and control group participants were 22.02+0.73 and 21.95+0.67 years, respectively. Also, more than two-thirds of the students in the study and control groups (70% and 67.5%, respectively) were from rural areas. After the intervention, a statistically significant decrease was observed in the intensity of all physical, psychological, and behavioral symptoms among the study group compared to the control group (P&lt;0.05). In addition, the total score of PMS intensity was significantly decreased among the study group after the intervention (P=0.001). In contrast, the total score of the intensity of PMS symptoms was significantly increased in the control group (P=0.034). Conclusion: The study concluded that young adult girls who practiced progressive muscle relaxation techniques exhibited less severe premenstrual syndrome symptoms than those who did not.

Association Between Premenstrual Tension Syndrome and Menstruation Distress with Physical Activity

This study explores the association between physical and recreational activities, length of menstrual flow and interpersonal bonds with premenstrual tension symptoms and correlation of stress with physical activity levels among women. Analytical study was conducted on 71 Premenstrual Tension Syndrome (PMTS) women with a history of dysmenorrhea and stress presented at least 1-2 weeks premenstrual; reported at least for two consecutive menstrual cycles excluding women with tumors, gynecological and endocrinological disorders. The study was conducted from (May to October 2022) at Basic Health Unit (Vario, Sialkot). A Modified Moos Menstrual Distress questionnaire (MDQ) and a self-designed questionnaire were used to collect the data. Results were analyzed using SPSS software 22 version. Mean age was 24.01±4.062 years (N=53, 74.6%) of participants were unmarried whereas (N=18, 25.44%) were married. Length of menstrual flow days was reported as 3 to 5 days (N= 33, 46.5%). Participants (N=41, 57.7%) had severe PMTS with (N=47, 66.2%) preferring to isolate themselves as interference of the symptoms, (N= 43, 60.6%) had stress eating. Chi-square test was observed for the PMTS symptom of pain with recreational and levels of physical activity (p=0.003 0.05); (p=0.00), Impaired concentration (p=0.001 0.05); (p=0.012) and negative effects (p=0.034 0.05); (p=0.02) whereas no significant association was found for behavior, autonomic reactions and water retention symptoms. Length of menstrual flow (p=0.009) and working activities (p=0.025) were correlated (p-value 0.05 ) with physical activity. However, Spear's man correlation between physical activity level and PMTS-induced stress had a weak correlation (p=0.036). Recreational and active levels of physical activity effectively reduce the severity of premenstrual tension symptoms.

The Relationship between High Fiber Diet and Severity of Premenstrual Syndrome Symptoms in Medical Students of Pelita Harapan University

&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;47.8% of women worldwide experience symptoms of premenstrual syndrome and 20% of women experience symptoms that are severe enough to interfere with daily activities. This occurs during the last 14 days of the menstrual cycle or luteal phase, and it is caused by hormonal fluctuations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study is going to be conducted to determine the relationship between high fiber diet and the severity of premenstrual syndrome in adolescents.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;This study used a comparative analytic categorical study with two unpaired categories with a cross-sectional study design. The research sample is female students at the Faculty of Medicine, University of Pelita Harapan who met the inclusion criteria of at least 74 samples by judgmental sampling. Data were collected using a questionnaire in the form of a Premenstrual Symptom Scale, Esitimated Food Record and Perceived Stress Scale with the the chi-square method, and data analysis using SPSS 24.0.&lt;/p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There were 85 samples that matched the inclusion and exclusion criteria of this study. The majority of the sample came from the 2018 class (64.7%), 20 years old (61.2%), experiencing moderate stress (61.2%), and have normal body mass index (72.9%). Researcher found a p value of 0.309 (p&amp;gt; 0.05), which means that there is no significant relationship between a high-fiber diet and the severity of premenstrual syndrome symptoms.

Effects of Yoga for Coping with Premenstrual Symptoms in Taiwan-A Cluster Randomized Study.

Home-based yoga practice has not been approved as a method for alleviating premenstrual symptoms in Taiwan. This study was a cluster randomized trial. A total of 128 women self-reporting at least one premenstrual symptom were enrolled in the study, of which there were 65 participants in the experimental group and 63 participants in the control group. Women in the yoga group were provided with a yoga DVD program (30 min) to practice for three menstrual months, at least three times a week. All participants were given the Daily Record of Severity of Problems (DRSP) form to measure premenstrual symptoms. After the yoga exercise intervention, the yoga group had statistically significantly fewer and/or less severe premenstrual depressive symptoms, physical symptoms, and anger/irritability. Other disturbances and the impairment of daily routine, hobbies/social activities, and relationships also occurred significantly less often in the yoga group. The study found that yoga is useful to relieve premenstrual symptoms. Moreover, home-based yoga practice is more pertinent in the pandemic era. The strengths and drawbacks of the study are discussed and further study is recommended.

Association Between Loneliness, Premenstrual Symptoms, and Other Factors During the COVID-19 Pandemic: A Cross-Sectional Study with Japanese High School Students.

Adolescence is a period of transition from childhood to adulthood where people are vulnerable to stress. The COVID-19 pandemic continues to cause sustained stress in the population. Since the COVID-19 pandemic, social isolation and loneliness have increased. Loneliness is associated with increased stress, psychological distress, and a higher risk of mental illnesses, such as depression. This study examined the association between loneliness, premenstrual symptoms, and other factors in the era of the COVID-19 pandemic among adolescent females in Japan. A school-based cross-sectional survey of 1450 adolescent female students in Japan was conducted in mid-December of 2021. Specifically, paper-based questionnaires were distributed in class, and the responses were collected. The Premenstrual Symptoms Questionnaire (PSQ), 6-item Kessler Psychological Distress Scale, 3-item Revised UCLA Loneliness Scale (R-UCLA), and Fear of COVID-19 Scale were used as measurement tools. The prevalence of loneliness was defined as a total R-UCLA score ≥ 6. The prevalence of loneliness was 29.0%. The prevalence of serious psychological distress was also high (8.2%), especially in the lonely group (16.0%). Multivariable regression analysis identified the following factors associated with loneliness: second year (odds ratio [OR] 1.53; 95% confidence interval [CI] 1.09-2.14), longer internet use (OR, 1.11; 95% CI, 1.02-1.20), total PSQ score (OR 1.08; 95% CI 1.06-1.11), and psychological distress (OR 1.05; 95% CI 1.01-1.08). Adolescent females in Japan showed a high prevalence of loneliness. School year (2nd year), longer periods of internet use, premenstrual symptom severity, and psychological distress were independently associated with loneliness. For clinicians and school health professionals, special concern should be given to the psychological health of adolescent females during the COVID-19 pandemic.

Factors associated with the severity of premenstrual symptoms in women with central obesity: a cross-sectional study

IntroductionPremenstrual syndrome (PMS) is a common condition that affects social and psychological well-being of women. The risk of PMS is higher among obese women. The aim of this study was to identify the factors that influence the severity of PMS in women with central obesity.Materials and methodsThis cross-sectional study was performed on 30–50 year-old women with abdominal obesity (waist circumference > 80 cm). The following data were collected: demographic data, anthropometric measurements, premenstrual symptoms screening tools, semi-quantitative food frequency questionnaire, 42-item depression, anxiety, and stress questionnaire (DASS-42), as well as serum vitamin D, and renal function tests.ResultsA total of 139 women (mean age of 41.40 ± 7.39 years old) participated in the study. The prevalence of mild, moderate and severe premenstrual symptoms was 38.7% (55/142), 31.7% (45/142) and 27.5% (39/142), respectively. There was no significant difference between the groups in terms of anthropometric measurements and energy-adjusted nutrient intakes (p > 0.05). There was a significant relationship between moderate PMS and energy-adjusted saturated fatty acid (SFA) (p = .018, OR = .010 and 95% CI for OR: < .001 and .452), and energy-adjusted riboflavin (p = .042, OR = .005, 95% CI for OR: < .001 and .821), and between severe PMS and age (p = .034, OR = .906, 95% CI for OR: .826 and .993), and energy-adjusted monounsaturated fatty acid (MUFA) intake (p = .041, OR = 23.789, 95% CI for OR: 1.138 and 497.294).ConclusionHigh intakes of MUFA and younger age were associated with a greater severity of PMS, while riboflavin intake was associated with reduced PMS severity.

Long-Term Follow-Up Result of Connective Tissue Manipulation in Young Women with Primary Dysmenorrhea: Different Intervention Durations.

The purpose of this study was to reveal the effect of connective tissue manipulation (CTM) on long-term pain severity, fatigue, sleep quality, premenstrual symptom severity, general health status, anxiety, and depression in women with primary dysmenorrhea (PD). Thirty-five women with PD were divided into two groups. CTM was applied to the participants in each group on the days when they were not on menstruation between two menstrual cycles for the group 1 (n=18) and between three menstrual cycles for the group 2 (n=17). Intensity of menstrual pain, the sleep quality, and fatigue status of the participants during dysmenorrhea were evaluated by the Visual Analog Scale (VAS). Depressive symptoms and anxiety were evaluated using the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI), respectively. Also, the Premenstrual Syndrome Scale (PMSS) and the General Health Questionnaire (GHQ) were used to investigate the severity of premenstrual symptoms and mental health status during menstrual period. A significant decrease in the pain severity and fatigue of the participants was observed in both group 1 and group 2 after treatment, after 3rd, and 6th month follow-up (p=0.001). Also, this decrease lasted for 12th month follow-up after treatment in group 2 (p=0.0001). There was no statistically significant improvement in sleep quality within each group (p>0.05). Moreover, none of the parameters were significantly different between two groups (p>0.05). We can suggest that 2-cycle CTM treatment should be preferred in clinical settings to obtain long-lasting effects for decreasing pain, fatigue, and premenstrual symptoms in women with PD. CLINICAL TRIAL NUMBER: NCT04509934. Registration date: 8 November 2020.

Women Mental Health w.s.r. to Premenstrual Syndrome - An Online Survey

Introduction: Premenstrual syndrome (PMS) is a psycho neuroendocrine disorder of unknown aetiology. Prevalence of PMS is 47.8% in world-wide and in India it is 43%. It is mainly affecting mental health of the women, and quality of life of the women so this research was planned to explore the severity of the premenstrual syndrome and to evaluate the impact of PMS on Women mental health. Materials &amp; Methods: Among 160 females, 130 females enrolled in the study based on criteria. The data was collected through Google form which was prepared based on PSST (premenstrual Symptom Screening Tool) Scale. Results: One hundred and twenty-two participants reported at least three somatic and two affective symptoms. 34.7% participants mentioned that PMS affects their quality of life. 30.3% participants reported mild, 24.6% female reported moderate, 10.7% reported severe and 7.4 % stated very severe. PMS significantly having relation with occupation, stress, and physical exercise. 57% participants reported that they are stressed due to any personal/ occupational issues. The participants who are doing regular exercise/ yoga are having less severity of symptoms compared to other participants. Discussion: This study reveals that PMS is common in almost all females but degree of severity differs. It affects both mental and physical health and also quality of life of the women. By this study additional thing we found that women who practice yoga, Pranayama, any physical exercise have less severity of premenstrual symptoms.

Menstrual cycle phase, menopausal transition stage, self-reports of premenstrual syndrome and symptom severity: observations from the Seattle Midlife Women's Health Study.

The aim of this study was to determine the effects of menstrual cycle phases (postmenses and premenses), self-report of premenstrual syndrome (PMS), late reproductive stages (LRS1 and LRS2), and early menopausal transition (EMT) stage (Stages of Reproductive Aging Workshop [STRAW]) on severity of five symptom groups. A subset of Seattle Midlife Women's Health Study participants (n = 290) in either LRS1 or LRS2 or EMT (STRAW+10 criteria) provided daily symptom data for at least one full menstrual cycle during the first year of the study and reported current PMS. Symptom severity was rated (1-4, least to most severe) in the daily diary for five symptom groups (dysphoric mood, neuromuscular, somatic, vasomotor, and insomnia) identified earlier with the same sample ( Maturitas 1996;25:1-10). A three-way analysis of variance was used to test for within- and between-participants effects on symptom severity. Stage had no effect on severity for any of the five symptom groups. Dysphoric mood and neuromuscular and somatic symptom severity (but not vasomotor or insomnia severity) differed significantly across menstrual cycle phases, increasing from postmenses to premenses. Current PMS and premenses cycle phase had significant interactive effects on dysphoric mood and neuromuscular symptoms, but there were no significant interaction effects on somatic, vasomotor, or insomnia symptom severity. Dysphoric mood, neuromuscular, and somatic symptoms exhibit cyclicity and are influenced by current PMS. Late reproductive stages and EMT stage do not have significant effects on the five symptom groups. Vasomotor or insomnia symptoms do not exhibit significant cyclicity from postmenses to premenses and are not affected by current PMS. Future studies of symptom cyclicity and reproductive aging including daily symptom data across an entire menstrual cycle in samples including women in late menopausal transition stage are essential to capture the effects of both cyclicity and self-reported PMS to capture symptom severity reports at their peak.

Mother-Daughter’s Relationship With Menstrual Hygiene and Premenstrual Symptoms in Iranian Teenage Girls

Background: Girls need special care regarding menstrual hygiene because of early pubertal development and related problems. The researchers aimed to explore the knowledge about the role of the mother-daughter relationship in menstrual hygiene among young teens. Methods: A cross-sectional study was conducted (February-April 2020) among 190 elderly young teenage girls in middle schools who lived in Bukan, North-West of Iran. Data about demographic characteristics, menstrual information, knowledge of menstrual hygiene management, the practice of menstrual hygiene, the premenstrual symptom screening tool, visual analog scale for pain, and parent-child relationship survey were collected by a questionnaire using a multistage random sampling method. Finally, the obtained data were analyzed using SPSS (version 25) through descriptive and analytical statistics. Results: The most common severe signs and symptoms were anger/irritability (21.6%), fatigue/lack of energy (19.5%), and decreased interest in household activities (17.9%). A sense of shame was reported more among girls who have moderate relationships with their mothers (P=0.011), and a significant relationship was found between mothers’ low literacy and the severity of premenstrual symptoms in their daughters (P=0.036). Conclusion: Mothers play a crucial role in their daughters’ lives, which can buffer stressors and relieve anxiety, especially during the experiencing of menarche and during the menstruation period, indicating familial support to overcome the puberty-related crisis.

Licit Substance Use and Premenstrual Syndrome Symptom Severity in Female College Students.

Introduction:Premenstrual syndrome (PMS) affects the majority of women and is characterized by physical, behavioral, and mood symptoms, which can have a profound impact on quality of life. PMS symptoms have also been linked to licit substance use. This study examined the relationships between daily/problem use (DPU) of caffeine (Caf+), alcohol (Alc+), and tobacco (Cig+) and PMS symptomology in a sample of college women.Methods:Participants (N = 196) completed an anonymous one-time health survey. Demographic, PMS symptomatology, and DPU of licit substance variables were examined. Independent t-tests compared PMS symptom scores in women with and without Caf+, Cig+, and Alc+ use. One-way analysis of variances examined the associations between PMS symptom severity and number of DPU-positive substances.Results:PMS subscale severity (pain [F(2,190) = 4.47, p = 0.013], affective [F(2,192) = 8.21, p < 0.001], and water retention [F(2,191) = 13.37, p < 0.001]) and total PMS symptom severity [F(2,189) = 10.22, p < 0.001] showed a dose response effect, with the number of licit substances with DPU significantly associated with PMS symptom severity.Conclusions:This study findings provide important new information about the relationship between PMS symptoms and at-risk substance use. These are cross-sectional data, however, and affirm a need for longitudinal research to better understand the associations, with a focus on potential benefits of education and intervention.

Roles of childhood maltreatment, personality traits, and life stress in the prediction of severe premenstrual symptoms

BackgroundAbout 3% to 8% of women of fertile age are thought to have premenstrual dysphoric disorder (PMDD), which is regarded as a serious form of premenstrual syndrome (PMS), although the details of this common condition remain unclear. The aim of this study was to analyze the interrelations of childhood maltreatment, personality traits, and life stress in the etiology of PMS/PMDD.MethodsA total of 240 adult female volunteers from a community in Japan were investigated, using the following 5 questionnaires: Patient Health Quesstionaire-9, Child Abuse and Trauma Scale, Temperament and Character Inventory (TCI), Life Experiences Survey, and premenstrual dysphoric disorder (PMDD) scale. The questionnaire data were subjected to path analyses to clarify the association between childhood maltreatment and the severity of premenstrual symptoms, mediated by personality traits and life stress.ResultsThe 2 path analysis models showed that high harm avoidance (HA) on the TCI and low self-directedness (SD) on the TCI had significant direct effects on the severity of premenstrual symptoms. Moreover, childhood maltreatment was associated with the severity of premenstrual symptoms, both directly and indirectly through personality traits.ConclusionOur findings suggest that HA on the TCI might be a risk factor for severe premenstrual symptoms among general women and furthermore that SD on the TCI may be a protective factor. In addition, childhood maltreatment is associated with severe premenstrual symptoms both directly and indirectly through personality traits.

The effect of a social network-based cognitive behavioral therapy intervention on the severity of premenstrual syndrome symptoms: a protocol of a randomized clinical trial study

BackgroundPremenstrual syndrome (PMS) is one of the most widespread menstrual disorders in women of reproductive age. This recurrent syndrome is a combination of physically, mentally, or behaviorally disturbing changes occurring during the secretory phase of the menstrual cycle. The aim of this study is to determine the effect of a cognitive-behavioral therapy-based educational intervention using social networks on PMS in female health center employees in Rudbar, Iran.Methods/designA randomized superiority controlled trial will be conducted involving 140 female employees of health centers affiliated with the Guilan University of Medical Sciences, Rudbar. The study involves a block size of 4 and 6 in a randomly varied order, 140 women who meet all the inclusion criteria will be randomly and equally divided into 2 groups: the intervention and the control groups. Those in the former group will receive a cognitive-behavioral therapy-based treatment for eight consecutive weeks on the social network platform WhatsApp; however, those in the control group will not be offered any treatment except usual care practices (unprotocolized usual care). The study’s primary outcome is the severity of PMS symptoms, and the secondary outcomes include general self-efficacy, work-related quality of life, the impact of PMS on daily life, coping with the symptoms, and experiencing anxiety and depression at the beginning of the study to identify people with PMS. A daily record of the symptoms will be completed for two consecutive months by all female employees aged 20–45 years who wish to participate in the study. According to the initial screening, those with moderate to severe PMS will be included. We will use the MLwin software for the analyses. All questionnaires will be completed by both groups immediately and 8 weeks after the termination of the treatment. The data will be analyzed using linear mixed-effects modeling with random intercepts and slopes.DiscussionIt is anticipated that the findings of the present study may demonstrate the effectiveness of the cognitive behavioral therapy intervention on the severity of PMS symptoms that could guide healthcare providers in opting for suitable treatment alternatives for the syndrome.Ethics and disseminationThe research proposal is approved by the Human Ethics Committee of Qazvin University of Medical Sciences (IR.QUMS.REC.1399.252). The results of this intervention trial will be submitted for publication in a peer-reviewed research journal.Trial registrationIranian Registry of Clinical Trials IRCT20180218038789N4. Registered prospectively on October 28, 2020

Premenstrual syndrome: consultation sources and the impact on women's quality of life.

The main aim of this study was to explore the sources of consultation that women seek during premenstural syndrome (PMS), and to establish the association between the severity of PMS and how it affects the quality of life. Cross sectional study of 179 female patients, using an Arabic validated version of the shortened premenstrual assessment form, and a 7-item quality of life questionnaire that was developed by the researchers. The questionnaire was tested for validity and reliability via a pilot study before the initiation of data collection. Data was analyzed using SPSS version 19. 179 women participated in the study, with more than half of them aged between 20-30 years old. PMS prevalence was 88%; patient's predominantly sought help from their relatives (51%), followed by physicians (34%). There was no association found between the severity of premenstrual symptoms and seeking consultation. PMS symptoms affected women's daily activities (p-value 0.039), their satisfaction with their general appearance (p-value 0.001) and weight (p-value 0.022), and affected their relationships with family members (p-value 0.001) and other people (p-value 0.002). PMS is a common condition that affects women and their quality of life in several ways. Physicians and primary health care providers must be more vigilant in detecting the presence of PMS.