Premenstrual syndrome: an update on definitions, diagnosis and management

Connolly, Moira

doi:10.1192/apt.7.6.469

Cited by 37 publications

(35 citation statements)

References 26 publications

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“…The most common symptoms of the premenstrual syndrome are anxiety, depression, fatigue, nervousness, and irritability, feelings of loss of control, confusion, changes in sleep and appetite patterns, headache, breast swelling and tenderness, joint or muscle pains [4]. This syndrome have adverse effects on the life of women and hence, their daily activities at home, personal relationships, social activities, leisure time, sexual affairs, and their work efficiency will be affected by the syndrome [5].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Cognitive-Behavioral Therapy on Premenstrual Syndrome Through Compliance to Treatment in an Iranian Sample

Babajani

Asgari

Orayzi

et al. 2017

Zahedan J Res Med Sci

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Background: This study aims to investigate the effectiveness of cognitive-behavioral therapy on reducing the symptoms of premenstrual syndrome based on the moderator variable of therapy compliance in an Iranian sample. Methods: This was a semi-experimental study, in which 56 patients with premenstrual syndrome disorder were selected using the accessible sampling method. They were all the female patients who had been referred to the gynecologic and psychiatric centers in Isfahan city, and were randomly assigned into two experimental and control groups, each one comprising 28 patients. The experimental group received 10 sessions of cognitive-behavioral therapy. The patients were tested before and after intervention using the screening questionnaires of premenstrual syndrome symptoms. Additionally, subjects in both experimental and control groups were divided into two groups based on the rate of their therapy compliance (from high to low or noncompliant). Data was Analyzed using of covariance and Cohen's size effect with SPSS-22. Results:The results showed that the effectiveness of cognitive-behavioral therapy on reducing the symptoms of premenstrual syndrome was statistically significant. Moreover, research findings have shown that the therapy was more effective on the compliant group. Conclusion: According to the results, cognitive behavior therapy can be suggested as an effective therapeutic approach in reducing the symptoms of premenstrual syndrome, especially for the patients who are complient.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Cognitive-Behavioral Therapy on Premenstrual Syndrome Through Compliance to Treatment in an Iranian Sample

Babajani

Asgari

Orayzi

et al. 2017

Zahedan J Res Med Sci

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“…Importantly, we examined the extent to which CAT scores could detect clinically meaningful symptom change for PMS as defined by the National Institutes of Mental Health definition of 30% change from the 6 days prior to menses onset to days 5-10 after menses onset (29). For all three domains, approximately 60% of the women met this criterion based on the daily scores, and ROC analyses suggested moderate to high discrimination of the CATs.…”

Section: Discussionmentioning

confidence: 99%

“…For each woman, we calculated the percent change in daily scores from the late luteal (the 6 days before menses) to the follicular (days 5–10 of the cycle). 1 Following the National Institutes of Mental Health definition (29), a 30% symptom increase in the luteal phase was considered clinically meaningful, and women were categorized accordingly into groups with and without meaningful change. Receiver Operating Characteristic (ROC) analyses were then used to examine the extent to which changes in CAT scores from the pre- to the post-menstrual week accurately discriminated between the groups.…”

Section: Analysis Strategymentioning

confidence: 99%

Ecological validity and clinical utility of Patient-Reported Outcomes Measurement Information System (PROMIS®) instruments for detecting premenstrual symptoms of depression, anger, and fatigue

Junghaenel

Schneider

Stone

et al. 2014

Journal of Psychosomatic Research

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Objective This study examined the ecological validity and clinical utility of NIH Patient Reported-Outcomes Measurement Information System (PROMIS®) instruments for anger, depression, and fatigue in women with premenstrual symptoms. Methods One-hundred women completed daily diaries and weekly PROMIS assessments over 4 weeks. Weekly assessments were administered through Computerized Adaptive Testing (CAT). Weekly CATs and corresponding daily scores were compared to evaluate ecological validity. To test clinical utility, we examined if CATs could detect changes in symptom levels, if these changes mirrored those obtained from daily scores, and if CATs could identify clinically meaningful premenstrual symptom change. Results PROMIS CAT scores were higher in the pre-menstrual than the baseline (ps < .0001) and post-menstrual (ps < .0001) weeks. The correlations between CATs and aggregated daily scores ranged from .73 to .88 supporting ecological validity. Mean CAT scores showed systematic changes in accordance with the menstrual cycle and the magnitudes of the changes were similar to those obtained from the daily scores. Finally, Receiver Operating Characteristic (ROC) analyses demonstrated the ability of the CATs to discriminate between women with and without clinically meaningful premenstrual symptom change. Conclusions PROMIS CAT instruments for anger, depression, and fatigue demonstrated validity and utility in premenstrual symptom assessment. The results provide encouraging initial evidence of the utility of PROMIS instruments for the measurement of affective premenstrual symptoms.

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“…Blake's study showed significant reductions in somatic symptoms such as breast tenderness and bloating, as recorded prospectively in diaries, in addition to psychological symptoms. They also highlight that the most robust changes seen were in specific PMS symptoms in comparison with depression or anxiety symptoms (having excluded patients suffering from significant psychiatric illness) [56].…”

Section: Cognition Behavioral Therapy (Cbt)mentioning

confidence: 97%

Review on treatment of premenstrual syndrome: from conventional to alternative approach

Verma¹,

Chellappan²,

Pandey³

2014

Journal of Basic and Clinical Physiology and Pharmacology

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Premenstrual syndrome (PMS) is the most common problem associated with women's health. Most women take alternative therapies for the treatment of PMS along with conventional therapies. A literature search was conducted which investigated various conventional and alternative therapies for the treatment of PMS. Web- and manual-based literature surveys were conducted to assess the information available on conventional and alternative treatment of PMS. Pubmed, Scopus, and Google scholar databases were screened, using the terms 'PMS and its management', 'pharmacotherapy of PMS', 'Alternative therapies for the treatment of PMS'. Publications with abstract/full articles and books were reviewed. Based on the available literature, there have been randomized clinical trials (RCTs) and high levels of evidence studies. The review addressed that drosperinone with ethinylestradiol has shown great improvement in symptoms of PMS in various RCTs. Among the alternative therapies use of micronutrients and herbs were found effective in treatment for symptoms of PMS.

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Premenstrual syndrome: an update on definitions, diagnosis and management

Cited by 37 publications

References 26 publications

Effectiveness of Cognitive-Behavioral Therapy on Premenstrual Syndrome Through Compliance to Treatment in an Iranian Sample

Effectiveness of Cognitive-Behavioral Therapy on Premenstrual Syndrome Through Compliance to Treatment in an Iranian Sample

Ecological validity and clinical utility of Patient-Reported Outcomes Measurement Information System (PROMIS®) instruments for detecting premenstrual symptoms of depression, anger, and fatigue

Review on treatment of premenstrual syndrome: from conventional to alternative approach

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