Stress, Quality of Life and Physical Activity in Women with Varying Degrees of Premenstrual Symptomatology

Lustyk, M. Kathleen B.; Widman, Laura; Paschane, Amy; Ecker, Erika

doi:10.1300/j013v39n03_03

Cited by 63 publications

(47 citation statements)

References 7 publications

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“…However, the mean perceived stress of these women fell within one standard deviation from the normative group and as such cannot be viewed as indicating a stress effect. This finding is in contrast to -281 -other studies (Woods et al 1998;Hylan et al 1999;Lustyk et al 2004) that found women with PMS reporting higher stress levels.…”

Section: Pms Experiencescontrasting

confidence: 70%

A Controlled Trial of Chinese Herbal Medicine for Premenstrual Syndrome

Chou¹,

Morse²,

Xu³

et al. 2009

Deutsche Zeitschrift für Akupunktur

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Premenstrual syndrome is a common disorder troubling many women during their reproductive years. The Chinese have been using herbal medicines to treat menstrual cycle related symptoms for centuries. Traditional Chinese medicine provides the aetiology and pathogenesis of the symptoms of this disorder by applying Pattern Identification to diagnose the signs and symptoms of individual patients and to design individualised treatments which seek to address the entire pattern/s of disharmony. It follows that PMS, which has many symptoms and an idiosyncratic nature, is precisely an area for which Chinese medicine is most suitable. The aim of this study is to scientifically evaluate the effectiveness of Chinese herbal medicine on Australian women for the treatment of PMS within the theoretical frame-work of TCM. A double-blind randomized placebo-controlled crossover clinical trial was conducted by a qualified Chinese herbal practitioner and pharmacist. Following two months confirmatory assessment, sixty-one subjects were assigned randomly into two groups within different TCM patterns of Liver Qi Stagnation, Liver and Kidney Yin Deficiency, Liver and Spleen Disharmony and Heart and Spleen Deficiency. Herbal medicine (n=31) and placebo (n=30) were provided sequentially for a period of three months. There were significant differences (p < .01) in scores after three months of treatment between Chinese herbal medicine and placebo in premenstrual physical and psychological symptoms, depression, anxiety and anger, but with no difference in perceived stress (p > .05). There were highly significant reductions (p< .001) in all assessments in both groups except that a significant result (p < .05) was recorded on perceived

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Section: Pms Experiencescontrasting

confidence: 70%

A Controlled Trial of Chinese Herbal Medicine for Premenstrual Syndrome

Chou¹,

Morse²,

Xu³

et al. 2009

Deutsche Zeitschrift für Akupunktur

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“…This result is in agreement with previous studies showing that severe PMS/PMDD symptoms negatively affect QOL. [10][11][12][38][39][40] Some limitations of the present study must be addressed. First, we relied on self-reported information to exclude women with any physical or psychiatric comorbidity.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Brazilian Portuguese version of the Premenstrual Symptoms Screening Tool (PSST) and association of PSST scores with health-related quality of life

Câmara

Köhler

Frey

et al. 2016

Rev. Bras. Psiquiatr.

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Objective: To develop and validate a Brazilian Portuguese version of the Premenstrual Symptoms Screening Tool (PSST), a questionnaire used for the screening of premenstrual syndrome (PMS) and of the most severe form of PMS, premenstrual dysphoric disorder (PMDD). The PSST also rates the impact of premenstrual symptoms on daily activities. Methods: A consecutive sample of 801 women aged X 18 years completed the study protocol. The internal consistency, test-retest reliability, and content validity of the Brazilian PSST were determined. The independent association of a positive screen for PMS or PMDD and quality of life determined by the World Health Organization Quality of Life instrument-Abbreviated version (WHOQOL-Bref) was also assessed. Results: Of 801 participants, 132 (16.5%) had a positive screening for PMDD. The Brazilian PSST had adequate internal consistency (Cronbach's alpha = 0.91) and test-retest reliability. The PSST also had adequate convergent/discriminant validity, without redundancy. Content validity ratio and content validity index were 0.61 and 0.94 respectively. Finally, a positive screen for PMS/PMDD was associated with worse WHOQOL-Bref scores. Conclusions: These findings suggest that PSST is a reliable and valid instrument to screen for PMS/ PMDD in Brazilian women.Keywords: premenstrual dysphoric disorder; mood disorders; quality of life; premenstrual symptoms screening tool; psychiatry IntroductionFemale reproductive life events are often accompanied by physical and psychological challenges associated with a negative impact on women's functioning. 1 One such example is premenstrual syndrome (PMS), a cluster of recurrent physical, psychological, and emotional symptoms occurring during the late luteal phase and disappearing within a few days of the onset of menses. [2][3][4] As many as 80% of women experience at least one of the PMS symptoms 3,5,6 described in the ICD-10, 7 which include, but are not limited to, mild psychological discomfort, feelings of bloating and weight gain, breast tenderness, swelling of hands and feet, various aches and pains, poor concentration, sleep disturbances, and changes in appetite.Moderate to severe PMS affects 20-35% of women and may cause significant functional impairment and deterioration of interpersonal relationships. 1 In turn, the prevalence of premenstrual dysphoric disorder (PMDD), the most severe form of PMS, has been estimated to vary from 3-8% among women of reproductive age. PMDD is a cyclical disorder closely related to the menstrual cycle, disappearing during pregnancy and after menopause. 8 PMDD has deleterious effects on quality of life (QOL), [9][10][11][12] with a burden similar to that of dysthymia or major depressive disorder. 13,14 The definition of PMDD in both DSM-IV and DSM-5 is based upon a peri-menstrual pattern of at least one among four key affective symptoms (markedly depressed mood, feelings of hopelessness, or self-deprecating thoughts; marked anxiety, tension; marked affective lability; persistent anger or irritability, incr...

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“…Although gold standard diagnosis generally requires prospective collection of daily symptoms for two cycles, 40 most previous studies of this association used monthly or yearly recall of symptoms. 4,[41][42][43][44][45][46][47] Weekly symptom collection is an alternative to daily collection that is thought to reduce participant burden and increase compliance without involving long-term retrospective recall. 11 Furthermore, whereas retrospective assessments of PMS have been criticized for the potential for participants to inflate the severity of symptoms, these criticisms apply mainly to retrospective assessments that reflect an entire menstrual cycle or several cycles and rely solely on memory to differentiate between phases of the cycle.…”

Section: Gollenberg Et Almentioning

confidence: 99%

“…4,[41][42][43][44][45][46][47]52,53 There has been only one similar longitudinal study, and that study found that women with high stress levels during the previous month, particularly during the follicular phase, had increased risk of dysmenorrhea (painful menstruation). 54 In contrast, no predictive value of daily stress was found in a small cohort of 25 women with severe PMS, although the full range of severity was not considered; there was no comparison group of women without PMS; and estimates were not adjusted for confounders.…”

mentioning

confidence: 99%

Perceived Stress and Severity of Perimenstrual Symptoms: The BioCycle Study

Gollenberg

Hediger

Mumford

et al. 2010

Journal of Women's Health

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Objective: To examine the longitudinal relation between perceived stress in the previous month and perimenstrual symptom severity across two cycles among regularly menstruating, healthy women (n ¼ 259). Methods: At baseline (11 days before the first cycle), participants completed the 4-item Perceived Stress Scale (PSS) for the previous month (first cycle exposure) and questionnaires on lifestyle factors. On cycle day 22 of a standardized 28-day cycle, participants again completed the PSS for the previous week (second cycle exposure) and each week rated the severity (none, mild, moderate, severe) of 17 psychological and physical symptoms (e.g., crying, cramping, pain). Mixed models estimated the association between perceived stress scores and number of moderate=severe symptoms and symptom severity scores, allowing both stress and perimenstrual symptoms to vary by cycle. Results: Adjusting for age, education, passive and active smoking, and waist=height ratio (WHtR), high stress (fourth quartile PSS) was associated with an increased risk of reporting !8 or more (OR 7.2,) and !5 (OR 2.5, 1.6-4.1) symptoms as moderate=severe during the perimenstrual period compared with lower stress (quartiles one, two, and three). Stress scores were positively ( p < 0.0001) associated with increased symptom severity scores for total, psychological, and physical symptoms. Conclusions: These analyses show that higher perceived stress precedes an increased severity of perimenstrual symptoms. Stress reduction programs may be an effective, nonpharmaceutical treatment for physical and psychological symptom relief.

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Stress, Quality of Life and Physical Activity in Women with Varying Degrees of Premenstrual Symptomatology

Cited by 63 publications

References 7 publications

A Controlled Trial of Chinese Herbal Medicine for Premenstrual Syndrome

A Controlled Trial of Chinese Herbal Medicine for Premenstrual Syndrome

Validation of the Brazilian Portuguese version of the Premenstrual Symptoms Screening Tool (PSST) and association of PSST scores with health-related quality of life

Perceived Stress and Severity of Perimenstrual Symptoms: The BioCycle Study

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