The role of anxiety level, coping styles, and cycle phase in menstrual distress

Sigmon, Sandra T.; Whitcomb-Smith, Stacy; Rohan, Kelly J.; Kendrew, Jennifer J

doi:10.1016/s0887-6185(02)00243-8

Cited by 36 publications

(27 citation statements)

References 26 publications

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“…One potential moderator is coping behaviors. Women high on AS engage in more avoidant-oriented coping, including mental and behavioral disengagement, alcohol/drug use, and denial, and engage in less acceptance coping strategies as compared to women low on AS (Sigmon et al 2004). In nonclinical samples, increased avoidant-oriented coping predicts increased physical and cognitive panic symptoms and subjective anxiety following CO 2 challenge procedures (Karekla et al 2004; Spira et al 2004).…”

Section: Discussionmentioning

confidence: 98%

“…In nonclinical samples, increased avoidant-oriented coping predicts increased physical and cognitive panic symptoms and subjective anxiety following CO 2 challenge procedures (Karekla et al 2004; Spira et al 2004). Additionally, women with PD prospectively reported using more mental and behavioral disengagement and less acceptance coping strategies in their premenstrual phase as compared to their intermenstrual phase (Sigmon et al 2004). Collectively, this literature suggests that at-risk women (e.g., high AS women or PD patients) may use more avoidant-oriented coping during the premenstrual phase as compared to other cycle phases.…”

Section: Discussionmentioning

confidence: 99%

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The role of menstrual cycle phase and anxiety sensitivity in catastrophic misinterpretation of physical symptoms during a CO2 challenge

Nillni

Rohan

Zvolensky

2012

Arch Womens Ment Health

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The current study examined the interactive effects of anxiety sensitivity (AS; fear of anxiety and anxiety-related sensations) and menstrual cycle phase (premenstrual phase vs. follicular phase) on panic-relevant responding (i.e., cognitive and physical panic symptoms, subjective anxiety, and skin conductance level). Women completed a baseline session and underwent a 3-minute 10% CO2-enriched air biological challenge paradigm during her premenstrual and follicular menstrual cycle phases. Participants were 55 women with no current or past history of panic disorder recruited from the general community (Mage = 26.18, SD = 8.9) who completed the biological challenge during both the premenstrual and follicular cycle phases. Results revealed that women higher on AS demonstrated increased cognitive panic symptoms in response to the challenge during the premenstrual phase as compared to the follicular phase, and as compared to women lower on AS assessed in either cycle phase. However, the interaction of AS and menstrual cycle phase did not significantly predict physical panic attack symptoms, subjective ratings of anxiety, or skin conductance level in response to the challenge. Results are discussed in the context of premenstrual exacerbations of cognitive, as opposed to physical, panic attack symptoms for high AS women, and the clinical implications of these findings.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

The role of menstrual cycle phase and anxiety sensitivity in catastrophic misinterpretation of physical symptoms during a CO2 challenge

Nillni

Rohan

Zvolensky

2012

Arch Womens Ment Health

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“…Some interventions may only work at certain stages of the transition, therefore, a clear and accurate defi nition would facilitate this research. Table 9.1 defi nes menopause according to the Stages of Reproductive Aging Workshop (STRAW) (Soules et al 2001 ) enhanced with additional data regarding broader hormonal changes, behavioral correlates and known predictors to date (Ganz et al 2011 ;Soules et al 2001 ;Hale and Burger 2009 ;Freeman et al 2008 ;Gracia et al 2007 ;Nappi et al 2010 ;Buijs et al 2008 ;Cohen et al 2002 ;Gibbs et al 2013 ;Sigmon et al 2004 ;Stone et al 2013 ). Most of the data are drawn from the general population with a sprinkling of data from the population with breast cancer.…”

Section: Menopause: More Than Estrogenmentioning

confidence: 99%

Symptoms: Menopause, Infertility, and Sexual Health

Barton

Ganz

2015

Improving Outcomes for Breast Cancer Survivors

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By 2022, the number of survivors is expected to grow to nearly 18 million. Therefore, addressing acute and chronic negative sequelae of a cancer diagnosis and its treatments becomes a health imperative. For women with a history of breast cancer, one of the common goals of treatment and prevention of recurrence is to reduce circulating concentrations of estradiol, especially in women with hormone receptor positive breast cancer. Hormone deprivation after a diagnosis of breast cancer impacts physiological targets other than in the breast tissue and can result in unwanted side effects, all of which can negatively impact quality of life and function and cause distress. Symptoms that are most strongly linked by evidence to hormone changes after cancer diagnosis and treatment include hot flashes, night sweats, sleep changes, fatigue, mood changes, and diminishing sexual function, including vaginal atrophy (decreased arousal, dryness and dyspareunia), infertility, decreased desire and negative self-image. Weight gain and resulting body image changes are often concomitants of the abrupt onset of treatment-induced menopause. The purpose of this chapter is to briefly review what is known about the advent of premature menopause in women treated for breast cancer, menopausal symptoms that are exacerbated by endocrine treatments for breast cancer, and the associated concerns of hot flashes and related menopausal symptoms, sexual health and fertility issues. We will discuss limitations in the current research and propose strategies that address current limitations in order to move the science forward.

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“…Chronic pain research has emphasized its role as a potential stressor that induces psychological distress . Similarly, menstrual pain can be conceptualized as a stressor and can exacerbate psychological distress, including depressive symptoms, as previous studies have shown. Depression is a known menstruation‐associated symptom that often occurs in response to menstrual pain and to the anticipation of the next menstrual period…”

Section: Introductionmentioning

confidence: 99%

Effects of Flexibility in Coping with Menstrual Pain on Depressive Symptoms

Kato

2016

Pain Practice

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Coping flexibility refers to the ability to discontinue an ineffective coping strategy and replace it with a more effective alternative. The coping flexibility hypothesis (CFH) predicts that more flexible coping will produce more adaptive outcomes. This study tested CFH validity among young Japanese women with menstrual pain. A total of 186 college students, who reported menstrual pain as being the most frequent pain they suffered over the past year, completed questionnaires related to coping flexibility and strategies for dealing with menstrual pain. Additionally, they reported on later depressive symptoms experienced during menstruation. A hierarchical multiple regression analysis showed that menstrual pain coping flexibility was significantly associated with reduced depressive symptoms during menstruation, even after controlling for the effects of menstrual pain intensity and coping strategies. Thus, the CFH was supported by the data obtained from menstrual pain sufferers in college.

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The role of anxiety level, coping styles, and cycle phase in menstrual distress

Cited by 36 publications

References 26 publications

The role of menstrual cycle phase and anxiety sensitivity in catastrophic misinterpretation of physical symptoms during a CO2 challenge

The role of menstrual cycle phase and anxiety sensitivity in catastrophic misinterpretation of physical symptoms during a CO2 challenge

Symptoms: Menopause, Infertility, and Sexual Health

Effects of Flexibility in Coping with Menstrual Pain on Depressive Symptoms

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