“…Studies examining the presence and role of anxiety and depression in PDM in adult women are very limited, but the role of mental health factors is increasingly recognized (for a recent review, see Bajalan, Moafi, MoradiBaglooei, & Alimoradi, ). Significantly higher rates of anxiety and depression have been found in adolescents with PDM (Balık, Ustüner, Kağıtcı, & Sahin, ; Beal et al., ; Gagua, Tkeshelashvili, Gagua, & McHedlishvili, ; Sahin, Kasap, Kirli, Yeniceri, & Topal, ) and recently in female students (Uçar, Timur Taşhan, Aksoy Derya, & Nacar, ) as well as in secondary dysmenorrhoea, especially endometriosis (Cavaggioni et al., ; Lorençatto, Petta, Navarro, Bahamondes, & Matos, ; Sepulcri & do Amaral, ). It is conceivable that menstrual disturbances increase the risk of poor psychosocial adjustment and disturbed illness behaviour, and vice versa that pre‐existing psychological impairment worsen coping with symptoms (Balık et al., ; Beal et al., ; Dorn et al., ) similar to the complex, bidirectional connections between disease‐specific symptoms (i.e.…”