Psychosocial factors in premenstrual dysphoria: Stressors, appraisal, and coping processes

Fontana, Anne M.; Palfai, Tibor

doi:10.1016/0022-3999(94)90053-1

Cited by 55 publications

(30 citation statements)

References 13 publications

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“…These results were concordant with existing literature that shows a positive association between discrimination and mental illness. 18 Furthermore, our discrimination findings add to the body of work demonstrating that stress (in the form of general life stress 3,4,13,15 and traumatic events 3,45 ) contributes to PMDD. Thus, according to the diathesis-stress model, perceived discrimination may be an environmental stressor that acts on existing biologic or genetic vulnerabilities to exacerbate premenstrual symptoms and eventually bring about the full symptomatology of the disorder.…”

Section: Discussionmentioning

confidence: 82%

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Lifetime Discrimination Associated with Greater Likelihood of Premenstrual Dysphoric Disorder

Pilver

Desai²,

Kasl³

et al. 2011

Journal of Women's Health

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Objectives: To evaluate whether the stressor of perceived discrimination was associated with premenstrual dysphoric disorder (PMDD) and premenstrual symptoms among minority women. This study builds on previous research that found perceived discrimination was positively associated with other psychiatric illnesses. Methods: Participants were 2718 Asian, Latina, and black premenopausal women aged 18-40 years who completed the World Mental Health Composite International Diagnostic Interview for the National Latino and Asian American Survey or the National Survey of American Life. Perceived discrimination was assessed with the Everyday Discrimination Scale. DSM-IV-based diagnostic algorithms generated a provisional lifetime diagnosis of PMDD. Results: Eighty-three percent of the participants reported experiencing discrimination (due to race, gender, age, height or weight, or other reasons) in their lifetimes. The frequency of perceived discrimination was positively associated with PMDD (odds ratio [OR] 1.08, 95% confidence interval [CI] 1.05-1.10) and premenstrual symptoms (OR 1.04, 95% CI 1.02-1.05), independent of demographic covariates and social desirability. Women reporting gender discrimination (OR 5.18, 95% CI 1.80-14.90), race discrimination (OR 4.14, 95% CI 1.54-11.11), and other forms of discrimination (OR 6.43, 95% CI 2.11-19.65) were significantly more likely than women without experiences of discrimination to have PMDD. Subtle discrimination was more strongly associated with PMDD (OR 1.12, 95% CI 1.01-1.23) than was blatant discrimination (OR 1.04, 95% CI 0.94-1.15). Conclusions: This study is the first to demonstrate that perceived discrimination is associated with PMDD and premenstrual symptoms. These findings suggest that the prevalence of these conditions may be lessened by reducing discrimination in women's lives.

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Section: Discussionmentioning

confidence: 82%

“…3 Two studies of American women linked daily stressors and the perception of events as stressful to PMDD prevalence. 13,15 Perceived life stress was found to be positively associated with the severity of premenstrual symptoms as well. 16,17 Studies have not yet considered the stressor of discrimination as a potential risk factor for PMDD.…”

mentioning

confidence: 99%

Lifetime Discrimination Associated with Greater Likelihood of Premenstrual Dysphoric Disorder

Pilver

Desai²,

Kasl³

et al. 2011

Journal of Women's Health

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“…As moderator variables we added participants’ ways of coping with symptoms and stress, and women’s level of perceived stress. Women with premenstrual syndrome (PMS) show continuous abnormalities in stress reactivity independent of their menstrual cycle phase [31]. Active behavioural coping strategies have been demonstrated to be a significant predictor of a positive outcome in a CBT for women with PMS in a previous trial [23].…”

Section: Introductionmentioning

confidence: 99%

Internet-Based Cognitive-Behavioural Intervention for Women with Premenstrual Dysphoric Disorder: A Randomized Controlled Trial

Weise

Kaiser

Janda

et al. 2019

Psychother Psychosom

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Background: Given the high prevalence of clinically relevant premenstrual symptoms and the associated impairment, there is a need for effective treatments. Initial evidence suggests cognitive-behavioural therapy (CBT) as an effective treatment for premenstrual dysphoric disorder (PMDD). The aim of the current randomized clinical trial was to evaluate an Internet-based CBT (iCBT) to reduce the burden of PMDD. Methods: In all, 174 women with PMDD were recruited via newspaper articles, flyers, and social media. They were randomized to a treatment group (TG; n = 86) or waitlist control group (CG; n = 88). Women of the TG received an 8-week therapist-guided iCBT. Data were assessed before and after treatment/waiting, and 6 months after intervention with prospective symptom diaries and questionnaires in the premenstrual phase. Treatment effects and moderators were analysed using hierarchical linear modelling. Results: Significant time × group interaction effects on functional impairment and psychological impairment, impact on everyday life, symptom intensity, and symptom disability in favour of the TG indicated the efficacy of the treatment. Follow-up assessments demonstrated treatment effects to be stable until 6 months after treatment. Additionally, significant interactions with moderator variables were found. In the TG, higher levels of active coping and lower levels of support-seeking coping were associated with stronger improvement in interference in everyday life and symptom intensity. In addition, lower levels of perceived stress were associated with stronger improvement in functional impairment. Conclusion: The iCBT was highly effective in reducing the burden of PMDD. It appears to be particularly important to address coping styles and stress management in the treatment.

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“…The exact reasons of difference in the prevalence of PMS among the women are unknown; but we can refer to some possible causes. These reasons can be the personal type (Björn et al, 2006;Fontana & Palfai 1994), hormonal changes, disorder in regulation of serotonin, diet, drugs and lifestyle (Takeda et al, 2006) and cultural differences.…”

Section: Discussionmentioning

confidence: 99%

Investigation of Premenstrual Syndrome among the Students of Medical Sciences

Safarzadeh¹,

Ghoreishinia²,

Rakhshkhorshid³

et al. 2016

GJHS

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Introduction: Premenstrual syndrome (PMS) is the advent of physical and psychological symptoms related to the menstrual cycle, the symptoms of this syndrome start in luteal phase and ends at the end of menstrual period. During the last decades, the patterns of PMS (PMS) have studied in a wide range. But those researches had had different methodologies and definitions and the results were not well comparable. Hence, the researchers decided to conduct a study with the aim of investigation of the prevalent of PMS among the students of the Zahedan University of Medical Sciences. Materials and Methods:This descriptive-analytical study was done on 200 students of Zahedan University of Medical Sciences, Iran. A two-part questionnaire was used in order to collect data. The first part related to the demographic features and the second part was related to the PSTT standard questionnaire. After collecting data, the data was analyzed by using SPSS 19 software through the statistical descriptive tests, Chi square test, Fisher's exact test and t-test. Findings:The mean age of subjects was 21.9 ± 2.61. A total of 89 subjects were diagnosed with PMS. The most percentage of moderate to severe PMS was for students of medicine and the least percentage was for students of nursing. The highest percentage of mild PMS was in nursing students while the lowest percentage was for students of medicine. Conclusion:Regarded to the fact that PMS is from the common problems of premenopausal ages in women and a high percentage of them are with psychological and physical symptoms, and since this condition can cause adverse effects on the quality of women's life; hence, it is necessary to consider the supportive and therapeutic strategies in order to reduce the severity of its symptoms and adverse effects.

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Psychosocial factors in premenstrual dysphoria: Stressors, appraisal, and coping processes

Cited by 55 publications

References 13 publications

Lifetime Discrimination Associated with Greater Likelihood of Premenstrual Dysphoric Disorder

Lifetime Discrimination Associated with Greater Likelihood of Premenstrual Dysphoric Disorder

Internet-Based Cognitive-Behavioural Intervention for Women with Premenstrual Dysphoric Disorder: A Randomized Controlled Trial

Investigation of Premenstrual Syndrome among the Students of Medical Sciences

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