ABSTRACT
The aim of this study was to investigate the prevalence of premenstrual dysphoric disorder in Iranian women, its relationship with difficulty in emotional regulation as well as women's attitudes toward menstruation and the change in the severity of premenstrual dysphoric disorder and difficulty in emotion regulation during Covid 19 pandemic. The research method was descriptive-correlational and the statistical population was Iranian women of menstrual age in 2021, from which 287 people were selected. The research tools were demographic information form, difficulty in emotion regulation scale and premenstrual symptoms screening tool. Premenstrual dysphoric disorder were found to be higher than premenstrual syndrome, and most women considered menstruation to be normal for normal health. Symptoms were also unchanged during the Covid 19 Pandemic in most women. The highest frequency of severe premenstrual symptoms was related to fatigue/ lack of energy and the lowest frequency was related to insomnia. Based on regression analysis, difficulty in emotion regulation explained 16% of the changes in premenstrual symptoms and dimensions of difficulties engaging in goal-directed behaviors and lack of emotional clarity together explained 18% of the changes. Therefore, considering the predictive role of emotion regulation, designing interventions to regulate women's emotion may be able to reduce premenstrual symptoms. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
The impact of premenstrual syndrome and its more severe form of premenstrual dysphoric disorder (PMDD) are not well characterized among the Indian population. Previous studies reported that menstrual-related issues and women's mental health had been severely affected due to pandemic stress. We conducted a cross-sectional study to estimate the prevalence of premenstrual syndrome (PMS) and premenstrual dysphoric disorder during the COVID-19 pandemic among late adolescent college students living in the Karnataka region of South India. The respondents' demographic data and Premenstrual Symptom Screening Tool (Steiner et al., 2003) were used as assessment tools. The purposive sampling method was used for gathering the data, and 400 students participated in the study. This study identified a significant level of the upsurge in the prevalence of around 19% having premenstrual dysphoric disorder and 43.25% having premenstrual syndrome during the COVID-19 pandemic. Recognizing the growing prevalence of premenstrual disorder and its potential impact on young adults can serve as the foundation for a psychological intervention program to alleviate the issues relative to PMS and PMDD as early as possible. © NAJP.
ABSTRACT
BACKGROUND: Premenstrual Syndrome (PMS) is a cyclic sequence of physical and behavioral symptoms that arise in the second half of the menstrual cycle. The extreme type of PMS is Premenstrual Dysphoric Disorder (PMDD). The current study aims at examining 1) the effects of childhood maltreatment and current life's stressful events on PMDD, and 2) the mediating role of depression in these associations among Lebanese university female students. METHODS: This cross-sectional study was conducted between February and March 2021 during the COVID-19 pandemic. Lebanese students were recruited using a snowball technique from all national universities in Lebanon via an auto-administrated online survey. Structural equation modeling was performed to examine the structural relationship between childhood maltreatment and life's stressful events, depression and PMDD. RESULTS: Higher life's stressful events (Beta = 0.18; p < 0.001), physical (Beta = 0.19; p < 0.001), sexual (Beta = 0.18; p < 0.001) and psychological (Beta = 0.33; p < 0.001) abuse were significantly associated with higher depression. Moreover, higher sexual (Beta = 0.11; p = 0.021) and psychological (Beta = 0.11; p = 0.040) abuse and higher depression (Beta = 0.37; p < 0.001) were significantly associated with higher PMDD. The indirect relationships between psychological abuse/sexual abuse, depression and PMDD showed that depression mediated the association between both psychological (Beta = 0.22; p = 0.001) and sexual (Beta = 0.38; p = 0.004) abuse and PMDD. CONCLUSION: This work presents a unique analysis using the structural equation model that enlightens the effect of childhood maltreatment, particularly sexual and psychological abuse on PMMD symptoms, with depression playing the role of a mediating factor. It would be interesting to test, in future studies, whether there are other mediating factors besides depression that could be indirect indicators of PMDD.