Pain Sensitivity and Depressive Triad Mediate the Relationship Between Trauma and Stress, and Symptoms of Premenstrual Disorders

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-03-18 DOI:10.1002/cpp.70062

Rachela Antosz-Rekucka, Katarzyna Prochwicz

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Abstract

The aim of this study was to test if negative cognitive triad and subjective pain sensitivity mediate the relationship between known risk factors (trauma and stress) and the symptoms of premenstrual disorders (premenstrual syndrome [PMS] and premenstrual dysphoric disorder [PMDD]) measured both retrospectively and prospectively. The study was divided into two stages: a cross-sectional (N = 228) and a prospective diagnosis (N = 90) parts. Correlation and mediation analyses were performed.

Both variables mediated the association of trauma and stress with retrospectively measured premenstrual symptoms (mediation between trauma and premenstrual symptoms through depressive triad was full). In the sample of prospectively diagnosed individuals, again, both negative cognitive triad and pain sensitivity mediated the relationship between trauma and PMS/PMDD symptoms partially, and there was full mediation between baseline stress level and premenstrual symptomatology. However, for the mean stress level during the prospective diagnosis phase, only pain sensitivity was a significant, partial mediator.

The results suggest that depressive cognitive triad and subjective pain sensitivity may play an important role in the development and maintenance of premenstrual disorders. These findings can contribute to the improvement of PMDD and PMS treatment, emphasising the importance of pain management and addressing core beliefs in psychotherapy of premenstrual disorders.

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疼痛敏感性和抑郁三联征介导创伤、应激和经前紊乱症状之间的关系

本研究的目的是测试负性认知三联征和主观疼痛敏感性是否介导已知危险因素（创伤和压力）与经前紊乱（经前综合征[PMS]和经前烦躁障碍[PMDD]）症状之间的关系，并进行回顾性和前瞻性测量。研究分为两个阶段：横断面（N = 228）和前瞻性诊断（N = 90）部分。进行了相关分析和中介分析。这两个变量介导了创伤和压力与回顾性测量的经前症状的关联（通过抑郁三联征在创伤和经前症状之间的中介作用是充分的）。在前瞻性诊断个体样本中，负性认知三联征和疼痛敏感性在创伤与经前综合症/经前抑郁症状之间存在部分中介作用，基线应激水平与经前症状之间存在完全中介作用。然而，对于预期诊断阶段的平均应激水平，只有疼痛敏感性是一个显著的部分中介。结果提示，抑郁认知三联征和主观疼痛敏感性可能在经前障碍的发生和维持中发挥重要作用。这些发现有助于改善经前不悦症和经前综合症的治疗，强调疼痛管理的重要性，并解决经前紊乱心理治疗的核心信念。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.