Effectiveness of symptom map-based education in the management of premenstrual syndrome: a randomized controlled trial

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2026-09-15 DOI:10.1007/s00737-026-01757-4

Ahsen Demirhan Kayacik, Kevser Ilcioglu

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引用次数: 0

Abstract

Purpose

To evaluate the effectiveness of a symptom map-based educational intervention for the non-pharmacological management of premenstrual syndrome (PMS), with a focus on symptom reduction among women with differing baseline symptom severity.

Methods

This randomized controlled study was conducted between May and December 2024. A total of 110 women meeting diagnostic criteria for PMS were randomly assigned to an intervention group (n = 55) or a control group (n = 55) using block randomization, and 101 participants completed follow-up assessments. The intervention comprised structured education based on a PMS symptom map and evidence-based self-care strategies. Outcomes included PMS symptom severity (Premenstrual Syndrome Scale), pain intensity (Visual Analog Scale), psychological symptoms (Depression Anxiety Stress Scale-21), and PMS-specific life satisfaction. Clinical Trial Registration: NCT06585475.

Results

Compared with the control group, women in the intervention group reported significantly lower pain (adjusted mean 4.21 vs. 6.81, p < .001) and stress levels (8.54 vs. 12.03, p < .001) at follow-up. The intervention was particularly effective in reducing PMS symptom severity and depressive symptoms among participants with higher baseline symptom burden. Improvements in PMS-specific life satisfaction were observed, with reductions in depressive symptoms contributing to this effect.

Conclusion

A symptom map-based educational intervention is a clinically applicable, non-pharmacological approach for PMS management. This structured education appears especially beneficial for women with more severe baseline symptoms and may be integrated into routine gynecological care to support individualized symptom management.

查看原文本刊更多论文

基于症状图的教育在经前综合征管理中的有效性：一项随机对照试验。

目的：评估基于症状图的教育干预对经前综合征（PMS）非药物治疗的有效性，重点关注基线症状严重程度不同的妇女的症状减轻。方法：该随机对照研究于2024年5月至12月进行。共有110名符合经前综合症诊断标准的妇女被随机分配到干预组（n = 55）或对照组（n = 55），采用分组随机法，101名参与者完成随访评估。干预包括基于经前症候群症状图和循证自我护理策略的结构化教育。结果包括经前症候群症状严重程度（经前症候群量表）、疼痛强度（视觉模拟量表）、心理症状（抑郁焦虑压力量表-21）和经前症候群特异性生活满意度。临床试验注册：NCT06585475。结果：与对照组相比，干预组女性在随访时疼痛（调整平均4.21比6.81,p < 0.001）和应激水平（8.54比12.03,p < 0.001）明显降低。干预措施在降低经前症候群症状严重程度和基线症状负担较高的参与者的抑郁症状方面特别有效。观察到经前症候群特有的生活满意度的改善，抑郁症状的减少有助于这种效果。结论：基于症状图的教育干预是一种临床适用的、非药物治疗经前症候群的方法。这种有组织的教育似乎对基线症状较严重的妇女特别有益，并可纳入常规妇科护理，以支持个体化症状管理。

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

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.