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03-04-2015 | ORIGINAL PAPER

Mindfulness-Based Stress Reduction as a Promising Intervention for Amelioration of Premenstrual Dysphoric Disorder Symptoms

Auteurs: Karen Bluth, Susan Gaylord, Khanh Nguyen, Adomas Bunevicius, Susan Girdler

Gepubliceerd in: Mindfulness | Uitgave 6/2015

Abstract

Menstrually related mood disorders (MRMDs) are characterized by the cyclic recurrence of affective and somatic symptoms in the luteal phase of the menstrual cycle that result in substantial impairment. Despite the efficacy of SSRIs and a low-dose oral contraceptive, non-response rates are ≥40 %, and the need for a behavioral intervention in this population is warranted. This pilot study was conducted to determine the feasibility and acceptability of an 8-week mindfulness-based intervention for women with a MRMD. Self-report measures assessing pain catastrophizing, mindfulness, depression, anxiety, rumination, and self-compassion were completed before and after the intervention as were laboratory measures of pain sensitivity to a cold pressor and tourniquet procedure and cardiovascular responses to a mental stressor. In addition, premenstrual symptom severity ratings for 11 MRMD symptoms were assessed prospectively. Results indicated that, relative to pre-intervention levels, there was a significant decrease in symptom severity for seven of the 11 premenstrual symptoms, an increase in pain tolerance to the cold pressor, and a decrease in blood pressure reactivity to mental stress. The use of a historical control group supports that the effects for symptoms and pain sensitivity could not be accounted for by habituation to repeat testing. Further, 88 % of participants completed the study and all post-intervention measures, and all women reported that they used the stress reduction skills in the post-lab and in their daily lives. Mindfulness training provides a feasible, well-tolerated behavioral intervention that should be tested for efficacy in a larger randomized trial in women with a MRMD.

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American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Washington, DC: American Psychiatric Association.

Angst, J., Sellaro, R., Merikangas, K. R., & Endicott, J. (2001). The epidemiology of perimenstrual psychological symptoms. Acta Psychiatrica Scandinavica, 104(2), 110–116. CrossRefPubMed

Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.

Baer, R., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. doi: 10.1177/1073191105283504. CrossRefPubMed

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 3, 329–342. doi: 10.1177/1073191107313003. CrossRef

Barnes, L. L. B., Harp, D., & Jung, W. S. (2002). Reliability generalizations of scores on the Spielberger state-trait anxiety inventory. Educational and Psychological Measurement, 62, 603–615. CrossRef

Beck, A. T., & Beamesdefer, A. (1974). Assessment of depression: the depression inventory. In P. Pichot (Ed.), Psychological measurements in psychopharmacology: modern problems in pharmacopsychiatry (vol. 7). Paris: Karger.

Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100. CrossRef

Blake, F., Salkovskis, P., Gath, D., Day, A., & Garrod, A. (1998). Cognitive therapy for premenstrual syndrome: a controlled trial. Journal of Psychosomatic Research, 45(4), 307–318. CrossRefPubMed

Bunevicius, A., Leserman, J., & Girdler, S. S. (2012). Hypothalamic-pituitary-thyroid axis function in women with a menstrually related mood disorder: association with histories of sexual abuse. Psychosomatic Medicine, 74(8), 810–816. doi: 10.1097/PSY.0b013e31826c3397. PubMedCentralCrossRefPubMed

Bunevicius, A., Rubinow, D. R., Calhoun, A., Leserman, J., Richardson, E., Rozanski, K., & Girdler, S. S. (2013). The association of migraine with menstrually related mood disorders and childhood sexual abuse. Journal of Women’s Health (Larchmont), 22(10), 871–876. doi: 10.1089/jwh.2013.4279. CrossRef

Chen, Y., Yang, X., Wang, L., & Zhang, X. (2013). A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students. Nurse Education Today, 33(10), 1166–1172. doi: 10.1016/j.nedt.2012.11.014. CrossRefPubMed

Christopher, M. S., Neuser, M. J., & Baitmangalkar, A. (2012). Exploring the psychometric properties of the five facet mindfulness questionnaire. Mindfulness, 3, 124–131. CrossRef

Edens, J. L., & Gil, K. M. (1995). Experimental induction of pain: utility in the study of clinical pain. Behavior Therapy, 26, 197–216. CrossRef

Endicott, J., Nee, J., & Harrison, W. (2006). Daily Record of Severity of Problems (DRSP): reliability and validity. Archives of Women’s Mental Health, 9(1), 41–49. CrossRefPubMed

Feuille, M., & Pargament, K. (2013). Pain, mindfulness, and spirituality: a randomized controlled trial comparing effects of mindfulness and relaxation on pain-related outcomes in migraineurs. Journal of Health Psychology. doi: 10.1177/1359105313508459. PubMed

Fillingim, R. B., Girdler, S. S., Booker, D. K., Light, K. C., Harris, M. B., & Maixner, W. (1995). Pain sensitivity in women with premenstrual dysphoric disorder: a preliminary report. Journal of Women’s Health (Larchmt), 4, 367–374. CrossRef

Fleischman, D. S., Bunevicius, A., Leserman, J., & Girdler, S. S. (2013). Menstrually related mood disorders and a history of abuse: moderators of pain sensitivity. Health Psychology. doi: 10.1037/a0031900. PubMed

Freeman, E. W., Rickels, K., Sondheimer, S. J., & Polansky, M. (1999). Differential response to antidepressants in women with premenstrual syndrome/premenstrual dysphoric disorder: a randomized controlled trial. Archives of General Psychiatry, 56(10), 932–939. CrossRefPubMed

Freeman, E. W., Kroll, R., Rapkin, A., Pearlstein, T., Brown, C., Parsey, K., & Foegh, M. (2001). Evaluation of a unique oral contraceptive in the treatment of premenstrual dysphoric disorder. Journal of Women’s Health Gender Based Medicine, 10(6), 561–569. CrossRefPubMed

Frid, M., Singer, G., & Rana, C. (1979). Interactions between personal expectations and naloxone: effects on tolerance to ischemic pain. Psychopharmacology, 65(3), 225–231. CrossRefPubMed

Frid, M., Singer, G., Oei, T., & Rana, C. (1981). Reactions to ischemic pain: interactions between individual, situational and naloxone effects. Psychopharmacology, 73(2), 116–119. CrossRefPubMed

Girdler, S. S., Pedersen, C. A., & Light, K. C. (1995). Thyroid axis function during the menstrual cycle in women with premenstrual syndrome. Psychoneuroendocrinology, 20(4), 395–403. CrossRefPubMed

Girdler, S. S., Pedersen, C. A., Straneva, P. A., Leserman, J., Stanwyck, C. L., Benjamin, S., & Light, K. C. (1998). Dysregulation of cardiovascular and neuroendocrine responses to stress in premenstrual dysphoric disorder. Psychiatry Research, 81(2), 163–178. CrossRefPubMed

Girdler, S. S., Maixner, W., Naftel, H. A., Stewart, P. W., Moretz, R. L., & Light, K. C. (2005). Cigarette smoking, stress-induced analgesia and pain perception in men and women. Pain, 114(3), 372–385. doi: 10.1016/j.pain.2004.12.035. CrossRefPubMed

Greeson, J. M. (2009). Mindfulness research update: 2008. Complementary Health Practice Review, 14(10), 10–18. PubMedCentralPubMed

Halbreich, U. (2008). Selective serotonin reuptake inhibitors and initial oral contraceptives for the treatment of PMDD: effective but not enough. CNS Spectrums, 13(7), 566–572. CrossRefPubMed

Hughes, J. W., Fresco, D. M., Myerscough, R., van Dulmen, M. H., Carlson, L. E., & Josephson, R. (2013). Randomized controlled trial of mindfulness-based stress reduction for prehypertension. Psychosomatic Medicine, 75(8), 721–728. doi: 10.1097/PSY.0b013e3182a3e4e5. CrossRefPubMed

Hunter, M. S., Ussher, J. M., Browne, S. J., Cariss, M., Jelley, R., & Katz, M. (2002). A randomized comparison of psychological (cognitive behavior therapy), medical (fluoxetine) and combined treatment for women with premenstrual dysphoric disorder. Journal of Psychosomatic Obstetrics and Gynaecology, 23(3), 193–199. CrossRefPubMed

Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness in everyday life. New York: Hyperion.

Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. doi: 10.1016/j.cpr.2013.05.005. CrossRefPubMed

Kingston, J., Chadwick, P., Meron, D., & Skinner, T. C. (2007). A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. Journal of Psychosomatic Research, 62(3), 297–300. doi: 10.1016/j.jpsychores.2006.10.007. CrossRefPubMed

Kirschbaum, C., Pirke, K. M., & Hellhammer, D. H. (1993a). The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28(1–2), 76–81. CrossRefPubMed

Kirschbaum, C., Strasburger, C. J., & Langkrar, J. (1993b). Attenuated cortisol response to psychological stress but not to CRH or ergometry in young habitual smokers. Pharmacology, Biochemistry, and Behavior, 44(3), 527–531. CrossRefPubMed

Klatzkin, R. R., Lindgren, M. E., Forneris, C. A., & Girdler, S. S. (2010). Histories of major depression and premenstrual dysphoric disorder: evidence for phenotypic differences. Biological Psychology, 84(2), 235–247. PubMedCentralCrossRefPubMed

Klatzkin, R. R., Bunevicius, A., Forneris, C. A., & Girdler, S. (2014). Menstrual mood disorders are associated with blunted sympathetic reactivity to stress. Journal of Psychosomatic Research, 76(1), 46–55. doi: 10.1016/j.jpsychores.2013.11.002. PubMedCentralCrossRefPubMed

Kroll, R., & Rapkin, A. J. (2006). Treatment of premenstrual disorders. Journal of Reproductive Medicine, 51(4), 359–370. PubMed

Lee, S. H., Ahn, S. C., Lee, Y. J., Choi, T. K., Yook, K. H., & Suh, S. Y. (2007). Effectiveness of a meditation-based stress management program as an adjunct to pharmacotherapy in patients with anxiety disorder. Journal of Psychosomatic Research, 62(2), 189–195. doi: 10.1016/j.jpsychores.2006.09.009. CrossRefPubMed

Liu, X., Wang, S., Chang, S., Chen, W., & Si, M. (2013). Effect of brief mindfulness intervention on tolerance and distress of pain induced by cold-pressor task. Stress and Health, 29(3), 199–204. doi: 10.1002/smi.2446. CrossRefPubMed

Lystyk, & Gerrish, S. W. (2006). Premenstrual syndrome and premenstrual dysphoric disorder: issues of quality of life, stress and exercise. In V. R. Preedy & R. R. Watson (Eds.), Handbook of disease burdens and quality of life measures. New York: Springer.

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. doi: 10.1037/0022-006X.72.1.31. CrossRefPubMed

Mitchell, L. A., Macdonald, R. A. R., & Brodie, E. E. (2004). Temperature and the cold pressor test. The Journal of Pain, 5, 233–237. CrossRefPubMed

Moore, P. A., Duncan, G. H., Scott, D. S., Gregg, J. M., & Ghia, J. N. (1979). The submaximal effort tourniquet test: its use in evaluating experimental and chronic pain. Pain, 6, 375–382. CrossRefPubMed

Morse, C. A., Dennerstein, L., Farrell, E., & Varnavides, K. (1991). A comparison of hormone therapy, coping skills training, and relaxation for the relief of premenstrual syndrome. Journal of Behavioral Medicine, 14(5), 469–489. CrossRefPubMed

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. doi: 10.1080/15298860390209035. CrossRef

Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240. doi: 10.1080/15298860902979307. CrossRef

Nyklicek, I., Mommersteeg, P. M., Van Beugen, S., Ramakers, C., & Van Boxtel, G. J. (2013). Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial. Health Psychology, 32(10), 1110–1113. doi: 10.1037/a0032200. CrossRefPubMed

Parswani, M. J., Sharma, M. P., & Iyengar, S. (2013). Mindfulness-based stress reduction program in coronary heart disease: a randomized control trial. International Journal of Yoga, 6(2), 111–117. doi: 10.4103/0973-6131.113405. PubMedCentralCrossRefPubMed

Reiner, K., Tibi, L., & Lipsitz, J. D. (2013). Do mindfulness-based interventions reduce pain intensity? A critical review of the literature. Pain Medicine, 14(2), 230–242. doi: 10.1111/pme.12006. CrossRefPubMed

Rubinow, D. R., Roy-Byrne, P., Hoban, M. C., Gold, P. W., & Post, R. M. (1984). Prospective assessment of menstrually related mood disorders. American Journal of Psychiatry, 141(5), 684–686. CrossRefPubMed

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta T., Baker R., Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Supplement 20), 22–33; quiz 34–57.

Spielberger, C., Gorsuch, R. L., & Lushene, R. E. (1970). STAI manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press, Inc.

Spitzer, R. L., Williams, J. B., Kroenke, K., Hornyak, R., & McMurray, J. (2000). Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. American Journal of Obstetrics and Gynecology, 183(3), 759–769. CrossRefPubMed

Steiner, M., Steinberg, S., Stewart, D., Carter, D., Berger, C., Reid, R., & Streiner, D. (1995). Fluoxetine in the treatment of premenstrual dysphoria. Canadian Fluoxetine/Premenstrual Dysphoria Collaborative Study Group. New England Journal of Medicine, 332(23), 1529–1534. CrossRefPubMed

Steiner, M., Pearlstein, T., Cohen, L. S., Endicott, J., Kornstein, S. G., Roberts, C., & Yonkers, K. (2006). Expert guidelines for the treatment of severe PMS, PMDD, and comorbidities: the role of SSRIs. Journal of Women’s Health (Larchmont), 15(1), 57–69. CrossRef

Straneva, P. A., Maixner, W., Light, K. C., Pedersen, C. A., Costello, N. L., & Girdler, S. S. (2002). Menstrual cycle, beta-endorphins, and pain sensitivity in premenstrual dysphoric disorder. Health Psychology, 21(4), 358–367. CrossRefPubMed

Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: development and validation. Psychological Assessment, 7(4), 524–532. CrossRef

Sundstrom-Poromaa, I., Bixo, M., Bjorn, I., & Nordh, O. (2000). Compliance to antidepressant drug therapy for treatment of premenstrual syndrome. Journal of Psychosomatic Obstetrics and Gynecology, 21, 205–211. CrossRefPubMed

Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 284–304. CrossRefPubMed

Vettese, L. C., Toneatto, T., Stea, J. N., Nguyen, L., & Wang, J. J. (2009). Do mindfulness meditation participants do their homework? And does it make a difference? A review of the empirical evidence. Journal of Cognitive Psychotherapy, 23(3), 198–225. doi: 10.1891/0889-8391.23.3.198. CrossRef

Vollestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behavior Research Therapy, 49(4), 281–288. doi: 10.1016/j.brat.2011.01.007. CrossRef

von Kanel, R., Kudielkac, B. M., Preckelb, D., Hanebuthb, D., & Fischerb, J. E. (2006). Delayed response and lack of habituation in plasma interleukin-6 to acute mental stress in men. Brain, Behavior, and Immunity, 20(1), 40–48. CrossRef

Yonkers, K. A., Brown, C., Pearlstein, T. B., Foegh, M., Sampson-Landers, C., & Rapkin, A. (2005). Efficacy of a new low-dose oral contraceptive with drospirenone in premenstrual dysphoric disorder. Obstetrics and Gynecology, 106(3), 492–501. CrossRefPubMed

Titel: Mindfulness-Based Stress Reduction as a Promising Intervention for Amelioration of Premenstrual Dysphoric Disorder Symptoms
Auteurs: Karen Bluth
Susan Gaylord
Khanh Nguyen
Adomas Bunevicius
Susan Girdler
Publicatiedatum: 03-04-2015
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 6/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-015-0397-4

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