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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.
Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.
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
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
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
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
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.
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
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
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.
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., 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
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: development and validation. Psychological Assessment, 7(4), 524–532. CrossRef
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: 10.1891/0889-8318.104.22.168. 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
- Mindfulness-Based Stress Reduction as a Promising Intervention for Amelioration of Premenstrual Dysphoric Disorder Symptoms
- Springer US