Top

Gepubliceerd in:

14-09-2015 | Original Article

Self-Focused Attention and Symptoms Across Menstrual Cycle Phases in Women With and Without Premenstrual Disorders

Auteurs: Julia R. Craner, Sandra T. Sigmon, Michael A. Young

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2016

Abstract

Premenstrual disorders, which include premenstrual dysphoric disorder and premenstrual syndrome involve cyclically occurring affective, behavioral, and physical symptoms. Despite high comorbidity rates and symptom overlap with mood and anxiety disorders, there has been a lack of research investigating psychological constructs that contribute to etiology and/or maintenance of premenstrual disorders. The current study hypothesized that self-focused attention (SFA) on emotional and somatic symptoms may contribute to premenstrual distress. Participants were 61 women, including 29 women with a premenstrual disorder (PMD subgroup) and 32 controls. Participants rated symptoms and SFA responses each day for 30 days. Findings indicated that women in the PMD group reported greater use of SFA responses to symptoms compared to the control group, and during the premenstrual compared to intermenstrual phases. SFA partially mediated the relationship between menstrual cycle phase and symptoms. The interaction between physiological menstrual cycle changes and psychological contributions provides a more comprehensive explanation for premenstrual disorders, and future research is warranted to clarify this relationship.

vorige artikel Linking Sleep Disturbance and Maladaptive Repetitive Thought: The Role of Executive Function

volgende artikel Borderline Personality Traits Predict Poorer Functioning During Partial Hospitalization: The Mediating Role of Depressive Symptomatology

Specific phobia not excluded because these are triggered by specific stimuli and not expected to influence the results of the study.

Concerning differences in recruitment sources, the PMD group (n = 29) included 10 undergraduate women and 19 community members, whereas the control group (n = 32) included 18 undergraduates and 14 community women. This difference was not statistically significant, χ ²(1, N = 61) = 2.90, p = .088.

Abramowitz, J. S., Deacon, B. J., & Valentiner, D. P. (2007). The short health anxiety inventory: Psychometric properties and construct validity in a non-clinical sample. Cognitive Therapy and Research, 31, 871–883.CrossRef

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Barsky, A. J., & Wyshak, G. (1990). Hypochondriasis and somatosensory amplification. The British Journal of Psychiatry, 157, 404–409.CrossRefPubMed

Biggs, W. S., & Demuth, R. H. (2011). Premenstrual syndrome and premenstrual dysphoric disorder. American Family Physician, 84(7), 918–924.PubMed

Boswell, J. F., Farchione, T. J., Sauer-Zavala, S., Murray, H. W., Fortune, M. R., & Barlow, D. H. (2013). Anxiety sensitivity and interoceptive exposure: A transdiagnostic construct and change strategy. Behavior Therapy, 44(3), 417–431.PubMedCentralCrossRefPubMed

Broderick, P. C. (2005). Mindfulness and coping with dysphoric mood: Contrasts with rumination and distraction. Cognitive Therapy and Research, 29(5), 501–510.CrossRef

Cohen, L. S., Soares, C. N., Otto, M. W., Sweeney, B. H., Liberman, R. F., & Harlow, B. L. (2002). Prevalence and predictors of premenstrual dysphoric disorder (PMDD) in older premenopausal women. Journal of Affective Disorders, 70, 125–132.CrossRefPubMed

Craner, J., & Sigmon, S. T. (2013). Toward a more comprehensive view of premenstrual disorders: The case for psychological contributions. In M. Gosselin (Ed.), Menstrual cycle: Signs and symptoms, psychological/behavioral changes and abnormalities (pp. 67–94). Hauppauge, NY: Nova Science.

Craner, J., Sigmon, S., & Martinson, A. (2015). Self-focused attention in response to laboratory stressors among women with premenstrual disorders. Archives of Women’s Mental Health. doi:10.1007/s00737-015-0505-4.

Craner, J., Sigmon, S. T., Martinson, A., & McGillicuddy, M. (2013). Perceptions of health and somatic sensations in women reporting premenstrual dysphoric disorder (PMDD) and premenstrual syndrome (PMS). Journal of Nervous and Mental Disease, 201(9), 780–785.CrossRefPubMed

Craner, J., Sigmon, S. T., Martinson, A., & McGillicuddy, M. (2014). Rumination and premenstrual disorders. Journal of Clinical Psychology, 70(1), 32–47.CrossRefPubMed

Cunningham, J., Yonkers, K. A., O’Brien, S., & Eriksson, E. (2009). Update on research and treatment of premenstrual dysphoric disorder. Harvard Review of Psychiatry, 17(2), 120–137.PubMedCentralCrossRefPubMed

Di Giulio, G., & Reissing, E. D. (2006). Premenstrual dysphoric disorder: Prevalence, diagnosis considerations, and controversies. Journal of Psychosomatic Obstetrics and Gynecology, 27(4), 201–210.CrossRefPubMed

Endicott, J., Nee, J., & Harrison, W. (2006). Daily record of severity of problems (DRSP): Reliability and validity. Archives of Women’s Mental Health, 9, 41–49.CrossRefPubMed

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition (SCID-I/P). New York, NY: Biometrics Research, New York State Psychiatric Institute.

Fontana, A. M., & Badaway, S. Z. A. (1997). Perceptual and coping processes across the menstrual cycle: An investigation in premenstrual syndrome clinic and community sample. Behavioral Medicine, 22(4), 152–159.CrossRefPubMed

Gendolla, G. E., Abele, A. E., Andrei, A., Spurk, D., & Richter, M. (2005). Negative mood, self-focused attention, and the experience of physical symptoms: The joint impact hypothesis. Emotion, 5(2), 131–144.CrossRefPubMed

Gingnell, M., Comasco, E., Oreland, L., Fredrikson, M., & Sundström-Poromaa, I. (2010). Neuroticism-related personality traits are related to symptom severity in patients with premenstrual dysphoric disorder and to the serotonin transporter gene-linked polymorphism 5-HTTPLPR. Archives of Women’s Mental Health, 13(5), 417–423.PubMedCentralCrossRefPubMed

Gonda, X., Fountoulakis, K. N., Csukly, G., Telek, T., Pap, D., Rihmer, Z., & Bagdy, G. (2010). Association of a trait-like bias towards the perception of negative subjective life events with risk of developing premenstrual symptoms. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 34(3), 500–505.CrossRefPubMed

Hartlage, S. A., Freels, S., Gotman, N., & Yonkers, K. (2012). Criteria for premenstrual dysphoric disorder: Secondary analyses of relevant data sets. Archives of General Psychiatry, 69(3), 300–305.PubMedCentralCrossRefPubMed

Ingram, R. E. (1990). Self-focused attention in clinical disorders: Review and a conceptual model. Psychological Bulletin, 107(2), 156–176.CrossRefPubMed

Jones, M. P., Schettler, A., Olden, K., & Crowell, M. D. (2004). Alexithymia and somatosensory amplification in functional dyspepsia. Psychosomatics, 45(6), 508–516.CrossRefPubMed

Judd, C. M., Kenny, D. A., & McClelland, G. H. (2001). Estimating and testing mediation and moderation in within-subjects designs. Psychological Methods, 6(2), 115–134.CrossRefPubMed

Kim, D. R., Gyulai, L. L., Freeman, E. W., Morrison, M. F., Baldassano, C. C., & Dubé, B. B. (2004). Premenstrual dysphoric disorder and psychiatric co-morbidity. Archives of Women’s Mental Health, 7(1), 37–47.CrossRefPubMed

Kleinstäuber, M., Witthöft, M., & Hiller, W. (2012). Cognitive-behavioral and pharmacological interventions for premenstrual syndrome or premenstrual dysphoric disorder: A meta-analysis. Journal of Clinical Psychology in Medical Settings, 19(3), 308–319.CrossRefPubMed

Lustyk, M. K. B., Gerrish, W. G., Shaver, S., & Keys, S. L. (2009). Cognitive-behavioral therapy for premenstrual syndrome and premenstrual dysphoric disorder: A systematic review. Archives of Women’s Mental Health, 2009(12), 85–96.CrossRef

Matsumoto, T., Asakura, H., & Hayashi, T. (2013). Biopsychosocial aspects of premenstrual syndrome and premenstrual dysphoric disorder. Gynecological Endocrinology, 29(1), 67–73.CrossRefPubMed

Mitchell, L. L., & Mitchell, C. W. (1998). Effects of premenstrual syndrome on coping style. Psychology, 35(1), 2–10.

Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: A meta-analysis. Psychological Bulletin, 128(4), 638–662.CrossRefPubMed

Nolen-Hoeksema, S. (1998). Ruminative coping with depression. In J. Heckhausen & C. Dweck (Eds.), Motivation and self-regulation across the life span. Cambridge: Cambridge University Press.

Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8, 61–87.

Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. L. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102(1), 20–28.CrossRefPubMed

O’Brien, P. M. S., Backstrom, T., Brown, C., Dennerstein, L., Endicott, J., Epperson, C., et al. (2011). Towards a consensus on diagnostic criteria, measurement, and trial design of the premenstrual disorders: The ISPMD Montreal consensus. Archives of Women’s Mental Health, 14, 13–21.PubMedCentralCrossRefPubMed

Rapkin, A. J., & Akopians, A. L. (2012). Pathophysiology of premenstrual syndrome and premenstrual dysphoric disorder. Menopause International, 18(2), 52–59.PubMed

Rubinow, D. R., Smith, M. J., Schenkel, L. A., Schmidt, P. J., & Dancer, K. (2007). Facial emotion discrimination across the menstrual cycle in women with premenstrual dysphoric disorder. Journal of Affective Disorders, 108, 87–94.

Schmidt, N. B., Lerew, D. R., & Trakowski, J. H. (1997). Body vigilance in panic disorder: Evaluating attention to bodily perturbations. Journal of Consulting and Clinical Psychology, 65(2), 214–220.CrossRefPubMed

Sigmon, S. T., Craner, J. R., Yoon, K. L., & Thorpe, G. L. (2012). Premenstrual syndrome. In V. S. Ramachandran (Ed.), Encyclopedia of human behavior (pp. 167–173). New York, NY: Elsevier.CrossRef

Sigmon, S. T., Dorhofer, D. M., Rohan, K. J., & Boulard, N. E. (2000). The impact of anxiety sensitivity, bodily expectations, and cultural beliefs on menstrual symptom reporting: A test of the menstrual reactivity hypothesis. Journal of Anxiety Disorders, 14(6), 615–633.CrossRefPubMed

Steiner, M., Macdougall, M., & Brown, E. (2003). The premenstrual symptoms screening tool (PSST) for clinicians. Archives of Women’s Mental Health, 6, 203–209.CrossRefPubMed

Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Boston: Allyn and Bacon.

Taylor, S., & Cox, B. (1998). Anxiety sensitivity: Multiple dimensions and hierarchic structure. Behaviour Research and Therapy, 36(1), 37–51.CrossRefPubMed

Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188.CrossRefPubMed

Thomsen, D. K. (2006). The association between rumination and negative affect: A review. Cognition and Emotion, 20(8), 1216–1235.CrossRef

Wallenstein, G. V., Blaisdell-Gross, B., Gajria, K., Guo, A., Hagan, M., Kornstein, S. G., & Yonkers, K. A. (2008). Development and validation of the Premenstrual Symptoms Impact Survey (PMSIS): A disease-specific quality of life assessment tool. Journal of Women’s Health, 17(3), 439–450.CrossRefPubMed

Watkins, E., Scott, J., Wingrove, J., Rimes, K., Bathurst, N., Steiner, H., et al. (2007). Rumination-focused cognitive behaviour therapy for residual depression: A case series. Behaviour Research and Therapy, 45, 2144–2154.CrossRefPubMed

Young, M. A., & Azam, O. A. (2003). Ruminative response style and the severity of seasonal affective disorder. Cognitive Therapy and Research, 27(2), 223–232.CrossRef

Young, M. A., Reardon, A., & Azam, O. (2008). Rumination and vegetative symptoms: A test of the dual vulnerability model of seasonal depression. Cognitive Therapy Research, 32, 567–576.CrossRef

Titel: Self-Focused Attention and Symptoms Across Menstrual Cycle Phases in Women With and Without Premenstrual Disorders
Auteurs: Julia R. Craner
Sandra T. Sigmon
Michael A. Young
Publicatiedatum: 14-09-2015
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-015-9721-5

Andere artikelen Uitgave 1/2016

Thwarted Belongingness Mediates the Relationship Between Fear of Negative Evaluation and Suicidal Ideation

Original Article

Borderline Personality Traits Predict Poorer Functioning During Partial Hospitalization: The Mediating Role of Depressive Symptomatology

Original Article

Anxious but Thoroughly Informed? No Jumping-to-Conclusions Bias in Social Anxiety Disorder

Original Article

Linking Sleep Disturbance and Maladaptive Repetitive Thought: The Role of Executive Function

Original Article

A Longitudinal Study of Emotional Distress Intolerance and Psychopathology Following Exposure to a Potentially Traumatic Event in a Community Sample

Original Article

Shared and Distinct Cognitive/Affective Mechanisms in Intrusive Cognition: An Examination of Worry and Obsessions

Original Article