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Development and implementation of mindfulness-based psychological intervention program on premenstrual dysphoric symptoms and quality of life among late adolescents: A pilot study

Shyla Thomas Puthusserry, Clarissa F. Delariarte

Journal of Affective Disorders Reports December 17, 2022 DOI: 10.1016/j.jadr.2022.100461 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed-method sequential exploratory program development and pilot study Qualitative Peer reviewed
Sample size 8
Population Students with premenstrual symptoms or PMDD
Intervention Mindfulness-based psychological intervention program (MPI)
Measures Premenstrual Symptom Screening Tool (PSST), WHO Quality of Life-Bref (WHOQOL), Interview and FGD Protocol
Topics Meditation
Citations 6
Key points The authors report that a six-module mindfulness-based psychological intervention was feasible and was associated with significant reductions in PMDD symptoms and improved quality of life in a pilot of eight students, and they recommend it as a psychological intervention for PMDD.

Abstract

Premenstrual dysphoric disorder (PMDD) which is a severe form of premenstrual syndrome usually becomes problematic during late adolescent periods and can have different effects on the quality of life. The non-pharmacological approach is more beneficial for reducing the severity of the symptoms early without causing side effects. The present study aims to develop a mindfulness-based psychological intervention program (MPI) based on Mindfulness-based Cognitive-Behavioral theory and the Leventhal Self-regulation model. The study utilized mixed-method research, particularly sequential exploratory design in the program development phase. Participants' demographic details, the Premenstrual Symptom Screening Tool (PSST) by Steiner 2003 and WHO Quality of Life-Bref (WHOQOL), and Interview and FGD Protocol were used as assessment tools. The need assessment results showed that 19% of students met the criteria of PMDD symptoms, and 43% experienced moderate to high PMS. Above 50% experienced a low quality of life. MPI program consisted of six modules focused on addressing the issues that emerged through qualitative data and need assessments. The results of the experts’ evaluation revealed excellent inter-rater reliability (0.845) and recommended the implementation of the MPI as it is. MPI was further pilot-tested for its feasibility with eight students and validated through the Wilcoxon Signed Rank Test, which showed a significant reduction in PMDD symptoms and improved quality of life. Therefore, MPI can be recommended as a psychological intervention in alleviating PMDD symptoms and improving quality of life.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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