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عضویت

جستجوی مقالات مرتبط با کلیدواژه "premenstrual syndrome" در نشریات گروه "پزشکی"

  • Zinat Jourabchi, Fatemeh Ranjkesh, Mohammad Habibi, Ahad Alizadeh, Zeinab Zarabadipour *
    Background & aim

    Premenstrual syndrome (PMS) is a common disorder in women that can affect normal aspects of their life. We conducted the present study to compare the effect of acupressure and fluoxetine on PMS. 

    Methods

    This randomized clinical trial included 90 Iranian female students at Qazvin University of Medical Sciences with moderate to severe premenstrual syndrome.  After convenient sampling, individuals were randomly assigned to three groups (30 acupressure, 30 fluoxetine, and 30 control) using block randomization. The tools used include the demographic form, the Beck Depression Inventory (BDI), and the Daily Record of Severity of Problems form (DRSP). The intervention was performed in three consecutive menstrual periods and was followed up three months later.  The acupressure group applied acupressure to 4 points (LIV3, SP9, LI11, LI4) every other day, 14 days before menstruation, using the TENS device (6 sessions during the second half of the menstrual cycle). The fluoxetine group received oral fluoxetine 20 mg daily for 14 days prior to menstruation. The control group received no intervention Data were analyzed using R software and Mixed effect model tests.

    Results

    There was a significant difference between the acupressure and fluoxetine groups with the control group in DRSP score (P<0.001) after the intervention. However, no significant difference in DRSP score was observed between the two intervention groups during the intervention (P>0.05), but the difference between the two groups became significant during the time of follow-up (p=0.033).

    Conclusion

    Acupressure can be recommended as a useful complementary and alternative method to selective serotonin reuptake inhibitors in women with PMS

    Keywords: Premenstrual Syndrome, Acupressure, Fluoxetine, TENS (Transcutaneous Electrical Nerve Stimulation)
  • Simin Sadat Motevalli Haghi, Amirhossein Sahebkar, Jamshid Jamali, Roshanak Salari, Maliheh Motavasselian *
    Objective
    Echium amoenum (EA) and Foeniculum vulgare (FV) might be beneficial for the management of Premenstrual syndrome (PMS) due to their possible effects on sex hormones and neurotransmitters such as serotonin. This study aimed to investigate the effect of a combination of Echium and Fennel on the severity of physical and psychological symptoms of PMS.
    Materials and Methods
    This triple-blinded, randomized, controlled trial was conducted on 80 women. The subjects were assigned to two groups of intervention (receiving EA 2 g/day and FV 1 g/day, in the second two weeks of the cycle, in two consecutive cycles) and placebo control. The data collection tools included the PSST, DRSP, and SF36 questionnaires.
    Results
    Between-group differences in all subscales of DRSP were significant at one- and two-month time points (p<0.05). Bleeding volume was significantly increased in the intervention group, compared to the placebo group, two months after the intervention (p<0.05). Between-group comparison of the changes demonstrated significant differences in all subscales of SF36, except for limitations in usual role activities due to emotional problems (p=0.07).
    Conclusion
    Consumption of EA and FV combination improved the quality of life in women with PMS and exerted favorable changes in PMS symptoms.
    Keywords: Premenstrual Syndrome, Echium Amoenum, Foeniculum Vulgare, Herbal Medicine, Phytoestrogens, Serotonin, Traditional Persian Medicine
  • سمیه مینائی مقدم، زهرا شهرکی، فاطمه اسماعیل زاده*
    زمینه و هدف

    در پاندمی کووید 19، دانشجویان پرستاری به دلیل ارتباط نزدیک با مبتلایان به کرونا و نگرانی های ناشی از  توجه به سلامت خود و اطرافیان، در معرض خطر اضطراب کرونا بودند. ازطرف دیگر، سندرم پیش ازقاعدگی (PMS) بر پیشرفت تحصیلی و کارآیی دانشجویان تاثیر بسزایی دارد. این مطالعه باهدف بررسی ارتباط اضطراب کرونا و علائم سندرم پیش ازقاعدگی در دانشجویان پرستاری دانشگاه علوم پزشکی مشهد در دوره پاندمی کووید 19 انجام شد.

    روش ها

    این مطالعه توصیفی- همبستگی می باشد. نمونه گیری به صورت سرشماری از دانشجویان دختر دانشکده پرستاری و مامایی دانشگاه علوم پزشکی مشهد در دوران پاندمی کرونا در سال1400 صورت گرفت. داده ها با استفاده از فرم مشخصات دموگرافیک و مقیاس اضطراب بیماری کرونا و پرسشنامه غربالگری علایم قبل از قاعدگی جمع آوری شد و سپس با استفاده از  نرم افزار SPSS نسخه 25مورد تحلیل آماری قرارگرفت.

    نتایج

    42 درصد از واحدهای پژوهش مبتلا به PMS بودند. میانگین سنی ایشان 8/7±20/9 سال بود. میانگین اضطراب کرونا  33/7± 05/9 بود. نتیجه آزمون همبستگی اسپیرمن بین اضطراب کرونا و شدت علائم سندرم پیش از قاعدگی همبستگی مستقیم و ضعیف وجود داشت (238/0= ,r 0/001p <) .

    نتیجه گیری

    با افزایش اضطراب، علایم PMS نیز بالاتر بوده است. با توجه به طیف علامت های شایع ذهنی PMS و تاثیر آن بر یادگیری دانشجویان در این دوران لزوم به کارگیری مداخلات مناسب برای این گروه و بررسی های بیشتر در رابطه با عوامل خاص موثر بر شدت علائم این سندرم ضروری به نظر می رسد.

    کلید واژگان: اضطراب کرونا, سندرم پیش از قاعدگی, دانشجو, پرستاری
    S. Minaei-Moghadam, Z.Shahraki, F.Esmaelzadeh*
    Background & Aim

    During the COVID-19 pandemic, nursing students were at risk of corona anxiety due to their close relationship with COVID-19 patients. On the other hand, premenstrual syndrome (PMS) has a significant impact on the academic progress and efficiency of students. The study aimed to investigate the relationship between Corona anxiety and PMS symptoms in nursing students of Mashhad University of Medical Sciences during the COVID-19 pandemic.

    Methods

    This is a descriptive- correlational study. Sampling was done in the form of a census from female students of the school of Nursing during the COVID-19 pandemic. The data was collected using the demographic characteristics form, the anxiety scale of corona disease and premenstrual symptoms screening questionnaire. The date was statistically analyzed using SPSS version 25 software.‎

    Results

    A total of 416 nursing students with an average age of 21.59 ± 2.46 participated in the study. Among them (42%) 176 people had PMS with an average age of 20.9±8.7. The average anxiety of Corona was 9.05 ± 7.33. The result of Spearman's correlation test showed a direct and weak correlation between Corona anxiety and the severity of PMS (r=0.238, p<0.001).

    Conclusion

    A significant relationship was observed between Corona anxiety and the severity of PMS symptoms. So, with increasing anxiety, PMS symptoms were also higher. Due to its impact on students' learning in this period, it is necessary to apply suitable interventions and further investigations for this group regarding the specific factors affecting the severity of the symptoms of this syndrome.

    Keywords: Corona Anxiety, Premenstrual Syndrome, Student, Nursing
  • Azadeh Niroomand, Kourosh Goodarzi *, Mehdi Roozbahani, Zahra Tanha
    Background
    This study aimed to investigate the effectiveness of Pilates exercises on emotion regulation and distress tol89erance in female students with premenstrual syndrome (PMS). 
    Methods
    The present study used a quasi-experimental pretest-posttest design with a nonequivalent control group. The research population consisted of female students with PMS at the Islamic Azad University of Doroud during the academic year of 2021-2022. A convenience sampling method was employed, and 30 individuals were selected and randomly assigned to either the Pilates or control group. The research tools included the Premenstrual Symptoms Screening Tool (PSST), Distress Tolerance Scale (DTS), and Emotion Regulation Questionnaire (ERQ). These tools were administered to both the Pilates group and the control group in 3 stages: pretest, posttest, and follow-up. Pilates exercises were taught to the Pilates group by a professional instructor at the university gymnasium. Data analysis for this study was conducted using repeated measures analysis of variance (ANOVA) using SPSS version 22.
    Results
    The findings showed that considering P≤0.05, there were significant changes in the variable of emotion regulation. In the Pilates group, the mean score of the emotion suppression subscale increased from 12 in the pretest to 15.33 in the posttest and16.8 in the follow-up. Similarly, the mean score of the emotion reappraisal subscale increased from 22.4 in the pretest to 26.26 in the posttest and 26.06 in the follow-up. Additionally, the distress tolerance in the Pilates group showed an increase from 40.93 in the pretest to 47.06 in the posttest and 47 in the follow-up.
    Conclusion
    Pilates exercise has an effective role in improving emotion regulation and distress tolerance in female students with PMS.
    Keywords: Pilates exercises, emotion regulation, distress tolerance, Premenstrual syndrome
  • مقدمه

    علائم فیزیکی و هیجانی در اختلال پیش از قاعدگی سبب افزایش غیبت از کار، کاهش بهره وری و کاهش کیفیت زندگی مرتبط با کار می شود.

    هدف

    با توجه به شیوع نسبتا بالای اختلالات پیش از قاعدگی در ایران و مطالعات محدود در زمینه مشکلات ناشی از کار، این مطالعه به بررسی رابطه بین اختلالات پیش از قاعدگی و عملکرد کاری در زنان شاغل پرداخته است.

    مواد و روش ها

    این مطالعه مقطعی بر روی 358 زن شاغل (معلم ها و کارگران) در شهر یزد- ایران، از اسفند 1396 تا خرداد 1397 انجام شد. داده ها با استفاده از پرسشنامه های ابزار غربالگری علائم قبل از قاعدگی، بهره وری کار و اختلال در فعالیت (نسخه اصلاح شده) و ظرفیت کار عملکردی جمع آوری گردید. زنان به دو گروه با و بدون سندرم پیش از قاعدگی طبقه بندی شدند. پیامدهای کاری شامل بهره وری، ظرفیت کاری و توانایی انجام فعالیت روزانه بین گروه ها مقایسه گردید.

    نتایج

    در میان 358 شرکت کننده، (8/%33) 121 زن اختلال قاعدگی داشتند. میزان شیوع سندروم پیش از قاعدگی به طور قابل توجهی در معلم ها بیشتر از کارگران (به ترتیب 41/0% در مقابل 7/24%) بوده است (002/0=p). نمره پیامدهای کار به طور قابل توجه در گروه با سندرم پیش از قاعدگی از گروه دیگر و همچنین در معلم ها نیز نسبت به کارگران بدتر بود (001/0 >p).

    نتیجه گیری

    این مطالعه وجود همراهی قابل توجه بین علائم پیش از قاعدگی و بهره وری، ظرفیت عملکرد کاری و توانایی انجام کار روزانه را نشان داد. معلم ها شیوع بالاتری از سندرم پیش از قاعدگی و عملکرد کاری بدتری نسبت به کارگران داشتند که می تواند ناشی از سطح تحصیلات بالاتر، استرس کاری، وظایف پیچیده تر و مسئولیت شغلی بیشتر در معلم ها باشد.

    کلید واژگان: سندرم پیش از قاعدگی, اختلال پیش از قاعدگی, عملکرد کاری, زنان شاغل, بهره وری
    Ziba Loukzadeh, Nazila Eslamy *, Marziyeh Dehghan, AmirHoushang Mehrparvar
    Background

    Physical and emotional manifestations of premenstrual disorder cause increased absenteeism, decreased productivity, and decreased work-related quality of life.

    Objective

    Due to the relatively high prevalence of premenstrual disorders in Iran and limited studies on its work-related problems, this study investigated the relationship between premenstrual disorders and work performance in working women.

    Materials and Methods

    This cross-sectional study was conducted on 358 working women (teachers and industrial workers) in Yazd, Iran, from July 2019 to January 2020. Data were collected using premenstrual symptom screening tool, the work productivity and activity impairment (a modified version), and functional work capacity questionnaires. Women were classified into 2 groups: women with and without premenstrual disorders. Productivity, functional capacity, and ability to perform activities of daily living were compared between groups.

    Results

    Among 358 participants, 121 women (33.8%) had premenstrual disorders. The prevalence of premenstrual disorders was significantly higher in teachers than workers (0.41% vs. 24.7%, respectively) (p = 0.002). The work results showed a worse score in the group with premenstrual disorder than the other group and teachers compared to workers (p < 0.001).

    Conclusion

    This study showed a significant association between premenstrual disorders and worse work productivity, functional work capacity, and ability to perform activities of daily living. Teachers had a higher prevalence of premenstrual disorders and worse work performance than workers, which can be due to higher education levels, work stress, more complex tasks, and increased work responsibility in teachers.

    Keywords: Premenstrual syndrome, Premenstrual dysphoric disorder, Work performance, Working women, Productivity
  • زهرا آخوندی یزدی، احمد غضنفری*، طیبه شریفی
    زمینه و هدف

    اختلالات خلقی گروه وسیعی از اختلالاتی را شامل می شوند که خلق مرضی (پاتولوژیک) و آشفتگی های مرتبط با آن، نمای بالینی غالب آنها را تشکیل می دهد لذا هدف از این پژوهش مقایسه اثربخشی درمان فراتشخیصی و درمان شناختی- رفتاری بر نشانگان پیش از قاعدگی زنان مبتلا به اختلالات خلقی شهر اصفهان بود.

    روش کار

    مطالعه حاضر یک طرح نیمه آزمایشی از نوع پیش آزمون- پس آزمون با گروه گواه به همراه دوره پیگیری بوده است. متغیرهای مستقل پژوهش حاضر عبارت بودند از دو روش درمان فراتشخیصی و درمان شناختی- رفتاری و متغیرهای وابسته پژوهش نیز نشانگان پیش از قاعدگی بود که در جامعه زنان مبتلا به اختلالات خلقی شهر اصفهان مورد بررسی قرار گرفتند. جامعه پژوهش در این مطالعه عبارت از کلیه زنان مبتلا به اختلالات خلقی در شهر اصفهان بود. در این مطالعه 45 زن مبتلا به اختلالات خلقی مراجعه کننده به کلینیک های تخصصی شهر اصفهان در سال 1400، که واجد شرایط معیارهای ورود به مطالعه بودند و معیارهای خروج را نداشتند به صورت هدفمند انتخاب و در سه گروه (2 گروه آزمایشی و یک گروه گواه) مورد بررسی قرار گرفتند. اطلاعات بیماران از طریق اطلاعات دموگرافیک، پرسشنامه غربالگری اختلالات خلقی، پرسشنامه نشانگان پیش از  قاعدگی جمع آوری شد. پروتکل های درمانی شامل درمان شناختی رفتاری (هازلت-استیونز) و درمان فراتشخیصی (بارلو و همکاران،2011) بود.

    یافته ها

    نتایج نشان داد که درمان فراتشخیصی و درمان شناختی رفتاری اثربخشی معنی داری بر نشانگان پیش از قاعدگی زنان مبتلا به اختلالات خلقی شهر اصفهان داشتند، اما یافته ها اختلاف معنی داری بین این دو گروه درمانی بر نشانگان پیش از قاعدگی نشان نداد. به طوری که درمان شناختی رفتاری به طور معنی داری اثربخشی بیشتری نسبت به درمان فراتشخیصی زنان مبتلا به اختلالات خلقی شهر اصفهان داشت.

    نتیجه گیری

    نتایج این مطالعه نشان می دهد که هر دو درمان فراتشخیصی و درمان شناختی رفتاری می توانند در کاهش نشانگان پیش از قاعدگی زنان مبتلا به اختلالات خلقی موثر باشند. با این حال، درمان شناختی رفتاری به عنوان روشی با اثربخشی بیشتر توصیه می شود. این یافته بر اهمیت به کارگیری روش های متمرکز بر شناخت و رفتار برای مدیریت اختلالات خلقی تاکید دارد و می تواند در برنامه ریزی های درمانی مورد استفاده قرار گیرد.

    کلید واژگان: درمان فراتشخیصی, درمان شناختی- رفتاری, نشانگان پیش از قاعدگی, اختلالات خلقی
    Zahra Akhondi Yazdi, Ahmed Ghadanefri*, Tayebeh Sharifi
    Background & Aims

    The inevitable and heavy consequences of mood disorders and their recurring nature and heavy costs have caused this disorder to be considered among debilitating disorders and specialists pay special attention to the care and treatment of this disorder. Also, in recent years, more attention has been paid to psychotherapies, especially psychosocial interventions, along with drug therapy. Among these interventions, which are also based on the family, is the psychological education of the family. Mood disorders can cause changes in people's behavior and affect their ability to deal with usual activities such as work environment and living environment. Mood disorders are a major problem in public health and psychiatry due to their chronicity and recurring nature. Many factors can cause mood disorders in women. Premenstrual symptoms are a set of physical, psychological, emotional, and behavioral symptoms that occur periodically in the luteal phase of menstruation and significantly recede in the remainder of the cycle. It has been stated that premenstrual syndrome is a disease with a thousand faces; because doctors have attributed more than 150 symptoms to this disease. The symptoms of this disorder in women are different and this problem makes the diagnosis difficult. Worse, the pattern of this disease may change according to different months of the year and the age of the patient. Heartburn, mood instability, irritability, depression, nervous tension, tendency to cry, anxiety, headache, strong desire to eat sweets, increased appetite, heart palpitations, weakness, dizziness and fainting, weight gain, thirst, hot flashes, swelling of hands and feet, Swelling and tenderness of the breasts, feeling of swelling and bloating of the abdomen, joint and muscle pain, poor memory, insomnia, etc. are very common symptoms of this disease. Mood disorders include a wide group of disorders. That morbid (pathological) mood and disturbances related to it constitute their predominant clinical appearance, therefore this research aimed to compare the effectiveness of meta-diagnostic treatment and cognitive-behavioral therapy on premenstrual symptoms of women suffering from mood disorders in Isfahan City.

    Methods

    The present study was a semi-experimental design of pre-test-post-test type with the control group and follow-up period. The independent variables of the present study were two methods of meta-diagnostic treatment and cognitive-behavioral therapy, and the dependent variables of the study were premenstrual symptoms, which were investigated in the community of women suffering from mood disorders in Isfahan City. The research population in this study consisted of all women with mood disorders in Isfahan city. In this study, 45 women with mood disorders referred to specialized clinics in Isfahan city in 1400, who qualified for the inclusion criteria and did not meet the exclusion criteria, were selected purposefully and divided into three groups (2 experimental groups and one control group). Patient information was collected through demographic information, mood disorder screening questionnaire, and premenstrual symptoms questionnaire. Treatment protocols included cognitive behavioral therapy (Hazelt-Stevens) and metadiagnostic therapy (Barlow et al., 2011).

    Results

    The results showed that meta-diagnostic and cognitive-behavioral therapy had a significant effect on premenstrual symptoms in women with mood disorders in Isfahan City, but the findings did not show a significant difference between these two treatment groups on premenstrual symptoms. So cognitive behavioral therapy was significantly more effective than transdiagnostic treatment of women suffering from mood disorders in Isfahan City.

    Conclusion

    The results of this study show that both meta-diagnostic therapy and cognitive behavioral therapy can reduce premenstrual symptoms in women with disorders. Be effective. However, cognitive behavioral therapy is recommended as a more effective method. This finding emphasizes the importance of using methods focused on cognition and behavior to manage mood disorders and can be used in treatment planning. be placed Studies have shown that women who suffer from PMS and PMD usually do not seek medical treatment. And in many cases, they don't get a proper answer even if they prefer. Also, researchers have concluded that drug treatments do not have much effect and long-term effectiveness on the psychological symptoms of this disorder. Considering the side effects of drug treatments, it is recommended to use them only in severe cases or in cases where the patient has not responded to other treatments; therefore, non-pharmacological treatments have been the focus of researchers in women suffering from menstrual disorders. Integrated meta-diagnostic treatment due to the limitation of existing specific cognitive-behavioral treatments and for people with emotional disorders, especially It is designed for mood and anxiety, and it uses the same treatment principles and protocols for all types of these disorders. The aforementioned treatment is a transdiagnostic cognitive-behavioral therapy focused on emotion; in this treatment, by emphasizing emotions and the adaptive and functional nature of emotions, we try to identify and correct non-adaptive efforts to regulate experiences. It becomes exciting. Also, integrated meta-diagnostic treatment has been able to have a positive effect on women's premenstrual symptoms in some studies.

    Keywords: Meta-Diagnostic Treatment, Cognitive-Behavioral Therapy, Premenstrual Syndrome, Mood Disorders
  • ملیحه عافیت، اقلیما جلالی، هاشم لشگری کلات، نغمه خرسند، اعظم اکبری لر، معصومه غضنفرپور*
    سابقه و هدف

    سندرم تخمدان پلی کیستیک از شایع ترین اختلالات غدد درون ریز است که معمولا علائم آن بلافاصله بعد از اولین دوره قاعدگی شروع می شود. مطالعات قبلی ارتباط معنی داری بین دیسمنوره، سندرم پیش از قاعدگی و سندرم تخمدان پلی کیستیک پیدا کردند. هدف از مطالعه حاضر، بررسی تاثیر بابونه بر دیسمنوره و سندرم پیش از قاعدگی در بیماران مبتلا به سندرم تخمدان پلی کیستیک می باشد.

    مواد و روش ها

    این مطالعه کارآزمایی بالینی بر روی 70 نفر از بیماران با تشخیص سندرم تخمدان پلی کیستیک طبق معیارهای روتردام مراجعه کننده به کلینیک شهر مشهد انجام شد. بیماران به صورت تصادفی به 2 گروه تخصیص یافتند. گروه اول روزی 2 عدد کپسول بابونه 500 میلی گرمی و گروه دوم روزی 2 عدد کپسول پلاسبو به مدت 3 ماه دریافت نمودند. پاسخ به درمان در سندرم پیش از قاعدگی، دیسمنوره و اولیگومنوره با استفاده از پرسشنامه مقیاس دیداری درد و پرسشنامه تشخیص سندرم پیش از قاعدگی DSM-IV ارزیابی شد.

    یافته ها

    میانگین سن بیماران در گروه مداخله 5/58±25/43 و در گروه پلاسبو 5/71±28/06 سال بود. میزان بهبودی در  زنان مبتلا به سندرم پیش از قاعدگی (16/6%)، دیسمنوره (50%) و اولیگومنور (26/7%) درگروه بابونه در مقایسه با پلاسبو بیشتر بود. شاخص توده بدنی بین گروه بابونه (4/95±25/17) و گروه کنترل (6/7±25/57) تفاوت معنی داری از لحاظ آماری نداشت.

    نتیجه گیری

    بر اساس نتایج این مطالعه، بابونه باعث بهبودی در علامت اولیگومنوره در بیماران مبتلا به سندرم تخمدان پلی کیستیک گردید و تاثیرات مثبتی بر دیسمنوره و سندرم پیش از قاعدگی نشان داد. بنابراین می توان از بابونه به عنوان اقدامی ساده، کم هزینه در درمان بیماران سندرم تخمدان پلی کیستیک استفاده نمود.

    کلید واژگان: بابونه, دیسمنوره, سندرم پیش از قاعدگی, سندرم تخمدان پلی کیستیک, تستوسترون, اولیگومنوره
    M .Afiat, E .Jalaly, H .Lashgari Kalat, N .Khorsand, A. Akbari Lor, M. Ghazanfarpour*
    Background and Objective

    Polycystic ovary syndrome is one of the most common endocrine disorders, whose symptoms usually begin immediately after the first menstrual period. Previous studies found a significant relationship between dysmenorrhea, premenstrual syndrome and polycystic ovary syndrome. The aim of this study is to investigate the effect of chamomile on dysmenorrhea and premenstrual syndrome in patients with polycystic ovary syndrome.

    Methods

    This clinical trial was conducted on 70 patients diagnosed with polycystic ovary syndrome based on Rotterdam criteria referring to a clinic in Mashhad. Patients were randomly assigned to two groups. The first group received two 500 mg chamomile capsules per day and the second group received two placebo capsules per day for three months. The response to treatment in premenstrual syndrome, dysmenorrhea and oligomenorrhea was evaluated using the Visual Analogue Scale and DSM-IV premenstrual syndrome diagnosis questionnaire.

    Findings

    The mean age of the patients in the intervention group was 25.43±5.58 and in the placebo group was 28.06±5.71 years. The rate of improvement in women with premenstrual syndrome (16.6%), dysmenorrhea (50%) and oligomenorrhea (26.7%) was higher in chamomile group compared to placebo. There was no statistically significant difference in body mass index between the chamomile group (25.17±4.95) and the control group (25.57±6.7).

    Conclusion

    Based on the results of this study, chamomile improved the symptoms of oligomenorrhea in patients with polycystic ovary syndrome and showed positive effects on dysmenorrhea and premenstrual syndrome. Therefore, chamomile can be used as a simple, low-cost therapy in the treatment of polycystic ovary syndrome patients.

    Keywords: Chamomile, Dysmenorrhea, Premenstrual Syndrome, Polycystic Ovary Syndrome, Testosterone, Oligomenorrhea
  • رقیه خرقانی، معصومه مرتقی قاسمی، سعیده موسوی، رباب ناصری*
    مقدمه

    سندرم پیش از قاعدگی مجموعه علایمی است که کیفیت زندگی و عملکرد خانوادگی و اجتماعی زنان را تحت تاثیر قرار می دهد. اصلاح سبک زندگی یکی از روش های پیشنهادی کنترل این علایم است که طب ایرانی بر آن تاکید دارد. مصاحبه انگیزشی به ایجاد رفتارهای خود مراقبتی در اصلاح سبک زندگی کمک می کند. این پژوهش با هدف بررسی تاثیر مصاحبه انگیزشی با محتوای اصول حفظ الصحه طب ایرانی بر علایم جسمی و روانی پیش از قاعدگی انجام شد.

    روش کار

    این مطالعه کارآزمایی کنترل شده تصادفی در سال 1401 در مراکز منتخب درمانی زنجان انجام شد. 50 خانم دارای علایم پیش از قاعدگی پس از اخذ رضایت نامه کتبی آگاهانه با تخصیص تصادفی به دو گروه 25 نفره مداخله و کنترل تقسیم شدند. مداخله شامل پنج جلسه فردی و مجازی مصاحبه انگیزشی مبتنی بر اصول حفظ الصحه طب ایرانی بود. گروه کنترل هیچ گونه مداخله ای دریافت نکردند. ابزار پژوهش پرسشنامه علایم پیش از قاعدگی premenstrual symptoms screening tool، در سه مرحله قبل، بلافاصله بعد و سه ماه پس از مداخله توسط شرکت کنندگان تکمیل شد. داده ها توسط آزمون های آماری تی مستقل، کای دو، آزمون اندازه گیری مکرر و آزمون تعقیبی بنفرونی با نسخه 16 SPSS تجزیه وتحلیل شدند.

    یافته ها

    در گروه مداخله تغییرات میانگین (انحراف معیار) علایم روانی پیش آزمون 57/22 (053/8)، پس آزمون 95/16 (406/7) و پیگیری 67/11 (893/5) و با (001/0>p) معنی دار بود. تغییرات تاثیر علایم بر فعالیت های روزمره زندگی گروه مداخله در مراحل پیش آزمون 05/10 (356/2)، پس آزمون 24/5 (624/2) و پیگیری 52/4 (694/2) با (001/0>P) معنی دار بود. تغییرات علایم جسمی معنی دار نبود.

    نتیجه گیری

    با توجه به یافته های پژوهش مصاحبه انگیزشی مبتنی بر اصول حفظ الصحه طب ایرانی برای بهبود علایم روانی سندرم پیش از قاعدگی و تاثیر علایم بر فعالیت های روزمره زندگی توصیه می گردد.

    کلید واژگان: مصاحبه انگیزشی, سندرم پیش از قاعدگی, اصول حفظ الصحه
    Roghaye Kharghani, Masoumeh Mortaghyghasemy, Saideh Musavi, Robab Naseri*
    Introduction

    Premenstrual syndrome is a set of symptoms that affect the quality of life, family relationships and social functioning of women. One of the recommended methods to control symptoms is lifestyle modification, which is emphasized by Persian medicine. Motivational interviewing helps to modify lifestyle by creating self-care behaviors. The present study was conducted with the aim of determining the effect of motivational interview with the content of principles of Hefz – Alsehe in Persian medicine on premenstrual physical and psychological symptoms.

    Methods

    A randomized controlled trial was started on 21/01/2022 in selected medical centers in Zanjan. 50 women who had premenstrual symptoms after obtaining written informed consent were divided into two intervention (25) and control (25) groups with random allocation. The intervention was five individually and virtually sessions of motivational interviews based on the principles of Hefz-Alsehe in Persian medicine. Control group did not receive any intervention. The premenstrual symptoms screening tool was completed by the participants in three stages before the intervention, immediately after the intervention and three months follow-ups. Data were analyzed by independent t-test, chi- squared test, repeated measurement test and Benferroni's post hoc test in SPSS.

    Results

    In the intervention group, the mean changes (standard deviation) of psychological symptoms in pre-test 22.57(8.053), post-test 16.95(7.406) and follow-up 11.67(5.893) and the effect of symptoms on daily life activities the pre-test 10.05(2.356), post-test 5.24(2.624) and follow-up 4.52(2.694) with (P<0.01) was significant. Changes in physical symptoms were not significant.

    Conclusions

    According to the findings of the study, motivational interview focused on some principles of Hefz – Alsehe in Persian medicine can be used to improve the psychological symptoms of PMS and the impact of symptoms on daily life activities.

    Keywords: motivational interview, premenstrual syndrome, Hefz – Alsehe
  • رباب سرچمی، شیرین کوشکی، شکوه السادات بنی جمالی، آنیتا باغدا ساریانس
    زمینه و هدف

     تامین سلامت جسمانی و روانی زنان از عوامل مهم در ثبات خانواده و جامعه می‫باشد. یکی از مسایل روان تنی زنان، سندرم پیش از قاعدگی است. این پژوهش با هدف تعیین الگوی ساختاری تنظیم شناختی هیجان بر اساس سرمایه روانشناختی در زنان مبتلا به سندروم پیش از قاعدگی با نقش واسطه ای رضایت زناشویی انجام شد.

    روش کار

     پژوهش حاضر از نوع همبستگی با استفاده از معادلات ساختاری بود. جامعه آماری شامل کلیه زنان مبتلا به سندرم پیش از قاعدگی بود که در سال 99-1398 به درمانگاه مامایی تنظیم خانواده در شهر کرمانشاه مراجعه کرده بودند. از بین آنها تعداد 380 نفر با روش نمونه‏گیری در دسترس انتخاب شدند. ابزارهای پژوهش شامل پرسشنامه‏های تنظیم هیجانی گرنفسکی.  سرمایه روانشناختی لوتانز و رضایت زناشویی اینریچ بود. داده ها با روش همبستگی اسپیرمن توسط نرم افزار SPSS-21 و LISREL تجزیه و تحلیل شدند.

    یافته ها

     نتایج مطالعه حاضر نشان داد که رابطه معنادار مستقیم بین راهبردهای تنظیم شناختی هیجانی و سرمایه روانشناختی وجود داشت (GFI=0.92; AGFI=0.88; RMSEA=0.052). همچنین سرمایه روانشناختی به صورت مستقیم و با میانجی‫گری رضایت زناشویی (GFI=0.92; AGFI=0.88; RMSEA= 0.052) و (RMSEA= 0.062) تنظیم شناختی هیجان را پیش بینی می‫کرد.

    نتیجه گیری

     نتایج نشان داد که سرمایه های روانشناختی به همراه رضایت زناشویی می‫توانند نقش مهمی در تنظیم شناختی هیجان در زنان مبتلا به سندرم پیش از قاعدگی داشته باشند. بنابراین از طریق افزایش سرمایه های روانشناختی و رضایت زناشویی می‫توان به بهبود تنظیم هیجان در زنان مبتلا به سندرم پیش از قاعدگی کمک کرد.

    کلید واژگان: تنظیم هیجان, سرمایه روانشناختی, سندرم پیش از قاعدگی, رضایت زناشویی
    R. Sarchamy, SH .Koushki, SH .Banijamali, A .Baghdasarians
    Background & aim

     Pproviding physical and mental health for women is one of the important factors in the stability of family and society. In this regard, one of the psychosomatic issues is premenstrual syndrome. This research was conducted to investigate the structural pattern of cognitive emotion regulation based on psychological capital with the mediating role of marital satisfaction in women with premenstrual syndrome.

    Methods

     The current research was of a correlational design using structural equations. The statistical population included all women with premenstrual syndrome, who visited the family planning midwifery clinic in Kermanshah in 2018-2019. Three hundred and eighty women were selected by the convenience sampling method. The research tools included Grenfsky's emotional regulation questionnaire, Luthans' psychological capital, and Inrich's marital satisfaction questionnaires. Data were analysed by Spearman's correlation method by SPSS-21 and LISREL software.

    Results

     The results of this study showed that there is a significant direct relationship between cognitive-emotional regulation strategies and psychological capital (GFI=0.92; AGFI=0.88; RMSEA=0.052) as well as psychological capital directly and indirectly through the mediation of marital satisfaction (GFI=0.92; AGFI=0.88; RMSEA=0.052) and (RMSEA=0.062) can Predict the cognitive regulation of emotion.

    Conclusion

     It can be said that psychological capital along with marital satisfaction can play an important role in the cognitive regulation of emotions in women with PMS. Therefore, by increasing psychological capital and marital satisfaction, it is possible to help improve emotional regulation in women with premenstrual syndrome

    Keywords: Emotion Regulation, Psychological Capital, Premenstrual Syndrome, Marital Satisfaction
  • آزاده نیرومند، کورش گودرزی*، مهدی روزبهانی، زهرا تنها

    هدف از پژوهش حاضر مقایسه اثربخشی درمان فراشناخت و پذیرش و تعهد بر احساس تنهایی و تحمل پریشانی در دانشجویان دختر دارای سندرم پیش از قاعدگی بود. پژوهش حاضر نیمه آزمایشی از نوع پیش آزمون-پس آزمون با گروه کنترل ناهمسان است. جامعه پژوهش شامل تمامی دانشجویان دختر مبتلا به سندرم پیش از قاعدگی در دانشگاه آزاد اسلامی شهرستان دورود در سال تحصیلی 1401-1400 به تعداد 520 نفر بود که از بین آنها تعداد 60 نفر با روش نمونه گیری در دسترس انتخاب شدند و در سه گروه فراشناخت، پذیرشس و تعهد و کترل به صورت تصادفی جایگزین گردیدند. ابزارهای این پژوهش شامل پرسشنامه غربالگری پیش از قاعدگی استینر و همکاران (2003)، مقیاس احساس تنهایی راسل (1996) و مقیاس تحمل پریشانی (DTS) سیمونز و گاهر (2005) بود که در سه مرحله پیش آزمون، پس آزمون و پیگیری بر روی مشارکت کنندگان اجرا شدند. روش تحلیل این پژوهش آزمون تحلیل واریانس با اندازه گیری مکرر با استفاده از نرم افزار آماری spss نسخه 22 بود. نتایج نشان داد گروه پذیرش و تعهد و گروه فراشناخت به شکل معناداری نسبت به گروه کنترل سبب کاهش احساس تنهایی و تحمل پریشانی شده اند، اما از این دو گروه، گروه فراشناخت نسبت به گروه پذیرش و تعهد در متغیر احساس تنهایی بهتر عمل کرده بود، اما در متغیر تحمل پریشانی تفاوت معناداری بین مداخله های مذکور وجود نداشت.

    کلید واژگان: سندرم پیش از قاعدگی, درمان فراشناخت, درمان پذیرش و تعهد, احساس تنهایی, تحمل پریشانی
    Azadeh Niroomand, Kourosh Goodarzi*, Mehdi Roozbahani, Zahra Tanha

    The present study was conducted to compare the effectiveness of acceptance and commitment therapy and metacognition therapy on female students with premenstrual syndrome in Islamic Azad University, Durood branch.The present research is a semi-experimental pre-test-post-test study with a heterogeneous control group. The research population included all female students suffering from premenstrual syndrome in the Islamic Azad University of Dorud city in the academic year of 1400-1401 with the total number of 520 people, among whom 60 persons were selected by available sampling method and assigned randomly in three metacognitive, acceptance and commitment, and control groups. The tools of this research included premenstrual screening questionnaire by Steiner et al. (2003), Russell's Loneliness Scale (1996) and Distress Tolerance Scale (DTS) by Simmons and Gaher (2005) which were performed on the participants in three stages: pre-test, post-test and follow-up. The method of analysis of this research was analysis of variance test with repeated measurement using statistical software spss version 22. The results showed that the acceptance and commitment group and the metacognitive group significantly reduced the feeling of loneliness and distress tolerance compared to the control group, but of these two groups, the metacognitive group performed better than the acceptance and commitment one in the loneliness variable but there was no significant difference between the mentioned interventions in the variable of distress tolerance.

    Keywords: premenstrual syndrome, metacognitive therapy, acceptance, commitment therapy, loneliness feeling, distress tolerance
  • Batoul Khodakarami, Narges Babakhani *, Seyedeh Zahra Masoumi, Hossein Mohagheghi, Maryam Farhadian
    Background
    Premenstrual syndrome (PMS) is one of the causes of poor performance in women,with direct and indirect adverse effects on their marital, family, and social life. This study aimed toexamine the effect of cognitive-behavioral counseling on resilience in adolescent girls with PMS.
    Methods
    This randomized clinical trial was conducted from February to May 2018 on 15-17-year-old girladolescents in Hamadan high schools. Using the block randomization method and the block size of 10, werandomly assigned 120 participants with moderate to severe PMS into intervention (N=60) and controlgroups (N=60). Participants in the intervention group received eight 60-minute cognitive-behavioralcounseling sessions for 8 weeks, and the control group received no intervention. Data were gatheredusing demographic questionnaire, Premenstrual Symptoms Screening Tool, and the Connor-Davidsonresilience scale. Statistical analysis was performed using SPSS version 16. The Chi-square, independentsamplest-test, and paired t-tests were used to analyze the data. P values <0.05 were considered significant.
    Results
    The mean total resilience score and all its dimensions increased in the intervention group3 months after the intervention (P<0.05). Mean scores of total resilience and all subscales exceptspiritual influences showed statistically significant differences between the intervention and controlgroups 3 months after the intervention (P<0.05).
    Conclusion
    Cognitive-behavioral counseling can improve resilience in female adolescents withmoderate to severe PMS. It is recommended that school counselors can use cognitive-behavioralcounseling to improve the resilience of girls with moderate to severe PMS.Trial Registration Number: IRCT2015052615341N6.
    Keywords: counseling, Premenstrual Syndrome, Psychological resilience
  • Parisa Davari, Ali Khani Jeihooni, Arash Ziapour, Fakhreddin Chaboksavar, Mahboobeh Nasiri, Azadeh Ghanbarnia, Aysa Azami, Abolfazl Atashpoosh, Fatemeh Mohammadkhah *
    Background and aims

    One of the most common complaints of women is premenstrual syndrome (PMS). This study aimed to determine the effect of text messages online Education on PMS using Mediabased Support.

    Methods

    The present research was an interventional quasi-experimental study from May 2021 to August 2021 in all female students in Ramsar city, Iran. Sixty-eight cases were selected and divided into two groups (the intervention and control groups). Demographic characteristics questionnaire and Premenstrual Symptoms Questionnaire (PSQ) were used. Each case in the experimental group received text messages for three menstrual cycles. PMS symptoms were compared before and after the intervention in two groups. The data were analyzed using SPSS software (version 16), independent t-test, paired t-test, and covariance analysis (P = 0.005).

    Results

    The participants were 18-25 years old and were studying for a bachelor’s degree. Before the intervention, the mean of the PMS score was (11.25 ± 10.05) in the Intervention group and (31.38 ± 14.31) in the Control group (P = 0.041). After the intervention, the mean PMS scores in the Intervention and Control groups were (21.85 ± 8.25) and (33.26 ± 14.45) (P = 0.001). In the intervention group, psychological and physical symptoms were statistically significant before (25.11 ± 10.05) and after the intervention (21.85 ± 8.25) (P = 0.007).

    Conclusion

    The study results showed that media-based support is an efficient and effective method in reducing premenstrual symptoms, which can be used in related interventions as an effective, easy, and low-cost method.

    Keywords: Education, Social media, Social support, Premenstrual syndrome, Students
  • Hanan Moustafa Ashour, Niven Rizk Mohammed, Nemat Ismail Abdel Aziz, Naglaa Fathy Fathallah*
    Introduction

    Premenstrual syndrome (PMS) stands as one the most prevalent health issues, especially among female university students. The syndrome substantially impacts their quality of life and academic performance. The progressive muscle relaxation technique is a calming method that can help lower anxiety, cultivate a sense of pain control, and divert away from the painful body part.

    Objective

    The study sought to determine the effect of progressive muscle relaxation technique on premenstrual syndrome among female nursing students.

    Materials and Methods

    A quasi-experimental study was conducted on 80 female students (40 students in the study group and 40 in the control group) enrolled in the third and fourth academic years (2020-2021). Students were randomly assigned to either the control or study group using a random number generator program. The progressive muscle relaxation technique was performed 30 minutes daily for 4 weeks. Baseline data were collected from all students. The premenstrual syndrome scale assessed the intensity of PMS before and after the intervention. Data analysis was performed using the chi-square test, the student t-test, the Monte Carlo test, the Mann-Whitney test, and the marginal homogeneity test. P<0.05 were considered significant.

    Results

    The study found that the Mean±SD age of the study and control group participants were 22.02+0.73 and 21.95+0.67 years, respectively. Also, more than two-thirds of the students in the study and control groups (70% and 67.5%, respectively) were from rural areas. After the intervention, a statistically significant decrease was observed in the intensity of all physical, psychological, and behavioral symptoms among the study group compared to the control group (P<0.05). In addition, the total score of PMS intensity was significantly decreased among the study group after the intervention (P=0.001). In contrast, the total score of the intensity of PMS symptoms was significantly increased in the control group (P=0.034).  

    Conclusion

    The study concluded that young adult girls who practiced progressive muscle relaxation techniques exhibited less severe premenstrual syndrome symptoms than those who did not.

    Keywords: Premenstrual syndrome, Progressive muscle relaxation, Female nursing students
  • فاطمه آقابابایی*، رزگار محمدی
    مقدمه

    سندرم پیش از قاعدگی، یکی از مهم ترین مشکلات بالینی در علم بیماری های زنان است. اهمیت این سندرم به دلیل شیوع بیشتر آن در دختران جوان نیازمند مطالعه ای عمیق تر و یافتن تجارب خود این افراد می باشد.

    روش کار

    مطالعه کیفی حاضر با رویکرد پدیدارشناسی بود. جامعه مورد مطالعه، دختران دارای سندرم پیش از قاعدگی بودند که 10 نفر به روش نمونه گیری هدفمند از بین آن ها انتخاب شد. زمان پژوهش در طول سال های1400-1399 بود. نمونه گیری تا رسیدن به اشباع داده ها ادامه یافت. تحلیل داده ها با طرح روش توصیفی کولایزی بود.

    یافته ها

    در این مطالعه 4 مضمون اصلی و 12 مضمون فرعی شناسایی شد که عبارت بودند از: تجربه نشانگان سندرم (تجربه الگوهای رفتار، هیجانی و شناختی، تجربه بدنی سندرم، تجربه زمانی سندرم، ادراک نشانگان براساس قاعدگی و کنترل یا عدم کنترل نشانگان سندرم)، تجربه بعد فرهنگی- اجتماعی سندرم (پذیرش یا عدم پذیرش بافت فرهنگی-اجتماعی و نگاه جنسیتی به سندرم)، استراتژی های سازگاری با تجربه سندرم (بازنگری به تجربه سندرم، پذیرش یا عدم پذیرش سندرم و معنایابی از سندرم) و ادراک اهمیت بعد ارتباطی در سندرم (تمایل به تنهایی و عدم برقراری ارتباط با دیگران و اهمیت تجارب ارتباطی).

     نتیجه گیری

    نتایج این مطالعه می تواند تلویحات کاربردی و بالینی بسیاری را در ارتباط با دختران مبتلا به سندرم پیش از قاعدگی ارایه بدهد و همچنین این تجربه پدیده ای چند بعدی و چند جانبه است.

    کلید واژگان: سندرم پیش از قاعدگی, دختران مجرد, تجربه زیسته, مطالعه پدیدارشناسانه
    F. Aghababai*, R .Mohammadi
    Introduction

    Premenstrual syndrome is one of the most important clinical problems in women's diseases. The significance of PMS due to its more prevalence in young girls requires a deeper study and finding their own experiences.

    method

    The present qualitative study was a phenomenological approach. The study population included premenstrual syndrome, 10 people were selected by targeted sampling method. Sampling continues until data saturation. The data analysis was designed with a descriptive study method.

    Results

    In this study, 4 main themes and 12 sub-themes were identified, which were: Symptomatic experience of the syndrome (experience of behavioral, emotional and cognitive patterns, physical experience of the syndrome, temporal experience of the syndrome, perception of menstrual syndrome and control or non-control of the syndrome). Experiencing the socio-cultural dimension of the syndrome (accepting or rejecting the socio-cultural context and gender perspective on the syndrome), coping strategies with the experience of the syndrome (reviewing the experience of the syndrome, accepting or not accepting the syndrome, and understanding the meaning of the syndrome). Syndrome (desire to be alone and not communicating with others and the importance of communication experiences).

    Conclusion

    The results of this study can provide many practical and clinical implications for girls with PMS and this experience is a multidimensional and multifaceted phenomenon.

    Keywords: Premenstrual Syndrome, Single Girls, Lived Experience, Phenomenological Study
  • Morvarid Irani, Adeleh Rahmanian *, Narges Soltani

    Context: 

    Saffron, as a medicinal plant, is widely used to treat various diseases, especially among women. Therefore, this study was conducted to review the studies on the impact of saffron on premenstrual syndrome (PMS), labor, childbirth, and menopause.

    Methods

    This systematic review, based on the PICO process, systematically searched PubMed, Scopus, Cochrane, Embase, Web of Science, Science Direct, Google Scholar, Research Gate, and Persian databases, such as Scientific Information Database (SID) and Magiran, until February 2023. The search was based on a search strategy. Strategy search included keywords saffron OR Crocus sativus Linn. OR safranal OR crocin using AND premenstrual syndrome, postpartum depression, pregnancy anxiety, pregnancy depression, menopause, perimenopause, labor pain, childbirth, active labor phase, delivery, episiotomy, and pregnancy. Of 164 articles, 20 randomized controlled trials with a score of 3 and above based on the Jadad scale entered the study.

    Results

    The results showed that saffron has positive effectsonlabor and childbirth, including improvement of Bishop’s score, labor progress, reduction of fatigue and labor pain intensity, and episiotomy healing. Additionally, it can improve mood and psychological symptoms of menopause and PMS. The results of two studies showed that saffron has an effect on postpartum depression.

    Conclusions

    Saffron is suggested as a medicinal plant that can help improve women’s complications. However, due to the limited number of studies, it is recommended to carry out further studies without the limitations of previous studies before applying saffron in clinical medicine.

    Keywords: Saffron, Premenstrual Syndrome, Postpartum Depression, Menopause, Labor, Episiotomy
  • مریم علیجانی، رسول روشن چسلی*، ابوالقاسم عیسی مراد رودبنه، سید ابوالقاسم مهری نژاد

    پژوهش حاضر با هدف، تبیین مدل ساختاری سندرم پیش از قاعدگی بر اساس رضایت زناشویی و ویژگی های شخصیتی با میانجیگری طرحواره های ناسازگار اولیه انجام شد. روش پژوهش مقطعی از نوع همبستگی است. جامعه آماری این پژوهش را کلیه دانشجویان متاهل دانشگاه های آزاد شهر تهران در سال 1399-1400 تشکیل دادند، که از میان آن ها، تعداد 400 نفر با روش نمونه گیری خوشه ای مرحله ای انتخاب شدند. در این پژوهش از ابزارهای سندرم پیش از قاعدگی (سیه باز و همکاران، 1390)، رضایت زناشویی (انریچ، 1998)، ویژگی های شخصیتی نیو (کاستا و مک کری، 1992)، و طرحواره های ناسازگار اولیه (یانگ، 1988) استفاده شد که همگی از اعتبار و پایایی قابل قبولی برخوردار بودند. به منظور تجزیه وتحلیل داده ها از نرم افزار SPSS-V23 و Amos-V8.8 استفاده گردید. همچنین به منظور پاسخگویی به فرضیه های پژوهش از مدل یابی معادلات ساختاری استفاده شد. یافته های پژوهش نشان داد که مدل از برازش مناسبی برخوردار است. همچنین نتایج نشان داد که رضایت زناشویی اثر مستقیم منفی معنادار بر سندرم پیش از قاعدگی داشته است. اشتیاق به تجارب تازه، توافق پذیری و مسیولیت پذیری اثر مستقیم منفی معنادار بر سندرم پیش از قاعدگی داشته است. همچنین روان نژندی اثر مستقیم منفی معنادار بر سندرم پیش از قاعدگی داشته است. رضایت زناشویی اثر مستقیم منفی بر طرحواره های ناسازگار اولیه داشته است. اشتیاق به تجارب تازه، توافق پذیری و مسیولیت پذیری اثر مستقیم منفی معنادار بر طرحواره های ناسازگار اولیه داشته است. همچنین روان نژندی اثر مستقیم منفی معنادار بر سندرم پیش از قاعدگی داشته است. طرحواره های ناسازگار اولیه اثر مستقیم بر سندرم پیش از قاعدگی داشته است. بدین معنا که با افزایش طرحواره های ناسازگار اولیه، سطح سندرم پیش از قاعدگی افزایش می یابد. لذا توجه به متغیرهای مذکور در پیشگیری و طراحی درمان های مناسب تر به پژوهشگران و درمانگران یاری می رساند.

    کلید واژگان: سندرم پیش از قاعدگی, رضایت زناشویی, ویژگی های شخصیتی, طرحواره های ناسازگار اولیه
    Maryam Alijani, Rasol Roshan Chesli*, Abolghasem Isamorad Roodboneh, Seyed Abolghasem Mehrinejad

    The aim of this study was to explain the modeling of premenstrual syndrome based on marital satisfaction and personality traits mediated by early maladaptive schemas. The research method is cross-sectional correlation. The statistical population of this study consisted of all married students of Tehran Azad University in 1399-1400, from which 400 people were selected by stepwise cluster sampling. In this study, the tools of premenstrual syndrome (Siah Baz et al., 2011), marital satisfaction (Enrich, 1998), neo-personality traits (Costa and McCray, 1992) and early maladaptive schemas (Young, 1988) were used, all of which had acceptable validity and reliability. SPSS-V23 and Amos-V8.8 software were used to analyze the data. Structural equation modeling was also used to answer the research hypotheses. Findings showed that the model has a good fit. The results also showed that marital satisfaction had a significant direct negative effect on premenstrual syndrome. Eagerness for new experiences, agreement and responsibility have had a significant direct negative effect on PMS. Neuroticism also had a significant negative direct effect on premenstrual syndrome. Marital satisfaction has had a direct negative effect on early maladaptive schemas. Eagerness for new experiences, agreement, and responsibility have had a significant direct negative effect on early maladaptive schemas. Neuroticism also had a significant negative direct effect on premenstrual syndrome. Early maladaptive schemas had a direct effect on premenstrual syndrome. This means that the level of premenstrual syndrome increases with the increase of early maladaptive schemas. Therefore, paying attention to the mentioned variables in prevention and designing more appropriate therapies will help researchers and therapists

    Keywords: Premenstrual Syndrome, Marital Satisfaction, Personality Traits, Early maladaptive Schemas
  • Fereshteh Abdolrahmi, Marzieh Kaboudi*, Hamid Kamerzarin, Bijan Kaboudi, Parastoo Mohammadi, Mozhdeh Horriat
    Introduction

    Premenstrual syndrome has several physical and psychological complications. Since healthy family relationships and normal marital interactions are affected by a woman's physical and mental health, any disorder in this area decreases marital satisfaction and consequently endangers the mental health and survival of the family.

    Objective

    This study aimed to determine the effect of Fordyce happiness training on marital satisfaction and mental health in women with premenstrual syndrome.

    Materials and Methods

    This randomized controlled trial was performed in 2018-2019. A total of 40 women with the premenstrual syndrome were selected by convenience sampling and randomly divided into experimental (n=20) and control (n=20) groups. The experimental group received six sessions of the Fordyce happiness training program at weekly intervals in groups of 10. In both groups, the level of marital satisfaction and mental health was measured by Enriching and Nurturing Relationship Issues‚ Communication‚ and Happiness (ENRICH) marital satisfaction questionnaire, and the Goldberg Mental Health questionnaire three times: before, immediately after, and 45 days after the training sessions. The Chi-square test, Fisher exact test, independent t test, and repeated measures analysis of variance were conducted to analyze the obtained data.

    Results

    The Mean±SD ages of the experimental and control groups were 32.45±7.33 and 33.10±6.25 years, respectively. The mean scores of mental health in the experimental group compared to the control group in the pretest, post-test, and follow-up (43.95±4.38, 41.20±5.73, 40.25±5.88) had a decreasing trend (P<0.05) but the mean scores of marital satisfactions in the experimental group (81.90±7.18, 86.35±8.16, 86.80±7.96, respectively) increased (P<0.05). However, no significant change was observed in the control group. Time significantly affects the mean changes in mental health (P=0.002) and marital satisfaction (P=0.001) in the samples. The time-group effect also shows a significant change for both variables (partial eta-squared for mental health=0.174 and marital satisfaction=0.165); the changes in the mean mental health and marital satisfaction of the research samples over time are different between the experimental and control groups; there are changes in the mean score of the two variables in three time points.

    Conclusion

    The findings of the present study showed that Fordyce happiness training is effective in improving the level of marital satisfaction and mental health of women with premenstrual syndrome. Therefore, it is suggested that this training program is used to adapt women psychologically to the mood and physical changes of premenstrual syndrome.

    Keywords: Premenstrual Syndrome, Marital Satisfaction, Mental Health, Happiness
  • فاطمه غلامیان، مریم مرادی، سعیده خدابنده، محسن علی اکبری، حمیدرضا ابراهیمی سنو، سمانه نجفی*
    مقدمه

    سندرم پیش از قاعدگی با تاثیرگذاری بر ابعاد مختلف زندگی زنان، نیازمند کنترل است. با توجه به عدم شناخت علت دقیق این سندرم، درمان های متعددی برای آن پیشنهاد شده است. یکی از روش های درمانی، استفاده از رایحه درمانی است، لذا مطالعه حاضر با هدف تاثیر رایحه درمانی با اسانس شمعدانی بر سندرم پیش از قاعدگی در دانشجویان انجام شد.

    روش کار:

     این مطالعه کارآزمایی بالینی در سال 1399 بر روی 80 دانشجوی مبتلا به سندرم پیش از قاعدگی دانشگاه علوم پزشکی گناباد انجام شد. افراد به صورت تصادفی به دو گروه مداخله و کنترل تقسیم شدند. برای گروه مداخله (5 روز قبل از قاعدگی) از اسانس شمعدانی و در گروه کنترل از دارونما (روغن بادام شیرین بدون بو) استفاده شد. بعد از دو سیکل قاعدگی متوالی، پرسشنامه پس آزمون تکمیل گردید. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 22) و آزمون های کای دو، من ویتنی و ویلکاکسون انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.

    یافته ها

    بین میانگین نمرات ابعاد و نمره کل پرسشنامه سندرم پیش از قاعدگی در دو گروه مداخله و کنترل قبل از اجرای رایحه درمانی اختلاف معنی داری وجود نداشت (05/0>p)، در حالی که بعد از انجام رایحه درمانی، بین میانگین نمرات ابعاد و نمره کل بین دو گروه تفاوت معنا داری مشاهده شد؛ به طوری که شدت علایم سندرم پیش از قاعدگی در گروه رایحه درمانی کاهش معنی داری یافت (05/0<p).

    نتیجه گیری

    رایحه درمانی با اسانس شمعدانی در کاهش علایم سندرم پیش از قاعدگی موثر بوده و استفاده از آن به عنوان درمان مکمل، ارزان، غیرتهاجمی و با عوارض کم در بالین توصیه می گردد.

    کلید واژگان: اسانس شمعدانی, رایحه درمانی, سندرم پیش از قاعدگی
    Fatemeh Gholamian, Maryam Moradi, Saeedeh Khodabande, Mohsen Aliakbari, Hamidreza Ebrahimi Senoo, Samane Najafi *
    Introduction

     Premenstrual syndrome, by affecting different aspects of women's lives, needs to be controlled. Due to the lack of knowledge of the exact cause of this syndrome, several treatments have been proposed for it. One of the treatment methods is the use of aromatherapy, The present study was performed with aim to determine the effect of aromatherapy with geranium essential oil on premenstrual syndrome in students.

    Methods

    This clinical trial study was conducted in 2020 on 80 students with premenstrual syndrome in Gonabad University of Medical Sciences. The subjects were randomly divided into intervention and control groups. For the intervention group (5 days before menstruation), geranium essential oil and in the control group, a placebo (odorless sweet almond oil) was used. After two consecutive menstrual cycles, the post-test questionnaire was completed. Data were analyzed by SPSS statistical software (version 22) and chi-square, Mann-Whitney and Wilcoxon tests. P<0.05 was considered statistically significant.

    Results

    There was no significant difference between the mean scores of the dimensions and the total score of the premenstrual syndrome questionnaire in the two intervention and control groups before the implementation of aromatherapy (p>0.05), while after the implementation of aromatherapy, there was a significant difference between the mean scores of the dimensions and the total score between the two groups, so that the intensity of the symptoms of premenstrual syndrome significantly decreased in the aromatherapy group (p<0.05).

    Conclusion

    Aromatherapy with geranium essential oil is effective in reducing the symptoms of premenstrual syndrome and its use is recommended as a complementary, cheap, non-invasive treatment with few side effects.

    Keywords: Aromatherapy, geranium essential oil, Premenstrual Syndrome
  • Abbas Sadeghi, Sholeh Gharibi, Sajjad Saadat
    Background

    Premenstrual Syndrome (PMS) is a common problem in women with migraines. Due to the importance of recognizing aspects of this issue, this study was conducted to investigate the role of alexithymia and self-efficacy factors in predicting PMS.

    Methods

    This analytical cross-sectional study was performed on the statistical population of women with migraine referred to medical centers in Rasht in 2021. 160 women with migraines participated in convenience sampling methods from medical centers and responded to the Demographic Information Questionnaire, Premenstrual Symptoms Screening Tool (PSST), Toronto Alexithymia Scale (TAS-20) and General Self-Efficacy Scale (GSE). Data analysis was performed using IBM SPSS 21 (IBM Inc, New York, USA) statistical software.

    Results

    The results showed that 59.6% of the women had PMS. Pearson correlation coefficient showed that PMS was negatively associated with self-efficacy (r=-0.28; p=0.001) and positively associated with alexithymia (r=0.22; P=0.001). Multiple linear regression analysis indicated that the self-efficacy variable (β=-0.27) negatively predicts 11% of the changes in the PMS variable.

    Conclusion

    Self-efficacy and alexithymia are PMS-related factors; thus it is suggested that health care providers pay attention to the importance of these psychological factors in developing treatment plans.

    Keywords: Alexithymia, Female, Migraine disorders, Premenstrual syndrome, Self-Efficacy
  • Salimeh Nezamivand Chegini *, Parvin Abedi, Masoumeh Yaralizadeh, Saeed Ghanbari
    Background
    Primary dysmenorrhea is one of the most prevalent issues in women’s health care, which affects half of the population in the reproductive age. The present research aimed to evaluate the severity of primary dysmenorrhea and its associated characteristics among the university students in Ahvaz, Iran.
    Methods
    In this cross-sectional descriptive study, 80 college students suffering from dysmenorrhea were randomly recruited. All the required data were gathered via demographic questionnaire, Visual Analoge Sclae (VAS), Pictorial Blood Assessment Chart (PBAC), and Symptom Severity Score (SSS) during two consecutive menstrual cycles from Aprill 20 to June 20, 2016. Furthermore, descriptive statistics (frequency and mean) and analytical statistics (Pearson’s correlation coefficient) were used. P<0.05 was considered as the level of significance.
    Results
    The mean±SD of menstrual pain of the participants was 6.6±1.5 out of 10. Most of them (61.2%) suffered from moderate dysmenorrhea. Mean±SD of their age was 21.1±2.0 years and their age at menarche was 12.9±1.2 years. A significant number of the participants (85%) claimed to use drugs to relieve the menstrual pain, with the most common onebeing Ibuprofen (41.2%), usually taken orally at the onset of menstruation. Moreover, analysis of the results revealed a significant correlation among all the items of Symptom Severity Score (SSS) and pain severity (P<0.001), except sensitivity and depression. However, the duration and amount of menstrual bleeding was not significantly correlated with pain severity.
    Conclusions
    Choosing the right approach to managing and educating women with menstrual pain-associated symptoms can reduce the adverse impact of dysmenorrhea on their quality of life.
    Keywords: Dysmenorrhea, Menstruation, College health, Premenstrual Syndrome, Menstrual pain, Students
نکته
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