Nursing Department, Fırat University School of Health Science, Elazığ, Turkey.
Midwifery Department, Kirklareli University School of Health Science, Kirklareli, Turkey.
J Midwifery Womens Health. 2023 Sep-Oct;68(5):604-610. doi: 10.1111/jmwh.13530. Epub 2023 Jun 19.
Premenstrual syndrome (PMS) is an important health problem that affects women of childbearing age. Mindfulness, a meditation practice that cultivates the acceptance of events as they occur in the moment without judgment, is a promising strategy to help women cope with PMS. This study aimed to test the efficacy of a mindfulness-based stress reduction (MBSR) program in decreasing premenstrual symptoms compared with a control group.
This study was a prospective, single-masked randomized controlled trial conducted between February and April 2022 with 90 university students. Participants were women between 20 and 30 years of age, scored at least 45 on the Premenstrual Syndrome Scale (PMSS), and were not receiving other treatments for PMS. Participants were randomized into experimental (MBSR) and control groups in a 1:1 allocation. MBSR was provided in 8 weekly sessions lasting 2.5 hours and a 6-hour silence retreat during week 6. Symptoms of PMS were evaluated with the PMSS at baseline and postintervention. Differences between groups were compared postintervention using analysis of covariance to correct for baseline scores. The study was registered at www.
gov before the data collection process was initiated (NCT05191108).
Of the 90 enrolled participants, 74 participants completed the study and postintervention assessment (37 in each group). Immediately postintervention, the women in the experimental group had significantly lower PMS symptoms than women in the control group (PMSS total score, 96.35 vs 123.02; P < .001). The effect size for the change in premenstrual symptoms was large (partial η , 0.510). Specific symptoms measured by the PMSS subscales all showed significant reductions in scores in the MBSR group compared with the control group.
A mindfulness stress reduction program was effective in reducing premenstrual symptoms. MBSR programs may be used as a therapy for PMS. Future studies should test MBSR in larger and more diverse groups of women with PMS.
经前期综合征（PMS）是一种重要的健康问题，影响着育龄期女性。正念，一种培养接受当下事件的冥想练习，不做评判，是一种很有前途的策略，可以帮助女性应对 PMS。本研究旨在测试基于正念的减压（MBSR）方案与对照组相比，降低经前期症状的效果。
这是一项前瞻性、单盲随机对照试验，于 2022 年 2 月至 4 月期间进行，共有 90 名大学生参与。参与者为年龄在 20 至 30 岁之间的女性，经前期综合征量表（PMSS）评分至少为 45 分，且未接受其他经前期综合征治疗。参与者按照 1:1 比例随机分为实验组（MBSR）和对照组。MBSR 在 8 周内每周进行 2.5 小时，第 6 周进行 6 小时的静默静修。在基线和干预后使用 PMSS 评估经前期症状。采用协方差分析比较组间差异，以校正基线评分。该研究在数据收集过程开始前在 www.clinicaltrials.gov 上注册（NCT05191108）。
在 90 名入组参与者中，有 74 名参与者完成了研究和干预后评估（每组 37 名）。干预后立即，实验组女性的经前期综合征症状明显低于对照组（PMSS 总分，96.35 对 123.02；P <.001）。经前期症状变化的效应量较大（偏η，0.510）。PMSS 子量表测量的特定症状在 MBSR 组均较对照组显著降低。
正念减压方案有效降低了经前期症状。MBSR 方案可作为 PMS 的治疗方法。未来的研究应在更多患有 PMS 的不同女性群体中测试 MBSR。
