Dehnavi Saeideh Izadi, Mortazavi Seyede Salehe, Ramezani Mohammad Arash, Gharraee Banafshe, Ashouri Ahmad
Department of Clinical Psychology, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
Geriatric Mental Health Research Center, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2024 Aug 29;13:309. doi: 10.4103/jehp.jehp_935_23. eCollection 2024.
In women with premenstrual dysphoric disorder (PMDD), emotional problems constitute most of their symptoms. This study aimed to identify the emotion schemes of women with PMDD and to determine the core emotional pains at the center of the emotion scheme of PMDD to facilitate the treatment of this disorder using an emotion-focused therapy (EFT) approach.
This study was performed using the directed content analysis method by Hsieh and Shannon. The participants were selected by purposive sampling. The Premenstrual Symptoms Screening Tool (PSST) was used for the primary diagnosis of women, and the Structured Clinical Interview for DSM-5 (SCID-5) was conducted for the final diagnosis. A total of 10 participants were examined via in-depth interviews in this study. The emotion scheme matrix was used as a framework to identify the emotion scheme of PMDD.
Based on the emotion scheme matrix, the participants' experiences were classified into two main themes, four categories, and eight subcategories, with 37 extracted codes.
Based on the present results, the primary and secondary emotions and behaviors in women with PMDD indicated perceptual-situational, bodily-expressive, motivational-behavioral, and symbolic-conceptual elements in line with the core emotional pains of desperation, despair, and feelings of worthlessness based on the primary maladaptive scheme of shame, which is responsible for different psychological symptoms.
在经前烦躁障碍（PMDD）女性中，情绪问题构成了她们的大部分症状。本研究旨在识别PMDD女性的情绪模式，并确定PMDD情绪模式核心的核心情绪痛苦，以便使用以情绪为中心的疗法（EFT）方法促进对该疾病的治疗。
本研究采用谢和香农的定向内容分析法进行。参与者通过目的抽样选取。经前症状筛查工具（PSST）用于女性的初步诊断，DSM-5结构化临床访谈（SCID-5）用于最终诊断。本研究共对10名参与者进行了深入访谈。情绪模式矩阵被用作识别PMDD情绪模式的框架。
基于情绪模式矩阵，参与者的经历被分为两个主要主题、四个类别和八个子类别，共提取了37个编码。
基于目前的结果，PMDD女性的主要和次要情绪及行为表明，基于羞耻的主要适应不良模式，存在与绝望、失望和无价值感等核心情绪痛苦一致的感知情境、身体表达、动机行为和象征概念元素，这些元素导致了不同的心理症状。
