Kountourides Gabriella, Alvergne Alexandra
School of Anthropology and Museum Ethnography, University of Oxford, 51, 53 Banbury Rd, Park Town, Oxford, OX2 6PE, UK.
ISEM, Univ Montpellier, CNRS, IRD, Pl. Eugène Bataillon, Montpellier, 34090, France.
Arch Womens Ment Health. 2025 Sep 1. doi: 10.1007/s00737-025-01598-7.
PURPOSE: The discourse around menstrual cycles is often pathologized, potentially reinforcing negative perceptions of menstruation. The extent to which individuals have internalized the idea that bodily and social experiences before menstruation are the manifestation of ill-health, thereby biasing reports of premenstrual experiences towards negative emotions, remains unclear. METHODS: Using an online experimental design, we investigate whether phrasing the premenstrual experience as having both negative and positive dimensions would enable individuals to report more diverse and positive experiences than are reported in the absence of specific emotional prompts. Participants were recruited using a period tracker app and randomly allocated to one of three conditions: control (describe your premenstrual experience); treatment 1 (describe your negative and positive premenstrual experience); treatment 2 (describe your posititive and negative premenstrual experience). Sentiment analysis was used to derive polarity scores, and a two-part Bayesian model assessed the impact of phrasing order. RESULTS: Among 2,637 participants, responses skewed negatively (mean -0.25). Compared to the control, treatment conditions 1 and 2 reported premenstrual experiences 64% and 62% less negative, respectively. Positive themes, notably 'sex, libido, and energy'emerged. The absence of positive prompts in questioning led to more negative and less diverse reports. CONCLUSIONS: These findings support existing literature on the predominance of negative premenstrual phases and underline the need to broaden measurements to encompass positive symptoms. The study also pioneers the use of text analysis for investigating premenstrual symptoms.
目的:围绕月经周期的讨论常常被病理化,这可能会强化对月经的负面看法。个体在多大程度上内化了月经前身体和社会经历是健康不佳表现的观念,从而使经前经历的报告偏向负面情绪,目前尚不清楚。 方法:采用在线实验设计,我们研究将经前经历描述为具有负面和正面两个维度是否会使个体报告出比在没有特定情绪提示时更多样化和积极的经历。使用一款经期追踪应用程序招募参与者,并将他们随机分配到三种情况之一:对照组(描述你的经前经历);处理组1(描述你的经前负面和正面经历);处理组2(描述你的经前正面和负面经历)。使用情感分析得出极性分数,并使用两部分贝叶斯模型评估措辞顺序的影响。 结果:在2637名参与者中,回答偏向负面(平均-0.25)。与对照组相比,处理组1和处理组2报告的经前经历负面程度分别降低了64%和62%。出现了积极的主题,特别是“性、性欲和精力”。提问中没有积极提示导致报告更负面且多样性更低。 结论:这些发现支持了现有关于经前负面阶段占主导地位的文献,并强调需要扩大测量范围以涵盖积极症状。该研究还开创了使用文本分析来调查经前症状的先河。
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