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Systematic review, 2021

Can cognitive behavioral therapy treat PMS without medication?

Yes, according to this review. All 32 studies found that cognitive behavioral therapy and other non-medication approaches significantly reduced or completely stopped PMS symptoms with no side effects reported.

Strong study design Women with premenstrual syndrome or PMDD (from reviewed studies)

What they did

A systematic review searched for published studies testing cognitive behavioral therapy, psychoeducation, and other non-medication approaches for PMS and PMDD. The review analyzed all studies published up to 2021 that examined these treatments.

What they found

All 32 identified studies found a significant reduction in PMS to complete remission with non-medication interventions. No side effects were reported. Benefits lasted over time. Self-help psychoeducational programs worked well for most women with mild to moderate PMS. More severe PMS typically required one-to-one cognitive behavioral therapy sessions.

What it means for you

Non-medication approaches, especially cognitive behavioral therapy and self-help programs, are effective treatments for PMS and should be considered first-line options. The main limitations are that studies varied in quality and more research is needed on personalized self-help programs.

32

Studies reviewed finding improvement

About 5%

Women needing professional help for PMS

None

Side effects reported

About the study

Original title
Short report: cognitive behavioral therapy - a primary mode for premenstrual syndrome management: systematic literature review
Authors
Kancheva Landolt N, Ivanov K
Journal
Psychology, health & medicine
Year
2021
Study design
Systematic review
What was tested
Cognitive behavioral therapy, psychoeducation, lifestyle modifications

Topics