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Systematic review, 2025

Does teaching adolescent girls about their menstrual cycle and health help reduce period pain and PMS?

Yes. A systematic review of five good-quality studies shows that psychoeducation (structured teaching) significantly reduced period pain and PMS symptoms and improved emotional wellbeing in adolescent girls.

Strong study design 395 adolescent girls aged 10 to 19 with menstrual disorders (dysmenorrhea or PMS) across 5 studies.

What they did

Systematic review of randomized controlled trials from 2015 to 2025 in adolescent girls aged 10 to 19 with menstrual disorders. Five RCTs with 395 total participants met inclusion criteria. Interventions used different approaches (Cognitive Behavioral Therapy, self-regulation models, and psychodrama-based methods) delivered in small groups over 3 to 7 sessions.

What they found

Psychoeducation significantly reduced menstrual pain severity and premenstrual symptoms while enhancing emotional regulation and understanding of their condition.

What it means for you

Teaching adolescent girls about their menstrual health through structured programs works to reduce period pain and PMS. This is a helpful non-medication approach that could be offered in schools or clinics to improve adolescent health.

5

RCTs reviewed

395

total participants

3-7

sessions per intervention

About the study

Original title
The Effectiveness of Psychoeducation on Menstrual Disorders in Adolescent Girls: A Systematic Literature Review
Authors
Ima Sukmawati, Yuyun Puji Rahayu, Rosmiati Rosmiati et al.
Journal
Nurul Ilmi Journal of Health Sciences and Midwifery
Year
2025
Study design
Systematic review
What was tested
Psychoeducational programs using CBT, self-regulation models, or psychodrama-based approaches, delivered in small groups over 3-7 sessions.
Open access
Yes
Original abstract

Introduction: Menstrual disorders such as dysmenorrhea and premenstrual syndrome (PMS) are common among adolescent girls and often cause physical discomfort and psychological distress that interfere with academic performance and daily functioning. Within the context of adolescent-centered health promotion, psychoeducation has been increasingly recognized as a non-pharmacological strategy to improve menstrual health and emotional well-being. Objective: This study aims to systematically review and synthesize evidence regarding the effectiveness of psychoeducational interventions in alleviating menstrual symptoms and improving psychological outcomes among adolescent girls. Specifically, it evaluates outcomes related to pain severity, premenstrual symptoms, emotional regulation, and illness perception. Method: A systematic search was conducted in PubMed, Google Scholar, ScienceDirect, Taylor & Francis, ProQuest, Wiley Online Library, JSTOR, SAGE Journals, and Springer Nature for randomized controlled trials (RCTs) published between 2015 and 2025. Eligible studies included adolescent girls aged 10–19 years who received psychoeducational interventions for menstrual disorders. The interventions varied in structure, duration, and theoretical basis, including models such as Leventhal’s Self-Regulation Model, Cognitive Behavioral Therapy (CBT), and psychodrama-based approaches. Study selection followed PRISMA 2020 guidelines.Methodological quality was appraised using the Critical Appraisal Skills Programme (CASP) checklist. Result: Five RCTs with a total of 395 participants met the inclusion criteria. The findings consistently demonstrated that psychoeducation significantly reduced menstrual pain severity and premenstrual symptoms while enhancing emotional regulation and illness perception. Most interventions were delivered in small-group formats across three to seven sessions, combining cognitive and behavioral components. Conclusion: Psychoeducation is an effective, feasible, and complementary intervention for managing menstrual disorders in adolescent girls. Integrating psychoeducational programs into school-based and primary healthcare settings can enhance adolescent reproductive health outcomes and promote holistic well-being through preventive and evidence-based approaches.

Reproduced under CC-BY.

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