---
title: Cognitive behavioral therapy: 125 studies, explained | Niyora
description: 125 studies on cognitive behavioral therapy and PMS or PMDD, each summarised in plain English: what was tested, who took part, what they found and what it mea
url: https://niyora.com/research/topics/treatment-cbt/
---

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- Cognitive behavioral therapy

# Cognitive behavioral therapy: what the research says

125 studies on cognitive behavioral therapy in PMS and PMDD, each explained in plain English. 22 of them use the strongest designs: randomised trials and systematic reviews.

Randomised trial 29

Review 24

Survey study 23

Systematic review 12

Study 12

Non-randomised trial 8

Systematic review, 2026

Do psychological treatments help PMS?

Yes. Psychological interventions like therapy significantly reduce PMS symptoms, depression, anxiety, and anger or irritability in women with PMS.

Systematic review, 2026

Do mindfulness and relaxation techniques help with PMS symptoms?

Yes. These techniques reduced physical symptoms like pain and fatigue, and emotional symptoms like anxiety and depression. However, the evidence is still limited.

Randomised trial, 2025

How effective are non-hormonal treatments for severe PMS?

All three tested treatments significantly reduced PMS symptoms more than placebo. Calcium-vitamin D was most effective, followed by cognitive behavioral therapy and lifestyle changes.

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.

Review, 2024

What are the most effective treatments for PMDD?

According to this literature review, SSRIs (antidepressants) and cognitive-behavioral therapy are the most commonly recommended first-line treatments. Birth control pills with drospirenone are also effective.

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.

Guideline, 2019

How should doctors treat PMS and PMDD?

Treatment should be tailored to each woman's symptoms and life stage. Options include therapy, herbs, antidepressants, birth control to stop ovulation, and water pills.

Randomised trial, 2019

Does online cognitive behavioral therapy help women with PMDD?

Yes. Women who completed 8 weeks of online therapy had significantly greater improvements in functional impairment, mood, and everyday life. The improvements lasted for at least 6 months.

Review, 2018

What are the most effective treatments for premenstrual syndrome and PMDD?

Serotonin reuptake inhibitors and contraceptives with shortened or no hormone-free interval are the most effective treatments. Some women who do not respond may benefit from GnRH agonist treatment.

Review, 2018

What causes PMS and PMDD, and how are they treated?

PMS affects 30-40% of women and is likely caused by sensitivity to normal hormone changes and neurotransmitter problems. Treatment includes antidepressants, birth control pills, counseling, and lifestyle changes.

Review, 2017

What causes PMDD and what are the best treatments?

PMDD involves an abnormal response to normal hormone changes affecting the serotonin system and brain circuits that control emotion. SSRIs are the first-line treatment, with several other options available.

Systematic review, 2016

What are the best treatments for PMDD without other mental health conditions?

Selective serotonin reuptake inhibitors (especially paroxetine and fluoxetine) and low-dose oral contraceptives work best. Other options like light therapy, cognitive behavioral therapy, and supplements show promise but need more research.

Review, 2015

What do we know about PMS and PMDD and how are they treated?

PMS affects 30 to 40 percent of reproductive-age women and PMDD affects 3 to 8 percent. Serotonergic antidepressants are the most effective treatment, but oral contraceptives, lifestyle changes, cognitive behavioral therapy, and herbal supplements are also available options.

Review, 2013

What treatments work best for PMDD?

A combination of lifestyle changes, medicines, and cognitive behavioral therapy works best. This approach reduces symptoms and improves daily functioning and quality of life.

Systematic review, 2012

How effective are cognitive-behavioral therapy and antidepressants for PMS and PMDD?

Both cognitive-behavioral therapy and serotonergic antidepressants showed small to medium effects, but researchers concluded efficacy was not satisfactory and recommend combining both approaches for better results.

Review, 2011

What are PMS and PMDD, and how common are they?

PMS affects 20-32% of women before menopause with moderate mood and physical symptoms. PMDD is more severe and affects 3-8% of women, causing significant problems at work or socially.

Randomised trial, 2010

What treatments work for premenstrual syndrome?

Several treatments reduce PMS symptoms according to controlled studies: SSRIs, some birth control pills, hormone injections, calcium, chasteberry, and cognitive-behavioral therapy. However, about 40% of women don't respond to current treatments.

Systematic review, 2007

What treatments work for premenstrual syndrome?

Many treatments have been studied for PMS, but researchers face a major challenge: there is no standard way to measure symptom severity, making it difficult to know which treatments truly work.

Randomised trial, 2003

What treatments work for PMS and PMDD?

Several treatments work. Non-drug options include cognitive behavioral therapy, exercise, and supplements like calcium and magnesium. Many studies support SSRIs (taken daily or only before menstruation). Hormonal treatments that stop ovulation also help.

Study, 2002

Which PMS treatments have good scientific evidence?

Calcium at 1200 mg daily and certain antidepressants have good evidence of working. Many popular treatments like vitamin B6, evening primrose oil, and birth control pills lack strong evidence. Some treatments like progesterone do not work.

Review, 2001

What are PMS and PMDD, and how are they treated?

PMS is a cluster of symptoms occurring 7 to 14 days before menstruation. PMDD is the most severe form. Both should be treated first with lifestyle changes like exercise and stress management, with medication added if needed.

Randomised trial, 1998

Does cognitive therapy help women with PMS?

Yes. Cognitive therapy was significantly more effective than being on a waitlist, and women showed almost complete remission of symptoms.

Survey study, 2026

What are the causes, diagnosis, and treatments for PMS and PMDD?

This review consolidates what doctors know about PMS and PMDD. PMS affects 12-98% of reproductive-age women and PMDD affects 2-5%. Treatments range from lifestyle changes, therapy, and vitamins to medications like SSRIs and oral contraceptives.

Systematic review, 2026

What types of talking therapy have been studied for PMS and PMDD?

Several cognitive behavioral therapies have been studied for PMS and PMDD, including CBT, mindfulness therapy, and acceptance therapy. The evidence is scattered and hasn't been systematically compared yet, so we don't know which approach works best.

Randomised trial, 2026

Which works better for PMDD: cognitive-behavioral therapy or mindfulness-based cognitive therapy?

Both therapies reduced stress and improved well-being in PMDD, with cognitive-behavioral therapy being more effective. However, neither significantly improved emotional well-being.

Systematic review, 2026

Do digital tools and apps help reduce PMS and PMDD symptoms?

Yes, several digital programs help reduce symptoms, especially internet-based cognitive behavioral therapy and app-based mindfulness. Therapist-guided internet CBT for PMDD showed benefits lasting up to 6 months. Tracking apps helped with symptom awareness and engagement.

Interview study, 2026

Does the menstrual cycle affect how well therapy works?

Yes. Women reported lower satisfaction with therapy and worse symptoms during the premenstrual and perimenstrual phases, but talking about their menstrual cycle in therapy helped.

Survey study, 2025

How are PMS and PMDD diagnosed and treated?

PMS and PMDD are diagnosed by tracking symptoms for at least two cycles and noting if they occur in the luteal phase. SSRIs are first-line treatment. Cognitive behavior therapy, exercise, acupuncture, and the herb Vitex agnus castus may also help.

Non-randomised trial, 2025

What treatments help PMS and PMDD?

Both medications (SSRIs, hormonal therapy) and non-drug approaches (therapy, mindfulness, supplements, herbal medicine) show promise for PMS and PMDD. More research is needed to know which works best for whom.

Systematic review, 2025

Do different types of psychotherapy (talking therapy) help with premenstrual symptoms?

Yes, cognitive behavioral therapy and other talking therapies help reduce premenstrual symptoms, though most research focuses on cognitive behavioral therapy.

Randomised trial, 2025

Does cognitive-behavioral hypnotherapy reduce period pain and PMS symptoms?

Yes. Hypnotherapy significantly reduced period pain, PMS symptoms, and improved women's emotional regulation.

Study, 2025

Does cognitive-behavioral therapy help girls with PMDD feel better about themselves?

Yes. Girls who received cognitive-behavioral therapy showed clear improvements in well-being and self-compassion compared to girls who received no treatment.

Review, 2025

What causes PMDD and why is it hard to function?

PMDD is caused by the brain being too sensitive to hormonal changes. It leads to real and significant difficulty with work, school, or relationships that doctors often overlook.

Non-randomised trial, 2024

Does metacognitive therapy help women with PMDD reduce dysfunctional thinking?

Yes, metacognitive therapy reduced dysfunctions in women with PMDD. The therapy accounted for approximately 24.3% of the improvement in dysfunctional attitudes.

Survey study, 2023

Can diet help reduce PMS symptoms?

A review of past studies found that calcium, vitamin B6, and chasteberry fruit likely help PMS symptoms, while saffron, ginger, and high vitamin D have weaker evidence.

Review, 2023

Can herbs and supplements help with PMS symptoms?

Herbs like chaste berry and supplements like calcium and magnesium may help with PMS. Evidence is strongest when combined with lifestyle changes and therapy, though more research is needed.

Study, 2023

How are PMS and PMDD treated?

PMS and PMDD are treated with antidepressants, hormonal drugs, talk therapy, and lifestyle changes. Non-medication approaches are becoming increasingly important.

Randomised trial, 2022

Does online counselling using cognitive-behavioral techniques help PMS symptoms?

This abstract is a data description and does not report the study results.

Randomised trial, 2022

Does internet-based cognitive-behavioral therapy reduce PMS symptoms and improve quality of life?

Yes. Internet-based cognitive-behavioral therapy significantly reduced PMS symptoms and improved quality of life during the period itself, though not during less-symptomatic phases.

Cohort study, 2022

What are PMS and PMDD and how should they be diagnosed and treated?

PMS involves 1-4 symptoms or 5 or more physical or behavioral symptoms. PMDD requires 5 or more symptoms with at least one mood symptom like irritability or mood swings. Treatments include exercise, cognitive behavioral therapy, and medications like SSRIs and hormonal contraceptives.

Randomised trial, 2021

Does cognitive behavioral therapy help PMDD?

Yes. Cognitive behavioral therapy (CBT) significantly reduced PMDD symptom severity and improved women's quality of life compared to standard care.

Survey study, 2021

Does cognitive-behavioral emotional regulation training help women with PMDD?

Yes. Training significantly improved marital happiness and emotional regulation in women with PMDD. This was a small study with a control group, so the effect is promising but needs confirmation in larger studies.

Survey study, 2020

What factors predict which women will develop PMDD symptoms?

How much women ruminate or worry about their problems and having a specific type of period pain are linked to PMDD. Stress and drug use were not linked. The researchers were able to predict PMDD symptoms correctly 90% of the time using these factors.

Non-randomised trial, 2020

What treatments help premenstrual syndrome?

Both medications and non-drug treatments help PMS. Non-drug options including herbs, supplements, exercise, and therapy are recommended as they have fewer side effects.

Randomised trial, 2020

Can a short course of CBT-based psychoeducation ease PMS symptoms like irritability and fatigue?

Yes, in this trial, women who went through five sessions of CBT-based psychoeducation reported fewer depressive thoughts, less irritability, and less fatigue than the control group.

Review, 2018

What treatments work for PMDD and severe premenstrual symptoms?

This review examines evidence for many treatments including antidepressants, hormonal therapy, cognitive behavioral therapy, lifestyle changes, and herbal remedies for PMDD. The review notes that many women with severe symptoms do not meet full PMDD criteria but still benefit from treatment.

Randomised trial, 2018

Does mindfulness-based cognitive-behavioral therapy reduce premenstrual syndrome symptoms?

Yes. Mindfulness-based cognitive-behavioral therapy significantly reduced PMS symptoms immediately after treatment and the improvements lasted at least one month.

Study, 2018

What treatments work best for premenstrual syndrome?

Many treatments reduce PMS. Most helpful were nutrition and exercise, followed by medication, stretching, massage, acupuncture, and cognitive-behavioral therapy. Cost and access are major barriers.

Randomised trial, 2017

Does cognitive-behavioral therapy reduce premenstrual syndrome symptoms?

Yes, cognitive-behavioral therapy significantly reduced PMS symptoms, especially for women who completed the full treatment.

Randomised trial, 2017

Can couples therapy help with severe PMS or PMDD more than individual therapy alone?

Yes. Both one-to-one and couple-based CBT reduced premenstrual symptoms and distress compared to a wait-list control, and couple-based CBT added extra benefits for coping skills and relationship quality. This comes from a moderate-sized randomised trial, so results are promising but not definitive.

Guideline, 2017

How should premenstrual disorders be managed?

There is no single best treatment. Treatment options include cognitive behavioral therapy, alternative therapy, antidepressants, ovulation suppression, and diuretics. The choice depends on symptoms, age, family plans, health, and preferences.

Study, 2017

What treatments work best for premenstrual disorders?

For mild symptoms, exercise, diet changes, and cognitive behavioral therapy may help, though the evidence is not yet strong. For severe symptoms, antidepressant medications including citalopram, escitalopram, fluoxetine, paroxetine, sertraline, and venlafaxine clearly work.

Randomised trial, 2016

Does cognitive-behavioral therapy improve quality of life in women with premenstrual syndrome?

Yes. Group cognitive-behavioral therapy significantly improved quality of life in women with PMS, and the benefits lasted for 2 months after treatment ended.

Review, 2016

How common are PMS and PMDD, and what are the best treatments?

Up to 12% of women are affected by premenstrual disorders that significantly affect their lives. SSRIs are the most evidence-based treatment; oral contraceptives and calcium may also help, but vitamin D and herbal remedies have weak evidence.

Randomised trial, 2016

Does mindfulness-based cognitive therapy reduce PMS, depression and anxiety?

Yes. Women who received mindfulness-based cognitive therapy showed significantly lower depression, anxiety, and PMS symptoms than those who received no treatment.

Guideline, 2013

What do experts agree is the best way to treat PMS and PMDD?

A group of international experts agreed that treatment should start with careful diagnosis, and that the main options work either by calming brain serotonin activity or by stopping ovulation, with some other approaches worth more study.

Randomised trial, 2013

Does psychological education reduce PMS symptoms in teenagers?

Yes. Psychological education significantly reduced overall PMS severity and reduced anxiety and physical symptoms. Effects on depression were minimal, and the intervention did not improve difficulty in relationships.

Review, 2012

Is PMDD a separate disease from PMS?

Yes. Research confirms PMDD is a discrete disorder with a good prognosis when appropriately diagnosed and treated.

Survey study, 2012

What non-hormonal medications and therapies help severe PMS and PMDD?

SSRIs (a type of antidepressant) are well-established for severe PMS and PMDD, taken either continuously or during the luteal phase. Cognitive-behaviour therapy, calcium, and chasteberry may also help, though the strength of evidence varies.

Review, 2010

How can doctors treat moderate to severe premenstrual symptoms?

This review describes multiple treatments: lifestyle changes, cognitive behavioral therapy, birth control that suppresses ovulation, antidepressants, and anti-anxiety medications. Between 20-50% of women experience moderate to severe symptoms, and about 5% meet criteria for PMDD.

Systematic review, 2009

Does psychological treatment help women with premenstrual syndrome?

Cognitive behavioral therapy may reduce anxiety and depression in women with PMS, but the quality of evidence is low. For every five women treated, one additional woman may benefit.

Review, 2006

What treatments work for premenstrual disorders?

Several treatments work. Three SSRIs are FDA-approved for PMDD. Exercise, diet changes, and therapy also help some women, but no single treatment works for everyone.

Study, 2003

Does cognitive behavioral therapy help premenstrual symptoms as well as medication?

Possibly. Growing evidence suggests cognitive behavioral therapy may work as well as medication for premenstrual symptoms and is a good option for women who prefer not to take medicine.

Review, 2003

How should PMDD be treated?

The review discusses treating PMDD by correcting hormone imbalances or stopping ovulation, but doesn't specify which treatments work best or how effective they are.

Randomised trial, 2002

Does therapy work as well as an antidepressant for PMDD, and does combining them work better?

Both therapy and antidepressant work well for PMDD with no difference in results after 6 months. Therapy maintains its effects better after treatment ends. Combining them does not help more than either one alone.

Review, 2002

What treatments work for PMDD?

PMDD affects 2 to 10 percent of women of reproductive age. Try lifestyle changes first, and if that does not work, SSRIs taken just during the luteal phase are very effective with minimal side effects.

Randomised trial, 2002

Is fluoxetine or cognitive-behavioral therapy more effective for PMDD?

Both work equally well after 6 months. Fluoxetine works faster and reduces anxiety more. Cognitive-behavioral therapy builds better coping skills and changes how women think about their symptoms.

Cohort study, 2000

What causes irregular periods in women with bulimia, and do they improve with treatment?

Irregular periods in bulimia were linked to vomiting, low thyroid hormone, and low dietary fat. After 12 months of treatment, 56.8 percent of women with irregular cycles became regular. This study concerns eating disorders, not PMS or PMDD.

Randomised trial, 2000

What non-antidepressant treatments might help PMS?

A study of 466 women found calcium was effective at reducing emotional, behavioral, and physical PMS symptoms. Cognitive therapy, light therapy, and tryptophan also showed promise in early trials.

Study, 2000

Is it easier to quit smoking at a particular time in the menstrual cycle?

Yes. Women who quit smoking during the first 14 days of their cycle experienced fewer withdrawal symptoms and less depression compared to women who quit later in their cycle.

Survey study, 2026

How do PMS, pain sensitivity, and sleep connect in women with fibromyalgia?

Worse PMS was linked to worse sleep and higher pain sensitivity in this group. Pain sensitivity may partly explain why PMS severity affects sleep, but the relationships are complex.

Randomised trial, 2026

How should PMS and PMDD be understood and treated differently based on how severe they are?

PMS and PMDD are complex conditions needing personalized, stepped treatment. Start with lifestyle and behavioral changes, then add medication based on severity and individual response.

Randomised trial, 2025

Can combined therapy reduce emotional effects of PMS in teenage girls?

Yes. Teenage girls who received 10 sessions of combined cognitive behavioral therapy and narrative therapy showed significant reductions in rumination and catastrophic thinking about pain. Improvements lasted at follow-up.

Randomised trial, 2025

Does psychoeducation with psychodrama techniques reduce PMS symptoms?

Yes. Women who participated in 7 sessions of psychoeducation and psychodrama had significantly lower PMS symptom scores, especially for depression, fatigue, irritability, and sleep problems.

Survey study, 2025

How do hormone changes during the menstrual cycle affect mood and emotions?

Estrogen and progesterone affect brain chemicals and structures that control mood, but scientists still cannot fully explain why some women experience severe symptoms like PMS or PMDD.

Study, 2025

Can adolescent girls manage PMS without medication?

Yes. Evidence shows that physical activity, dietary changes, yoga, meditation, cognitive-behavioral therapy, and educational peer-support programs are all effective for reducing PMS symptom severity.

Review, 2025

Can self-guided online therapy help premenstrual mood symptoms?

A review suggests that self-guided online cognitive behavior therapy shows promise for premenstrual mood symptoms and could be integrated into menstrual tracking apps. However, more research is needed.

Non-randomised trial, 2024

Does cognitive-behavioral or mindfulness stress management help reduce PMS in high school girls?

The study compared cognitive-behavioral and mindfulness stress management for PMS in high school girls, but the results section of the abstract was not provided, so the effectiveness is unknown.

Survey study, 2024

How many women worldwide have PMS, and how does it vary by region and income level?

The number of women with PMS globally increased from 652.5 million in 1990 to 956.0 million in 2019, a 46.5% increase, though the rate per population stayed stable.

Survey study, 2024

How do psychiatrists and gynecologists in Japan diagnose and treat PMS and PMDD?

They use different approaches. Psychiatrists mainly prescribe SSRIs and Kampo medicines, while gynecologists use a mix including birth control pills. Most don't use evidence-based diagnostic methods like symptom diaries.

Review, 2024

Can sulpiride help women with both PMDD and IBS?

One woman with PMDD and IBS who had not responded to antidepressants, pain medication, or melatonin experienced remission after taking low-dose sulpiride temporarily each month. This approach has not yet been tested in research studies.

Non-randomised trial, 2024

Does cognitive behavioral therapy help reduce PMDD symptoms in teenage girls?

Yes. Adolescents with PMDD who received cognitive behavioral therapy showed significant symptom reduction compared to a no-treatment group.

Case report, 2023

Can mindfulness and cognitive behavioral therapy help women with PMS?

This case describes using mindfulness-based cognitive behavioral therapy to manage PMS, especially how PMS affects mood, behavior, and work performance.

Randomised trial, 2023

What does research show about PMDD neurochemistry?

The provided text does not include results from a PMDD neurochemistry study. It discusses unrelated research on other topics.

Survey study, 2023

Does physical activity help reduce PMS and PMDD symptoms?

Yes, according to multiple systematic reviews, regular physical activity and aerobic exercise can effectively reduce both physical and psychological symptoms of PMS. However, more research is needed to determine the best type and amount of exercise for individual women.

Survey study, 2023

What is PMS and PMDD, how common are they, and how are they usually treated?

PMS is very common, affecting almost half of women of reproductive age worldwide, and most cases are mild to moderate, while PMDD is a more severe, officially recognized psychiatric form; treatment usually starts with lifestyle approaches and moves to medication like SSRIs for severe cases.

Survey study, 2023

What are the different ways to treat PMS?

PMS can be treated with medicines combined with talk therapy, physical therapy, and other treatments. However, some women do not respond to any treatment, so more research is needed.

Survey study, 2023

What causes PMS and how is it treated?

PMS is caused by hormone changes during the menstrual cycle, combined with stress and changes in brain chemistry. Main medical treatments are SSRIs (antidepressants) and hormonal pills, but lifestyle changes, therapy, and surgery also help.

Randomised trial, 2023

Does cognitive-behavioral counseling help adolescent girls with PMS build resilience?

The abstract does not provide the study results, so we cannot tell if the counseling helped.

Randomised trial, 2023

Does cognitive-behavioral hypnotherapy help women with severe PMS control anger and distress?

Yes. In 30 women with severe PMS, those who received cognitive-behavioral hypnotherapy showed significant improvements in distress tolerance and aggression after treatment and at 3-month follow-up. However this is a very small study so results are preliminary.

Interview study, 2022

Does a mindfulness program help improve PMDD and quality of life?

A small pilot test of a six-module mindfulness program showed improvements in severe PMS (PMDD) symptoms and quality of life, but the study was too small to confirm it works widely.

Randomised trial, 2022

Does cognitive-behavioral hypnotherapy reduce menstrual pain in women with severe PMS?

Yes. In 24 women with menstrual pain and severe PMS, those who received 8 sessions of cognitive-behavioral hypnotherapy showed significant improvements in pain intensity and quality of life. This is a very small study so results are preliminary.

Interview study, 2022

Does cognitive behavioural therapy help PMDD in young people?

We cannot say for certain. Almost no studies test cognitive behavioural therapy in people under 18, but one small study of 62 young people found psychoeducation improved symptoms after 3 months.

Study, 2022

What are the symptoms, causes, and treatments of PMS and PMDD?

PMS affects 20-40% of menstruating women and causes fatigue, mood changes, and bloating. PMDD is less common but more severe. Possible causes involve hormone changes and brain chemistry. Treatments include lifestyle changes and medications.

Cohort study, 2021

Does melatonin help sleep and mood in women with PMDD?

In this small study, 2 mg of melatonin taken at night during the luteal phase helped mood and reduced sleep onset time. Changes in sleep structure and circadian timing were minimal.

Survey study, 2019

What are the best ways to manage PMS?

PMS is managed in four steps: create awareness and make lifestyle changes, then offer therapy and complementary treatments, then medication if needed, and rarely surgery. This summarizes international guidelines but doesn't show strong evidence about which approach works best.

Review, 2019

What causes PMDD and which treatments actually help?

This review explains that PMDD likely comes from an unusual brain response to normal hormone changes, involving serotonin and a brain receptor called GABA-A, and it says serotonin reuptake inhibitors (SSRIs) are the first choice of treatment, with other options available if those do not work.

Survey study, 2019

Does stress from studying medicine make PMS worse?

Medical students had higher PMS scores than non-medical students (93.791 vs 88.473), suggesting stress may worsen PMS. Both groups scored above the PMS threshold. Without a control group, we cannot be certain stress is the cause.

Randomised trial, 2018

Does cognitive-behavioral therapy or relaxation work better for PMS?

Both cognitive-behavioral therapy and relaxation reduced PMS symptoms, but relaxation was more effective.

Survey study, 2018

Do difficulties handling emotions affect premenstrual symptom severity?

Yes. Women who act impulsively when upset had worse premenstrual symptoms. Women who ruminate (think repetitively about problems) had symptoms that increased faster before their period and improved more slowly afterward.

Review, 2018

How should doctors diagnose and treat PMDD?

This review explains that PMDD needs to be carefully told apart from other mental health conditions, and that antidepressants (SSRIs and SNRIs) are the recommended first treatment, with other options available if those don't work.

Survey study, 2018

Does using a smartphone app help PMS symptoms as much as visiting a doctor in person?

Using a smartphone app worked about as well as visiting a doctor for PMS, and women using the app were more satisfied with their care.

Survey study, 2018

What is the best way to manage PMS?

PMS needs a team approach including doctors, therapists, and nutritionists. Combining lifestyle changes, cognitive behavioural therapy, and medical treatments works better than a single approach.

Survey study, 2018

Does cognitive behavioral therapy with calcium and vitamin D help PMS symptoms?

Yes, women who received cognitive behavioral therapy with calcium and vitamin D showed significant improvements in PMS symptoms compared to those who did not receive treatment.

Survey study, 2017

Does cognitive-behavioral therapy or cognitive hypnosis help reduce depression in students with PMS?

Both therapies reduced depression in students with PMS. Cognitive-behavioral therapy and cognitive hypnosis worked about equally well.

Cohort study, 2017

Is acceptance therapy (ACT) more effective than other treatments for PMS?

Yes, for stress. ACT reduced emotional PMS symptoms and perceived stress more than cognitive behavioral therapy or no treatment, with stress improvements lasting at follow-up.

Non-randomised trial, 2016

Does group cognitive-behavioral therapy help reduce PMS symptoms?

Yes, women who attended 8 sessions of therapy had significant improvements in psychological symptoms and less social problems from PMS (p=0.012).

Study, 2014

Does combining medication and therapy help PMDD?

In one teenage girl with PMDD and anxiety, combining medication and therapy led to a good outcome. Combined treatment appeared to work better than either one alone.

Study, 2012

How should PMS treatments be chosen?

Different treatments work for different women. Treatment selection should be based on each woman's specific symptoms and needs using established management principles from a clinical guideline.

Cohort study, 2010

How do anxiety disorders differ across different life stages?

The provided summary focuses on anxiety in children and risk factors. The section about women and hormones is cut off in the provided text, so no conclusion about menstrual-related anxiety can be drawn.

Systematic review, 2009

Does cognitive-behavioral therapy help PMS or PMDD?

There is not enough good evidence that cognitive-behavioral therapy works for PMS or PMDD at this time.

Study, 2008

How common is PMDD and how does it affect women's lives?

About 5% of menstruating women have severe PMDD with significant impairment in functioning. At least another 20% have clinically significant premenstrual symptoms. PMDD affects romantic relationships, parenting, work, and increases health care use.

Lab study, 2007

Do female monkeys prefer to look at male faces during fertile times of the menstrual cycle?

Yes, but only for rhesus monkey faces. During the fertile period, female monkeys looked longer at male rhesus monkey faces compared to female faces, but not at human or chimpanzee faces.

Review, 2005

How does acute tryptophan depletion help us understand mood disorders?

Acute tryptophan depletion is a research method that temporarily lowers serotonin levels in the brain to study its role in depression, anxiety, sleep problems, and psychiatric conditions.

Interview study, 2004

What causes premenstrual syndrome and PMDD, and how should they be treated?

Dysregulation of serotonin and GABA neurotransmitter systems combined with hormone changes causes these conditions. SSRIs, GnRH agonists, Yasmin birth control, cognitive-behavior therapy, lifestyle changes, and placebo all help.

Survey study, 2001

Does how much you tend to worry affect your mood before your period?

Yes. Women who scored higher on a personality test for worry and upset feelings reported more negative mood before their period, even accounting for baseline mood. Women taking birth control pills had higher worry scores.

Non-randomised trial, 2001

Do people with PMDD have different breathing patterns?

Yes. PMDD patients showed greater variation in their breathing patterns than women without PMDD.

Review, 2000

How is true PMS diagnosed?

True PMS is diagnosed by a pattern of cyclic symptoms that significantly affect daily life and relationships, not by blood tests or medical tests. Effective treatments include medications, nutritional supplements, and behavior modifications.

Review, 1998

What treatments actually help with PMS?

This review says treatment depends on your symptoms, and that birth control pills, water pills (diuretics), antidepressants, talk therapy and nutritional supplements have helped some women, while high-dose vitamin B6, progesterone, alprazolam and GnRH agonist drugs are generally not recommended.

Survey study, 1995

How do women cope with menstrual cycle symptoms and which methods work best?

Women use four types of coping strategies. Active-cognitive (thinking-based) and active-behavioral (action-based) methods were most helpful, though how often a strategy was used didn't predict how helpful it was.

Non-randomised trial, 1995

Does cognitive behaviour therapy help premenstrual dysphoric symptoms?

Both cognitive behaviour therapy and a comparison treatment improved anxiety, depression, negative thoughts and physical symptoms. It's unclear how much came from the therapy itself since both groups improved similarly.

Case-control study, 1994

Does cognitive-behavioral coping skills training reduce premenstrual symptoms?

Yes. Women who received coping skills training showed clear reductions in premenstrual symptoms and negative thinking right after treatment and at 9-month follow-up.

Case report, 1992

Is severe overeating linked to the premenstrual period in women with PMS?

Yes. This woman experienced uncontrollable binge eating only during her premenstrual period, especially in the 3 to 5 days before her period.

Randomised trial, 1991

Does cognitive-behavioral therapy work better than medication or relaxation for PMS?

Yes. Cognitive-behavioral therapy showed significant improvement after the first month that continued throughout and persisted at 3-month follow-up. Medication and relaxation showed quick improvement that faded after 2 months.

Case report, 1990

Can fear of menstruation that stops periods be treated with therapy?

This single case shows that a woman whose periods had stopped due to fear of menstruation was helped by cognitive therapy (talking about her thoughts and beliefs), which increased her confidence and brought her periods back.

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