The DOI matches its Crossref record; 46 of the 48 references it cites were found in a registry or an index.
Cognitive-behavioral therapy for premenstrual syndrome and premenstrual dysphoric disorder: a systematic review
Abstract
We systematically reviewed empirical studies that investigated the use of cognitive-behavioral therapy (CBT) for premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD). Our multi-database search identified seven published empirical reports. Three were identified as randomized controlled trials (RCTs). The methods utilized to investigate therapeutic efficacy of CBT in these studies varied widely from case reports to RCTs with pharmacotherapy comparison groups. Initially we provide a brief overview of CBT and justifications for its potential use to treat PMS/PMDD. Next, we provide critical evaluations of the analyses used in each study focusing on the detection of intervention effects assessed by statistically significant time by group interactions. When possible we calculate effect sizes to elucidate the clinical significance of results. Our review revealed a dearth of evidence providing statistically significant CBT intervention effects. Issues such as overall time investment, latency to treatment effects, and complementary and combined therapies are considered. We present a theoretical argument for applying mindfulness- and acceptance-based CBT interventions to PMS/PMDD and suggest future research in this area. In conclusion, to produce the necessary evidence-base support for PMS/PMDD given the limited empirical evidence reported here, researchers are called on to produce methodologically rigorous investigations of psychosocial interventions for PMS/PMDD.
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In the citing paper
“The results of systematic review [10] and meta-analysis of randomized controlled trials [13, 14] suggest that cognitive behaviour therapy (CBT) can reduce premenstrual anxiety and depression, have a beneficial impact on behavioural change, and reduce interference of premenstrual symptoms on daily living [15, 16–18].”
In the citing paper
“The results of systematic review [10] and meta-analysis of randomized controlled trials [13, 14] suggest that cognitive behaviour therapy (CBT) can reduce premenstrual anxiety and depression, have a beneficial impact on behavioural change, and reduce interference of premenstrual symptoms on daily living [15, 16–18].”
In the citing paper
“The results of systematic review [10] and meta-analysis of randomized controlled trials [13, 14] suggest that cognitive behaviour therapy (CBT) can reduce premenstrual anxiety and depression, have a beneficial impact on behavioural change, and reduce interference of premenstrual symptoms on daily living [15, 16–18].”
In the citing paper
“Previous research on the efficacy of CBT in reducing premenstrual distress has also been criticised for the absence of wait-list control groups, small sample size, absence of random group assignment, and failure to use using repeated measures ANOVA to assess main effects of group, main effects of time, and time by group interactions [10].”
In the citing paper
“The finding of significant differences across time when the groups are collapsed (ignoring the intervention group assignment), confirms previous reports [10, 13, 14] that taking part in an intervention for PMDs can reduce psychological premenstrual symptoms and premenstrual distress [15, 16, 18, 20, 72, 73].”
In the citing paper
“Whilst CBT may be more costly than bio-medical treatments in the short term, as it requires more intensive clinician time and trained personnel [10]”
In the citing paper
“attrition was lower than that reported in previous CBT RCTs for PMDs [10]”
In the citing paper
“These findings support the argument that CBT can have a preventative effect for PMDs [10], by preventing the premenstrual increases in negative symptomatology or changing the way women come to relate to and report those symptoms.”
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Cited by
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Items 101–133 of 133
Premenstrual Dysphoric Disorder, Peripartum (Perinatal) Depression, and Perimenopausal Depression
Cox, E., Barker, L. C., Vigod, S. N., & Meltzer-Brody, S. E. (2024) · Springer eBooks · doi:10.1007/978-3-030-51366-5_58 · Cited by 1
Afzal, F., Adnan, S., Zahid, S., Majeed, M., Imtiaz, S., Ahmad, A., Zahra, T., Jannat, S., Ali, M., & Zeeshan, A. (2024) · Journal of Health and Rehabilitation Research · doi:10.61919/jhrr.v4i3.1694 · Cited by 1
Susanti, H. D., Yunitri, N., Kustanti, C. Y., & Chung, M. (2025) · Nursing Research and Practice · doi:10.1155/nrp/3490692 · Cited by 1
Diagnosis and Treatment of Premenstrual Syndrome
Shoupe, D. (2016) · Springer eBooks · doi:10.1007/978-3-319-17002-2_33-1 · Cited by 1
Diagnosis and Treatment of Premenstrual Syndrome
Shoupe, D. (2017) · Springer eBooks · doi:10.1007/978-3-319-17798-4_33 · Cited by 1
Psikoeduakasi C4ME Untuk Mengatasi Gangguan Sindrom Pramenstruasi Pada Taruni Militer
Setiawati, E., Wijaya, A. A., & Wahyuningsih, S. L. (2020) · Jurnal Psikologi Teori dan Terapan · doi:10.26740/jptt.v11n1.p32-46 · Cited by 1
Modern views on treatment of premenstrual syndrome
Kuznetsova, I. V. (2019) · Medical alphabet · doi:10.33667/2078-5631-2019-3-25(400)-18-23 · Cited by 1
McGrath, P. J., & Roose, S. P. (2013) · Cambridge University Press eBooks · doi:10.1017/cbo9781139175869.004
Depression and the menstrual cycle
Frey, B. N., Minuzzi, L., Sassi, R. B., & Steiner, M. S. (2013) · Cambridge University Press eBooks · doi:10.1017/cbo9781139175869.016
Premenstrual disphoric disorder: an update
Banti, S., Borri, C., Montagnani, Cargioli, C., Belli, S. R., Cotugno, B., Endicott, J., Oppo, A., & Mauri, M. (2012) · CINECA IRIS Institutial research information system (University of Pisa)
Vigod, S. N., Ross, L. E., & Steiner, M. S. (2009) · Clínicas obstétricas y ginecológicas de Norteamérica · doi:10.1016/s1885-9070(09)36079-5
Jasim, W. M. (2018) · Medical Journal of Babylon · doi:10.4103/mjbl.mjbl_17_18
“Menstruation is regarded as a normal event in most of females’ life through their reproductive age.[1] Some of them affected by problems happened during menstruation, and one of the most common problems is premenstrual tension syndrome (PMTS) which was first indicated by Frank and Harney in 1931, and they explained th…”
BackgroundKarimi, Z., Alipor, A., & Mohtashami, T. (2015) · DOAJ (DOAJ: Directory of Open Access Journals)
Effects of Manipulative Therapy Applied to Menstrual Discomfort: A Meta-analysis
Junghee, J., & ju, L. H. (2020) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2020.21.1.546
“As a result, detailed information and more effective method of practical application of various intervention methods such as cognitive behavioral therapy [11], acupuncture therapy [12], and vitamin, mineral and herb therapies [13,14] were verified.”
EFFECT OF PRE MENSTRUAL SYNDROME ON QUALITY OF LIFE DURING ADOLESCENCE PERIOD
Zedan, H. A. E. M., Sayed, H. E., Ramadan, S., & EL-Kholy, G. A. (2017) · Mansoura Nursing Journal · doi:10.21608/mnj.2017.150032
Diagnosis and Treatment of Premenstrual Syndrome
Anderson, Z. G. (2023) · Springer eBooks · doi:10.1007/978-3-319-17002-2_33-2
Mindfulness-Based Cognitive Therapy for Coping with Premenstrual Syndrome Distress
Gupta, K., Parimal, B. S., & Patel, A. K. (2023) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/978-1-6684-5088-8.ch010
Premenstrual Dysphoric Disorder
Vigod, S. N., & Steiner, M. S. (2013) · Wiley eBooks · doi:10.1002/9781394260454.ch13 · Cited by 1
Azam, M., & Shoaib, S. (2024) · Annals of Human and Social Sciences · doi:10.35484/ahss.2024(5-i)46
A Review on Premenstural Syndrome
Swetha, S. (2024) · INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT · doi:10.55041/ijsrem29887
Gamare, D. A., Divate, S., Gavankar, M. S., Gangavane, J., Gharat, V., & Yevale, R. P. (2024) · Asian Journal of Research in Pharmaceutical Sciences · doi:10.52711/2231-5659.2024.00044
Premenstrual syndrome: A modern view on the problem
Enkova, E. V., Khoperskaya, O. V., Enkova, V. V., Хороших, Н. В., & Karpova, D. V. (2025) · Meditsinskiy sovet = Medical Council · doi:10.21518/ms2024-556
The Effect of Calcium on Premenstrual Syndrome: A Meta-Analysis Study
İlçioğlu, K., Bayraktar, B. N. Y., & Kayacık, A. D. (2025) · Journal of Clinical Medicine of Kazakhstan · doi:10.23950/jcmk/15827
Buys, M. E. (2025) · Australian Journal of Primary Health · doi:10.1071/py25133 · Cited by 1
Hantsoo, L. V., Friedman‐Wheeler, D. G., Lofland, G., Harrison, S. A., Smith, G. S., & Shen, W. (2026) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000002746
Tiranini, L., Martella, S., Cucinella, L., Piccinino, M., Rossini, R., Martini, E., Stincardini, G., Bosoni, D., Righi, A., & Nappi, R. E. (2026) · Springer eBooks · doi:10.1007/978-3-032-05381-7_81
Schwarz, N., Harlev, D., & Wolpe, N. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.06.05.730335
“Cognitive behavioural therapy reduces premenstrual symptom burden 44,45 A key strength of our study is that it separated components of motivation that are often conflated.”
Zainab, A., Tageldin, R., Patel, R., Hassan, M. A., Aburas, L. A., Alkahily, M., Shamsan, L., Al-Olaimat, S. S., Sayeed, A., & Abu‐Zaid, A. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15124828
“Cognitive behavioral therapy and structured exercise programs have also shown some potential benefit in reducing symptoms, although the current evidence base remains limited [21].”
Tiwari, A., Lu, D., Chocano-Bedoya, P. O., & Bertone-Johnson, E. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-45863-7.00024-x
Buys, M. E., Peel, R., & Buiten, D. (2026) · Feminism & Psychology · doi:10.1177/09593535261464231
“Shifting the narrative of PMC as an internal pathology or “ irrational thinking ” (Lustyk et al., 2009, p. 95) is therefore a continual theme of the present programme (Buys, 2024; King & Ussher, 2012; Nordlander, 2018; Ussher & Perz, 2014; Ussher et al., 2014).”
Integrative Management of Premenstrual Dysphoric Disorder: The Role of Traditional Chinese Medicine
Xu, M., & Chen, J. (2026) · Depression and Anxiety · doi:10.1155/da/1262387
“Clinicians frequently use CBT to help patients identify and change maladaptive thought patterns and behaviors that worsen PMDD symptoms [58].”
NasrollahiMola, N., Shaliha, F., Griffiths, M. D., & Alimoradi, Z. (2026) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2026.100620
Banton, L. (2026) · Counselling Psychology Quarterly · doi:10.1080/09515070.2026.2748985
Metadata
- Authors
- Lustyk, M. K. B., Gerrish, W. G., Shaver, S., & Keys, S. L.
- Affiliations
- Seattle Pacific University (US)
- Corresponding author
- Gerrish, Winslow G.
- Venue
- Archives of Women s Mental Health
- Published
- 2009-02-27
- Volume
- 12
- Issue
- 2
- Pages
- 85-96
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2076474294
- Cited by
- 133
- References
- 48
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 11 · 2023: 8 · 2022: 6 · 2021: 9 · 2020: 9 · 2019: 10 · 2018: 6 · 2017: 10 · 2016: 5 · 2015: 9 · 2014: 5 · 2013: 9 · 2012: 5
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy, premenstrual syndrome, premenstrual dysphoric disorder, psychosocial interventions, mindfulness-based interventions, acceptance-based therapy, treatment efficacy, menstrual disorders, effect size
- MeSH terms
- Adult, Female, Humans, Premenstrual Syndrome, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome
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