The Effects of Psychological Interventions on Menstrual Health in Exercising Women: A Comprehensive Experimental Study
DOI:
https://doi.org/10.15391/prrht.2024-9(2).01Keywords:
Menstrual health, psychological interventions, stress reduction, body image perception, psychological well-being, reproductive health, physically active womenAbstract
Purpose. This comprehensive experimental study explores the effects of psychological interventions on menstrual health in physically active women. The research aims to investigate the influence of stress reduction techniques, body image enhancement programs, and counseling on menstrual irregularities, stress levels, body image perceptions, and psychological well-being. It also examines the interplay between psychological factors and menstrual health, contributing to women's reproductive well-being.
Material & Methods. The study employs a rigorous randomized controlled trial design with 40 physically active women aged 18-23. Participants are divided into an intervention group receiving psychological interventions and a control group without interventions. The interventions include mindfulness meditation, deep breathing exercises, mirror affirmations, media literacy workshops, and gratitude journaling. Data is collected over six months through menstrual calendars, the Perceived Stress Scale, the Body Image Assessment Scale, and the Psychological Well-being Scale. Statistical analyses involve repeated measures ANOVA and regression analyses.
Results. The intervention group experiences significant improvements in menstrual regularity, stress reduction, body image perception, and psychological well-being. Menstrual regularity significantly improves (p<0.001), stress levels decrease (p<0.001), body image perception improves (p<0.001), and psychological well-being enhances (p<0.001). Correlations indicate positive relationships between psychological well-being and menstrual regularity (r=0.31, p=0.021) and negative relationships with stress levels (r=–0.42, p<0.001) and body image perception (r=0.28, p=0.031).
Conclusion. This study demonstrates the positive impact of psychological interventions on menstrual health, stress reduction, body image perception, and psychological well-being in physically active women. The findings underscore the potential of integrating psychological strategies into women's healthcare, offering holistic approaches to address both menstrual irregularities and related psychological concerns.
References
Abdollahi L., Mirghafourvand M., Babapour J.K., Mohammadi M. (2019). Effectiveness of cognitive-behavioral therapy (CBT) in improving the quality of life and psychological fatigue in women with polycystic ovarian syndrome: a randomized controlled clinical trial. Journal of Psychosomatic Obstetrics and Gynecology, 40(4), 283-293. https://doi.org/10.1080/0167482X.2018.1502265
Abramovitz, L.M., Lutgendorf, M.A., Bukowinski, A.T., Gumbs, G.R., Conlin, A.M.S., & Hall, C. (2021). Posttraumatic Stress Disorder in a Cohort of Pregnant Active Duty U.S. Military Servicewomen. Journal of Traumatic Stress, 34(3), 586-595. https://doi.org/10.1002/jts.22656
Armour, M., Parry, K., Curry, C., Ferfolja, T., Parker, M.A., Farooqi, T., MacMillan, F., Smith, C.A., & Holmes, K. (2022). Evaluation of a web-based resource to improve menstrual health literacy and self-management in young women. Journal of Psychosomatic Research, 162, 111038. https://doi.org/10.1016/j.jpsychores.2022.111038
Balsom, A.A., & Gordon, J.L. (2021). The relationship between psychological coping and mood across the menstrual cycle among distressed women struggling to conceive. Journal of Psychosomatic Research, 145, 110465. https://doi.org/10.1016/j.jpsychores.2021.110465
Burbeck, R., & Willig, C. (2014). The personal experience of dysmenorrhoea: An interpretative phenomenological analysis. Journal of Health Psychology, 19(10), 1334-1344. https://doi.org/10.1177/1359105313490313
Cherenack, E.M., & Sikkema K.J. (2022). Puberty- and Menstruation-Related Stressors Are Associated with Depression, Anxiety, and Reproductive Tract Infection Symptoms Among Adolescent Girls in Tanzania. International Journal of Behavioral Medicine, 29(2), 160-174. https://doi.org/10.1007/s12529-021-10005-1
Chrisler, J.C., Marván, M.L., Gorman, J.A., & Rossini, M. (2015). Body appreciation and attitudes toward menstruation. Body Image, 12(1), 78-81. https://doi.org/10.1016/j.bodyim.2014.10.003
Cowell, P.E., Ledger, W.L., Wadnerkar, M.B., Skilling, F.M., & Whiteside, S.P. (2011). Hormones and dichotic listening: Evidence from the study of menstrual cycle effects. Brain and Cognition, 76(2), 256-262. https://doi.org/10.1016/j.bandc.2011.03.010
Dotlic, J., Markovic, N., & Gazibara, T. (2023). Patterns of smoking and menopause-specific quality of life: smoking duration matters more. Behavioral Medicine, 49(1), 29-39. https://doi.org/10.1080/08964289.2021.1958739
Engel, G.L. (1980). The clinical application of the biopsychosocial model. The American Journal of Psychiatry, 137(5), 535-544. https://doi.org/10.1176/ajp.137.5.535
Garavaglia, E., Inversetti, A., Ferrari, S., De Nardi, P., & Candiani, M. (2018). Are symptoms after a colorectal segmental resection in deep endometriosis really improved? The point of view of women before and after surgery. Journal of Psychosomatic Obstetrics and Gynecology, 39(4), 248-251. https://doi.org/10.1080/0167482X.2018.1445221
Guvenc, G., Kilic, A., Akyuz, A., & Ustunsoz, A. (2012). Premenstrual syndrome and attitudes toward menstruation in a sample of nursing students. Journal of Psychosomatic Obstetrics and Gynecology, 33(3), 106-111. https://doi.org/10.3109/0167482X.2012.685906
Halis, F., Yildirim, P., Kocaaslan, R., Cecen, K., & Gokce, A. (2016). Pilates for Better Sex: Changes in Sexual Functioning in Healthy Turkish Women After Pilates Exercise. Journal of Sex and Marital Therapy, 42(4), 302-308. https://doi.org/10.1080/0092623X.2015.1033576
Hardy, C., & Hardie, J. (2017). Exploring premenstrual dysphoric disorder (PMDD) in the work context: a qualitative study. Journal of Psychosomatic Obstetrics and Gynecology, 38(4), 292-300. https://doi.org/10.1080/0167482X.2017.1286473
Huang, P.-T., & Huang, J.-H. (2020). Menstrual Cup Use Intention and the Moderating Effects of Sexual Orientation and Gender Characteristic among Female University Students in Taiwan: A Theory-Driven Exploration. Archives of Sexual Behavior, 49(4), 1355-1366. https://doi.org/10.1007/s10508-019-1412-y
Johnson, R.E., Jones, M.S., & Freeman, H.P. (2017). Stress and diseases in women: Historical and contemporary perspectives. JAMA, 298(4), 403-407. https://doi.org/10.1001/jama.298.4.403
Juster, R.-P., Doyle, D.M., Hatzenbuehler, M.L., Everett, B.G., DuBois, L.Z., & McGrath, J.J. (2019). Sexual orientation, disclosure, and cardiovascular stress reactivity. Stress, 22(3), 321-331. https://doi.org/10.1080/10253890.2019.1579793
Kato, T., Kadota, M., & Shimoda, S. (2021). Effects of Coping Flexibility in Young Women on Depressive Symptoms during Chronic Pain. Behavioral Medicine, 47(3), 185-193. https://doi.org/10.1080/08964289.2019.1708250
Li, F., He, F., Sun, Q., Li, Q., Zhai, Y., Wang, X., Zhang, T., & Lin, J. (2019). Reproductive history and risk of depressive symptoms in postmenopausal women: A cross-sectional study in eastern China. Journal of Affective Disorders, 246, 174-181. https://doi.org/10.1016/j.jad.2018.12.031
Millar, M. (2013). Menstrual cycle changes in mate preferences for cues associated with genetic quality: The moderating role of mate value. Evolutionary Psychology, 11(1), 18-35. https://doi.org/10.1177/147470491301100103
Nillni, Y.I., Arditte Hall, K.A., Langdon, K.J., & Pineles, S.L. (2020). Examination of the stability of the anxiety sensitivity index across the menstrual cycle in trauma-exposed women with and without PTSD. Anxiety, Stress and Coping, 33(1), 115-121. https://doi.org/10.1080/10615806.2019.1660322
Noamesi, A.T., Olokede, O.A., De La Cruz, N., & Appiah, D. (2023). The role of mental health and substance use disorders on the relation of migraine with self-directed violence among women in the United States. Journal of Psychosomatic Research, 165, 111120. https://doi.org/10.1016/j.jpsychores.2022.111120
Noyan, H., Hamamci, A., Firat, Z., Sarsilmaz, A., & Ucok, A. (2022). Menstrual Cycle-Related Changes in Women with Schizophrenia: A Resting-State fMRI Study. Neuropsychobiology, 81(4), 296-310. https://doi.org/10.1159/000522002
Park, M., & Jung, S.J. (2021). Association between menstrual cycle irregularity and suicidal ideation among Korean women: Results from the Korea national health and nutrition examination survey (2010–2012). Journal of Affective Disorders, 293, 279-284. https://doi.org/10.1016/j.jad.2021.06.052
Pierson, E., Althoff, T., Thomas, D., Hillard, P., & Leskovec, J. (2021). Daily, weekly, seasonal and menstrual cycles in women's mood, behaviour and vital signs. Nature Human Behaviour, 5(6), 716-725. https://doi.org/10.1038/s41562-020-01046-9
Ranganathan, P., Kumar, R.G., Davis, K., McCullough, E.H., Berga, S.L., & Wagner, A.K. (2016). Longitudinal sex and stress hormone profiles among reproductive age and post-menopausal women after severe TBI: A case series analysis. Brain Injury, 30(4), 452-461. https://doi.org/10.3109/02699052.2016.1144081
Sanjaykumar, S., Rajkumar, N.C.J., & Lakshmi, P.Y. (2023). Impact of varied temperature living conditions stress levels and sleeping duration on oligomenorrhea: a comprehensive study among women. Physical Rehabilitation and Recreational Health Technologies, 8(4), 183-187. https://doi.org/10.15391/prrht.2023-8(4).02
Smith, A.M., Oliver, A., & Chakraborty, H. (2018). Association between body mass index and menstrual cycle characteristics in young women. The Journal of Pediatrics, 201, 242-247. https://doi.org/10.1016/j.jpeds.2018.05.066
Soucie, K., Samardzic, T., Schramer, K., Salam, Z., & Ly, C. (2021). Body- and symptom-related concerns in women diagnosed with polycystic ovary syndrome: A gap in symptom management. Journal of Health Psychology, 26(5), 701-712. https://doi.org/10.1177/1359105319840696
Steward, R., Crane, L., Mairi Roy, E., Remington, A., & Pellicano, E. (2018). "Life is Much More Difficult to Manage During Periods": Autistic Experiences of Menstruation. Journal of Autism and Developmental Disorders, 48(12), 4287-4292. https://doi.org/10.1007/s10803-018-3664-0
Weiss, S.J., Flynn, H., Christian, L., Hantsoo, L., di Scalea, T.L., Kornfield, S.L., ... & Deligiannidis, K.M. (2021). Symptom profiles of women at risk of mood disorders: A latent class analysis. Journal of Affective Disorders, 295, 139-147. https://doi.org/10.1016/j.jad.2021.08.013
Yi, Y., Zhang, Q., Li, J., Xie, S., Fu, J., Li, Y., & Zhao, J. (2023). The association between SARS-CoV-2 infection with menstrual characteristics changes in China: a cross-sectional study. Journal of Psychosomatic Obstetrics and Gynecology, 44(1), 2238243. https://doi.org/10.1080/0167482X.2023.2238243
