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Mindfulness

, Volume 2, Issue 1, pp 37–48 | Cite as

Relationships Among Premenstrual Symptom Reports, Menstrual Attitudes, and Mindfulness

  • M. Kathleen B. LustykEmail author
  • Winslow G. Gerrish
  • Haley Douglas
  • Sarah Bowen
  • G. Alan Marlatt
Original Paper

Abstract

The physical and affective symptoms of a broad range of conditions are improved following mindfulness-based practices. One set of symptoms that has yet to be explored through the lens of mindfulness, however, is that associated with the premenstruum. Also, given the relationships among negative attitudes towards menstruation and amplified symptom reporting, it is reasonable to expect that mindfulness qualities cultivated through practices aimed at dispelling negative anticipatory and judgmental thinking will moderate these relationships. Thus, in this study we examined interrelationships among premenstrual symptom severity reports (PMSR), menstrual attitudes, and mindfulness qualities in a sample of 127 women (age range 18-26 years). Results revealed several statistically significant positive relationships between menstrual attitudes and PMSR. Also, higher scores on measures of mindfulness were significantly associated with lower PMSR. Moderating effects revealed that mindfulness significantly buffered the relationships between menstrual attitudes and PMSR, specifically between: anticipation of menses onset and PMSR as well as anticipation of menses onset and premenstrual water retention. These results may offer the first empirical evidence of relationships among menstrual attitudes, PMSR, and mindfulness qualities. Results from this study align with the body of research showing that mindfulness is predictive of improved symptomatology and well-being across varied conditions. We conclude with discussion supporting the development of a mindfulness-based intervention aimed at reducing symptom severity in premenstrual symptom sufferers.

Keywords

Premenstrual Symptomatology Menstrual Attitudes Mindfulness Women Menses 

References

  1. Aiken, L. A., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.Google Scholar
  2. Allen, S. S., McBride, C. M., & Pirie, P. L. (1991). The shortened premenstrual assessment form. The Journal of Reproductive Medicine, 36, 769–772.PubMedGoogle Scholar
  3. Allen, S. S., Hatsukami, D., Christianson, D., & Brown, S. (2000). Effects of transdermal nicotine on craving, withdrawal and premenstrual symptomatology in short-term smoking abstinence during different phases of the menstrual cycle. Nicotine & Tobacco Research, 2, 231–241.CrossRefGoogle Scholar
  4. American College of Obstetricians and Gynecologists. (2000). ACOG practice bulletin: Clinical management guidelines for obstetrician-gynecologists number 15, April 2000; Premenstrual Syndrome. Obstetrics and Gynecology, 15, 3–8.Google Scholar
  5. Aubeeluck, A., & Maguire, M. (2002). The menstrual joy questionnaire items alone can positively prime reporting of menstrual attitudes and symptoms. Psychology of Women Quarterly, 26, 160–162.CrossRefGoogle Scholar
  6. Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.CrossRefGoogle Scholar
  7. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.PubMedCrossRefGoogle Scholar
  8. Bowen, S., Chawla, N., Collins, S., Witkiewitz, K., Hsu, S., Grow, J., et al. (2009). Mindfulness-based relapse prevention for substance use disorders: A pilot efficacy trial. Substance Abuse, 30, 295–305.PubMedCrossRefGoogle Scholar
  9. Broadbent, B. E., Cooper, P. F., Fitzgerald, P., & Parkes, K. R. (1982). The cognitive failures questionnaire (CFQ) and its correlates. The British Journal of Clinical Psychology, 21, 1–16.PubMedGoogle Scholar
  10. Brooks-Gunn, J., & Ruble, D. N. (1980). The menstrual attitude questionnaire. Psychosomatic Medicine, 42, 503–512.PubMedGoogle Scholar
  11. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.PubMedCrossRefGoogle Scholar
  12. Campagne, D. M., & Campagne, G. (2007). The premenstrual syndrome revisited. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 130, 4–17.PubMedCrossRefGoogle Scholar
  13. Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33.PubMedCrossRefGoogle Scholar
  14. Carpenter, M. J., Upadhyaya, H. P., LaRowe, S. D., Saladin, M. E., & Brady, K. T. (2006). Menstrual cycle phase effects on nicotine withdrawal and cigarette craving: A review. Nicotine & Tobacco Research, 8, 627–638.CrossRefGoogle Scholar
  15. Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564–570.PubMedCrossRefGoogle Scholar
  16. Dell, D. L. (2004). Diagnostic challenges in women with premenstrual symptoms. Primary Psychiatry, 11, 41–46.Google Scholar
  17. Dye, L., Warner, P., & Bancroft, J. (1995). Food craving during the menstrual cycle and its relationship to stress, happiness of relationship and depression: A preliminary enquiry. Journal of Affective Disorders, 34, 157–164.PubMedCrossRefGoogle Scholar
  18. Epstein, E. E., Rhines, K. C., Cook, S., Jensen, N. K., McCrady, B. S., & Zdep-Mattocks, B. (2006). Changes in alcohol craving and consumption by phase of menstrual cycle in alcohol dependent women. Journal of Substance Use, 11, 323–332.CrossRefGoogle Scholar
  19. Flannery, B. A., Volpicelli, J. R., & Pettinati, H. M. (1999). Psychometric properties of the Penn Alcohol Craving Scale. Alcoholism, Clinical and Experimental Research, 23, 1289–1295.PubMedGoogle Scholar
  20. Forbes, G. B., Adams-Curtis, L. E., White, K. B., & Holmgren, K. M. (2003). The role of hostile and benevolent sexism in women’s and men’s perceptions of the menstruating woman. Psychology of Women Quarterly, 27, 58–63.CrossRefGoogle Scholar
  21. Greeson, J. M. (2009). Mindfulness research update: 2008. Complementary Health Practice Review, 14, 10–18.PubMedCrossRefGoogle Scholar
  22. Halbreich, U., Borenstein, J., Pearlstein, T., & Kahn, L. S. (2003). The prevalence, impairment, impact, and burden of premenstrual dysphoric disorder (PMS/PMDD). Psychoneuroendocrinology, 28, 1–23.Google Scholar
  23. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.Google Scholar
  24. Hill, A. J., & Heaton-Brown, L. (1994). The experience of food craving: A prospective investigation in healthy women. Journal of Psychosomatic Research, 38, 801–814.PubMedCrossRefGoogle Scholar
  25. Holzel, B. K., Ott, U., Gard, T., Hempel, H., Weygandt, M., Morgen, K., et al. (2008). Investigation of mindfulness meditation practitioners with voxel-based morphometry. SCAN, 3, 55–61.PubMedGoogle Scholar
  26. Ivanoski, B., & Malhi, G. S. (2007). The psychological and neurophysiological concomitants of mindfulness forms of meditation. Acta Neuropsychiatrica, 19, 76–91.CrossRefGoogle Scholar
  27. Kabat-Zinn, J. (1990). Full catastrophe living. New York: Dell.Google Scholar
  28. Kabat-Zinn, J., Massion, M. D., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., et al. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149, 936–943.PubMedGoogle Scholar
  29. Kowalski, R. M., & Chapple, T. (2000). The social stigma of menstruation: Fact or fiction? Psychology of Women Quarterly, 24, 74–80.CrossRefGoogle Scholar
  30. Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4, 357–363.CrossRefGoogle Scholar
  31. Kroll, R., & Rapkin, A. J. (2006). Treatment of premenstrual disorders. The Journal of Reproductive Medicine, 51, 359–370.PubMedGoogle Scholar
  32. Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Greve, D. N., Treadway, M. T., et al. (2005). Meditation experience is associated with increased cortical thickness. NeuroReport, 16, 1893–1897.PubMedCrossRefGoogle Scholar
  33. Lustyk, M. K. B., & Gerrish, W. G. (2008). Premenstrual syndrome and premenstrual dysphoric disorder: Issues of quality of life, stress, and exercise. In V. A. Preedy & R. R. Watson (Eds.), Handbook of disease burdens and quality of life measures. Heidelberg: Springer Verlag.Google Scholar
  34. Lustyk, M. K. B., Widman, L., Paschane, A., & Ecker, E. (2004). Stress, quality of life and physical activity in women with varying premenstrual symptomatology. Women & Health, 39, 35–44.CrossRefGoogle Scholar
  35. Lustyk, M. K. B., Beam, C. R., Miller, A. C., & Olson, K. C. (2006). Relationships among perceived stress, premenstrual symptomatology and spiritual well-being in women. Journal of Psychology and Theology, 34, 311–317.Google Scholar
  36. Lustyk, M. K. B., Widman, L., & Becker, L. (2007). Relationship of abuse history with premenstrual symptomatology: Assessing the mediating role of perceived stress. Women & Health, 46, 61–80.CrossRefGoogle Scholar
  37. Lustyk, M. K. B., Chawla, N., Nolan, R., & Marlatt, G. A. (2009a). Mindfulness meditation in research: A discussion of safety issues and participant screening procedures. Advances in Mind-Body Medicine, 24, 20–30.Google Scholar
  38. Lustyk, M. K. B., Gerrish, W. G., Shaver, S., & Keys, S. L. (2009b). Cognitive-behavioral therapy for premenstrual syndrome and premenstrual dysphoric disorder: A systematic review. Archives of Women’s Mental Health, 12, 85–96.CrossRefGoogle Scholar
  39. Mayer, J. L., & Farmer, R. F. (2003). The development and psychometric evaluation of a new measure of dissociative activities. Journal of Personality Assessment, 80, 185–196.PubMedCrossRefGoogle Scholar
  40. Michener, W., Rozin, P., Freeman, E., & Gale, L. (1999). The role of low progesterone and tension as triggers of premenstrual chocolate and sweets craving: Some negative experimental evidence. Physiology & Behavior, 67, 417–420.CrossRefGoogle Scholar
  41. Mitchell, E., Fugate-Woods, N., & Lentz, M. (1991). Recognizing PMS when you see it: Criteria for PMS sample selection. In D. L. Taylor & N. Fugate-Woods (Eds.), Menstruation, health, and illness (pp. 89–102). New York: Hemisphere Publishing Corporation.Google Scholar
  42. Orsillo, S. M., Roemer, L., & Barlow, D. H. (2003). Integrating acceptance and mindfulness into existing cognitive-behavioral treatment for GAD: A case study. Cognitive and Behavioral Practice, 10, 222–230.CrossRefGoogle Scholar
  43. Ostafin, B. D., & Marlatt, G. A. (2008). Surfing the urge: Experiential acceptance moderates the relation between automatic alcohol motivation and hazardous drinking. Journal of Social & Clinical Psychology, 27, 404–418.CrossRefGoogle Scholar
  44. Rapkin, A. (2003). A review of treatment of premenstrual syndrome & premenstrual dysphoric disorder. Psychoneuroendocrinology, 28, 39–53.PubMedCrossRefGoogle Scholar
  45. Reed, S. C., Levin, F. R., & Evans, S. M. (2008). Changes in mood, cognitive performance and appetite in the late luteal and follicular phases of the menstrual cycle in women with and without PMDD (premenstrual dysphoric disorder). Hormones and Behavior, 54, 185–193.PubMedCrossRefGoogle Scholar
  46. Rembeck, G. I., Moller, M., & Gunnarsson, R. K. (2006). Attitudes and feelings towards menstruation and womanhood in girls at menarche. Acta Pediatrica, 95, 707–714.CrossRefGoogle Scholar
  47. Rubia, K. (2009). The neurobiology of meditation and its clinical effectiveness in psychiatric disorders. Biological Psychology, 82, 1–11.PubMedCrossRefGoogle Scholar
  48. Segal, Z., Teasdale, J. D., & Williams, M. (2002). Mindfulness-based cognitive therapy for depression. New York: Guilford Press.Google Scholar
  49. Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386.PubMedCrossRefGoogle Scholar
  50. Sinha, R. (2008). Modeling stress and drug craving in the laboratory: Implications for addiction treatment development. Addiction Biology, 14, 84–98.PubMedCrossRefGoogle Scholar
  51. Sinha, R., & Li, C.-S. R. (2007). Imaging stress- and cue-induced drug and alcohol craving: Association with relapse and clinical implications. Drug and Alcohol Review, 20, 25–31.CrossRefGoogle Scholar
  52. Stoddard, J. L., Dent, C. W., Shames, L., & Bernstein, L. (2007). Exercise training effects on premenstrual distress and ovarian steroid hormones. European Journal of Applied Physiology, 99, 27–37.PubMedCrossRefGoogle Scholar
  53. Tang, Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., et al. (2007). Short-term meditation training improves attention and self-regulation. PNAS Proceedings of the National Academy of Sciences of the United States of America, 104, 17152–17156.CrossRefGoogle Scholar
  54. Teasdale, J. D., Segal, Z., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behavior Research and Therapy, 33, 25–39.CrossRefGoogle Scholar
  55. Trout, K. K., Basel-Brown, L., Rickels, M. R., Schutta, M. H., Petrova, M., Freeman, E. W., et al. (2008). Insulin sensitivity, food intake, and cravings with premenstrual syndrome: A pilot study. Journal of Women’s Health, 17, 657–665.PubMedCrossRefGoogle Scholar
  56. United States Food and Drug Administration (US FDA, n.d.). Yaz approval label. PDF. Retrieved June, 10, 2007 from http://www.fda.gov/.
  57. Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-Based Relapse Prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy: An International Quarterly, 19, 211–228.CrossRefGoogle Scholar
  58. Wittchen, H. U., Perkonigg, A., & Pfister, H. (2003). Trauma and PTSD—An overlooked pathogenic pathway for premenstrual dysphoric disorder? Archives of Women’s Mental Health, 6, 293–297.PubMedCrossRefGoogle Scholar
  59. Woods, N. F., Derry, G. K., & Most, A. (1982). Recollections of menarche, current menstrual attitudes, and perimenstrual symptoms. Psychosomatic Medicine, 44, 285–293.PubMedGoogle Scholar
  60. Woods, N. F., Most, A., & Longnecker, G. D. (1985). Perimenstrual symptoms. Nursing Research, 34, 263–267.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • M. Kathleen B. Lustyk
    • 1
    Email author
  • Winslow G. Gerrish
    • 1
  • Haley Douglas
    • 1
  • Sarah Bowen
    • 2
  • G. Alan Marlatt
    • 2
  1. 1.School of Psychology, Family, and CommunitySeattle Pacific UniversitySeattleUSA
  2. 2.Department of PsychologyUniversity of WashingtonSeattleUSA

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