Abstract
Research on menstrual-related cyclicity often reflects assumptions concerning the generality, severity, and physiological basis of symptoms associated with the menstrual cycle. According to arguments presented in recent articles, these assumptions are not fully justified by the empirical data. In addition, there is evidence that symptom associations may be viewed as reflecting, in part, a set of beliefs. In the present article evidence is reviewed which suggests that symptom associations may originate and be maintained by means of biases in the processing of information about cyclicity. Specifically, the origins of biased beliefs may arise from the connotative meaning of, the salience of, and selectivity in processing the information forming the association. In addition, mechanisms which contribute to the maintenance of biased perceptions, once associations have been formed, include distortion, autonomy, and category accessibility of the evidence.
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Abramson, M., and Torghele, J. R. (1961). Weight, temperature change and psychosomatic symptomatology in relation to the menstrual cycle.Am. J. Obstet. Gynecol. 81: 223–232.
Altenhouse, A. L. (1978). The effect of expectancy for change on performance during the menstrual cycle. Unpublished doctoral dissertation, Rutgers University.
Altman, M., Knowlēs, E., and Bull, H. D. (1941). A psychosomatic study of the sex cycle in women.Psychosom. Med. 3: 199–224.
Beaumont, P. J. U., Richards, D. H., and Gelder, M. G. (1975). A study of minor psychiatric and physical symptoms during the menstrual cycle.Br. J. Psychiat. 126: 431–434.
Beck, A. (1971). Chronological fluctuations of six premenstrual tension variables and their relation to traditional-modern sex role stereotypes.Diss. Abstr. Int. 31(8-B): 4980.
Bernard, B. K. (1975)Aminergic Hypothesis of Behavior: Reality or Cliche? National Institute of Drug Abuse, Rockville, Md.
Bernstein, B. E. (1974). The relationship between menstruation and academic performance in high-and low-motivated students.Diss. Abstr. 34(11-A): 7035.
Brooks, J., Ruble, D. N., and Clarke, A. E. (1977). College women's attitudes and expectations concerning menstrual-related changes.Psychosom. Med. 39: 288–298.
Brooks-Gunn, J., and Ruble, D. N. (in press). Menarche: The interaction of physiological, cultural, and social factors. In Dan, A. J., Graham, E. A., and Beecher, C. (eds.),The Menstrual Cycle: An Interdisciplinary Synthesis, Springer, New York.
Bruner, J. S. (1957). On perceptual readiness.Psychol. Rev. 64: 123–152.
Burke, D., Levenstein, P., and Burnett, G. (1978). Menstrual symptoms: New data from a double blind study. Paper presented at the Western Psychological Association meetings, San Francisco.
Campos, F., and Thurow, C. (1978). Attributions of moods and symptoms to the menstrual cycle.Personal. Soc. Psychol. Bull. 4: 272–276.
Chapman, L. J. (1967). Illusory correlation in observational report.J. Verb. Learn. Verb. Behav. 6: 151–155.
Chapman, L. J., and Chapman, J. P. (1967). Genesis of popular but erroneous psychodiagnostic observations.J. Abnorm. Psychol. 72: 193–204.
Chapman, L. J., and Chapman, J. P. (1969). Illusory correlation as an obstacle to the use of valid psychodiagnostic signs.J. Abnorm. Psychol. 74: 271–280.
Clarke, A. E., and Ruble, D. N. (1978). Young adolescents' beliefs concerning menstruation.Child Dev. 49: 231–234.
Cullberg, J. (1972). Mood changes and menstrual symptoms with different gestagen/estrogen combination.Acta Psychiat. Scand. Suppl. 235.
Dan, A. J. (1976). Patterns of behavioral and mood variation in men and women: Variability and the menstrual cycle. Unpublished doctoral dissertation, University of Chicago.
Delaney, J., Lupton, M. J., and Toth, E. (1976).The Curse: A Cultural History of Menstruation, Dutton, New York.
Doty, R. L. (1976). Reproductive endocrine influences upon human nasal chemoreception: A review. In Doty, R. L. (ed.),Mammalian Olfaction, Reproductive Processes, and Behavior, Academic Press, New York.
Duval, S., and Wicklund, R. A. (1972).A Theory of Objective Self-awareness, Academic Press, New York.
Englander-Golden, P., Whitmore, M. R., and Dienstbier, R. A. (1978). Menstrual cycle as a focus of study and self-reports of moods and behaviors.Motivat. Emot. 2: 75–86.
Estes, W. K. (1976). The cognitive side of probability learning.Psychol. Rev. 83: 37–64.
Fischoff, B. (1976). Attribution theory and judgments of uncertainty. In Harvey, J. H., Ickes, W. J., and Kidd, R. F. (eds.),New Directions in Attribution Research, Erlbaum, Hillsdale, N.J.
Frank, R. T. (1931). The hormonal causes of premenstrual tension.Arch. Neurol. Psychiat. 26: 1053–1057.
Golding, S. L., and Rorer, L. G. (1972). Illusory correlation and subjective judgment.J. Abnorm. Psychol. 80: 249–260.
Golub, S. (1976a). The effect of premenstrual anxiety and depression on cognitive function.J. Personal. Soc. Psychol. 34: 99–104.
Golub, S. (1976b). The magnitude of premenstrual anxiety and depression.Psychosom. Med. 38: 4–12.
Gottschalk, L. A., Kaplan, S. M., Gleser, C., and Winget, C. M. (1962). Variations in magnitude of emotions: A method applied to anxiety and hostility during phases of the menstrual cycle.Psychosom. Med. 24: 300–311.
Gruba, G. H., and Rohrbaugh, M. (1975). MMPI correlates of menstrual distress.Psychosom. Med. 37: 265–273.
Hamilton, D. L. (1976). Cognitive biases in the perception of social groups. In Carroll, J. S., and Payne, J. W. (eds.),Cognition and Social Behavior, Erlbaum, Hillsdale, N.J.
Hamilton, D. L., and Gifford, R. K. (1976). Illusory correlation in interpersonal perception: A cognitive basis of Stereotypie judgments.J. Exp. Soc. Psychol. 12: 392–407.
Higgins, E. T., and Rholes, W. S. (1978). “Saying is believing”: Effects of message modification on memory and liking for the person described.J. Exp. Soc. Psychol. 14: 363–378.
Higgins, E. T., Rholes, W. S., and Jones, C. R. (1977). Category accessibility and impression formation.J. Exp. Soc. Psychol. 13: 141–154.
Hill, B. (1977). The psychological management of psychosomatic disease.Br. J. Psychiat. 131: 113–126.
Ivey, M. E., and Bardwick, J. M. (1978). Patterns of affective fluctuation in the menstrual cycle.Psychosom. Med. 30: 336–356.
Janiger, O., Riffenburgh, R., and Kersh, R. (1972). Cross-cultural study of premenstrual symptoms.Psychosomatics 13: 226–235.
Janowsky, D. S., Berens, S. C., and Davis, J. M. (1973). Correlations between mood, weight, and electrolytes during the menstrual cycle: A reninangiotension-aldosterone hypothesis of premenstrual tension.Psychosom. Med. 35: 143–154.
Kenshalo, D. R. (1966). Changes in the cool threshold associated with phases of the menstrual cycle.J. Appl. Physiol. 21: 1031–1039.
Koeske, R. K. (in press). Theoretical perspectives for menstrual cycle research. In Dan, A. J. Graham, E. A., and Beecher, C. (eds.),The Menstrual Cycle: An Interdisciplinary Synthesis, Springer, New York.
Koeske, R. K., and Koeske, G. F. (1975). An attributional approach to moods and the menstrual cycle.J. Personal. Soc. Psychol. 31: 474–478.
Langue, J. K. (1977). Social networks, health beliefs, and preventive health behavior.J. Health Soc. Behav. 18: 244–260.
Little, B., and Zahn, T. (1974). Changes in mood and autonomie functioning during the menstrual cycle.Psychophysiology 11: 579–590.
Markum, R. A. (1976). Assessment of the reliability of and the effect of neutral instructions on the symptom ratings on the Moos Menstrual Distress Questionnaire.Psychosom. Med. 38: 163–172.
May, R. R. (1976). Mood shifts and the menstrual cycle.J. Psychosom. Res. 20: 125–130.
McCance, R. A., Luff, M. C., and Widdowson, E. E. (1937). Physical and emotional periodicity in women.J. Hyg. 37: 571–605.
Mechanic, D. (1972). Social psychological factors affecting the presentation of bodily complaints.New Engl. J. Med. 286: 1132–1139.
Miller, W. B., and Smith, P. J. (1975). Elimination of the menses: Psychosocial aspects.J. Psychiat. Res. 12: 153–166.
Moos, R. H. (1968). The development of the Menstrual Distress Questionnaire.Psychosom. Med. 30: 853–867.
Moos, R. H. (1977).Menstrual Distress Questionnaire Manual, Department of Psychiatry, Stanford University and Veterans Administration, Palo Alto, Calif.
Moos, R. H., and Leiderman, D. B. (1978). Toward a menstrual cycle symptom typology.J. Psychosom. Res. 22: 31–40.
Moos, R. H., Kopell, B. S., Melges, F. T., Yalom, I. D., Lunde, D. T., Clayton, R. B., and Hamburg, D. A. (1969). Fluctuations in symptoms and moods during the menstrual cycle.J. Psychosom. Res. 13: 37–44.
Munchel, M. (1978). The effect of symptom expectations and attitudes on cognitive, perceptual-motor, and physical performance throughout the menstrual cycle. Unpublished doctoral dissertation, Indiana University.
Murray, J. B. (1977). New trends in psychosomatic research.Gent. Psychol. Monogr. 96: 3–74.
Mussen, P. H., Conger, J. J., and Kagan, J. (1974).Child Development and Personality, Harper and Row, New York.
Neisser, U. (1967).Cognitive Psychology, Appleton-Century-Crofts, New York.
New York Times (1970). July 26, p. 35.
Nisbett, R. E., and Valins, S. (1971).Perceiving the Causes of One's Own Behavior, General Learning Press, Morristown, N.J.
Nisbett, R. E., and Wilson, T. D. (1977). Telling more than we can know: Verbal reports on mental processes.Psychol. Rev. 7: 231–259.
Nolen, W. A. (1973). What men don't understand about premenstrual tension.McCalls 100: 12,15.
Paige, K. E. (1971). The effects of oral contraceptives on affective fluctuations associated with the menstrual cycle.Psychosom. Med. 33: 515–537.
Paige, K. E. (1973a). “The curse”: Possible antecedents of menstrual distress. In Harrison, A. A. (ed.),Explorations in Psychology, Brooks/Cole, Belmont, Calif.
Paige, K. E. (1973b). Women learn to sing the menstrual blues.Psychol. Today 7: 41–46.
Paige, K. E. (1973c). Determinants of menstrual distress: Stress, femininity, and religion. Paper presented at the American Sociological Association, September.
Paige, K. E., and Paige, J. M. (in press).Wealth, Warfare and Women: The Social Psychology of Reproductive Practices in Stateless Societies, University of California Press, Berkeley, Calif.
Parlee, M. B. (1973). The premenstrual syndrome.Psychol. Bull. 80: 454–465.
Parlee, M. B. (1974). Stereotypic beliefs about menstruation: A methodological note on the Moos Menstrual Distress Questionnaire and some new data.Psychosom. Med. 36: 229–240.
Parlee, M. B. (1978). Psychological aspects of menstruation, childbirth, and menopause. In Sherman, J. A., and Denmark, F. L. (eds.),Psychology of Women: Future Directions of Research, Psychological Dimensions, New York.
Parlee, M. B. (1979). Positive changes in moods and activation levels during the menstrual cycle in experimentally naive subjects.Psychol Women Q. (in press).
Patkai, P., Johannson, G., and Post, B. (1974). Mood, alertness and sympathetic-adrenal medullary activity during the menstrual cycle.Psychosom. Med. 36: 503–512.
Pennebaker, J. W., and Skelton, J. A. (1978). Psychological parameters of physical symptoms.Personal. Soc. Psychol. Bull. 4: 524–530.
Persky, H. (1974). Reproductive hormones, moods, and the menstrual cycle. In Friedman, R. C., Richart, R. M., VandeWiele, R. L., and Stern, L. O. (eds.),Sex Differences in Behavior, Wiley, New York.
Pryor, J. B., and Kriss, M. (1977). The cognitive dynamics of salience in the attribution process.J. Personal. Soc. Psychol. 35: 49–55.
Raphael, P. (1976). Premenstrual tension.Cosmopolitan 181: 80–86.
Rees, L. (1953). Psychosomatic aspects of the premenstrual tension syndrome.J. Ment. Se. 99: 62–73.
Reinberg, A., and Smolensky, N. H. (1974). Circatrigentan secondary rhythms related to hormonal changes in the menstrual cycle: General considerations. In Ferinet al. (eds.),Biorhythms and Human Reproduction, Wiley, New York.
Reynolds, E. (1969). Variations of mood and recall in the menstrual cycle.J. Psychosom. Res. 13: 163–166.
Rodin, J. (1976). Menstruation, reattribution, and competence.J. Personal. Soc. Psychol. 33: 345–353.
Ross, L. D. (1977). The intuitive psychologist and his shortcomings: Distortions in the attribution process. In Berkowitz, L. (ed.),Advances in Experimental Social Psychology, Academic Press, New York.
Rossi, A. S., and Rossi, P. E. (1979). Body time and social time: Mood patterns by menstrual cycle phase and day of the week. In Parsons, J. E. (ed.),Gender Roles: A Dialectical, Biopsychological Perspective, Hemisphere, Washington, D.C.
Ruble, D. N. (1977). Premenstrual symptoms: A reinterpretation.Science 197: 291–292.
Ruble, D. N., and Brooks, J. (1977). Adolescents' attitudes about menstruation. Paper presented at the Society for Research in Child Development biennial meeting, New Orleans.
Ruble, D. N., and Feldman, N. S. (1976). Order of consensus, distinctiveness, and consistency information, and causal attributions.J. Personal. Soc. Psychol. 34: 930–937.
Ruble, D. N., Boggiano, A., and Brooks-Gunn, J. (1979). Men's and women's evaluation of menstrual-related excuses.Sex Roles (in press).
Ruble, D. N., Brooks, J., and Clarke, A. (1979). Research on menstrual-related psychological changes: Alternative perspectives. In Parsons, J. E. (ed.),Gender Roles: A Dialectical, Biopsy chological Perspective, Hemisphere, Washington, D.C.
Schachter, S. (1974). The interaction of cognitive and physiological determinants of emotional state. In Leiderman, P., and Shapiro, D. (eds.),Psychobiological Approaches to Social Behavior, Stanford University Press, Stanford, Calif.
Schachter, S., and Singer, J. E. (1962). Cognitive, social and physiological determinants of emotional state.Psych. Rev., 69: 379–399.
Shainess, N. (1961). A re-evaluation of some aspects of femininity through a study of menstruation: A preliminary report.Comp. Psychiat. 2: 20–26.
Shaskan, E. G., and Becker, R. E. (1975). Blood platelet monoamine oxidase activity in anergic schizophrenics. In Bernard, B. K. (ed.),Aminergic Hypotheses of Behavior: Reality or Cliche? National Institute of Drug Abuse, Rockville, Md.
Sherif, C. W. (1979). A social-psychological perspective on the menstrual cycle. In Parsons, J. E. (ed.),Gender Roles: A Dialectical, Biopsychological Perspective, Hemisphere, Washington, D.C.
Silbergeld, S., Brast, N., and Nobel, E. P. (1971). The menstrual cycle: A double-blind study of symptoms, mood and behavior, and biochemical variables using Enovid and placebo.Psychosom. Med. 33: 411–428.
Smedslund, J. (1963). The concept of correlation in adults.Scand. J. Psychol. 4: 165–173.
Smith, S. L. (1975). Mood and the menstrual cycle. In Sachar, E. J. (ed.),Topics in Psychoendocrinology, Grune and Stratton, New York.
Snow, L. F., and Johnson, S. M. (1977). Modern day menstrual folklore.JAMA 237: 2736–2739.
Sommer, B. (1973). The effect of menstruation on cognitive and perceptual-motor behavior: A review.Psychosom. Med. 33: 411–428.
Starr, B. J., and Katkin, E. S. (1969). The clinician as an aberrant actuary: Illusory correlation and the incomplete sentences blank.J. Abnorm. Psychol. 74: 670–675.
Steiner, N., and Carroll, B. J. (1977). The psychobiology of premenstrual dysphoria: Review of theories and treatments.Psychoneuroendocrinology 2: 321–335.
Stocker, J. M. (1974). Motor performance and state anxiety at selected stages of the menstrual cycle.Diss. Abstr. Int. 34(7-A): 3971–3972.
Taylor, S. E. (1978). A developing role for social psychology in medicine and medical practice.Personal. Soc. Psychol. Bull. 4: 515–524.
Taylor, S., and Fiske, S. (1979). Salience, attention, and attribution: Top-of-the-head phenomena. In Berkowitz, L. (ed.),Advances in Experimental Social Psychology, Vol. 11, Academic Press, New York.
Tedford, W. H., Warren, D. E., and Flynn, W. E. (1977). Alteration of shock aversion thresholds during the menstrual cycle.Percept. Psychophys. 21: 193–196.
Tversky, A., and Kahneman, D. (1974). Judgment under uncertainty: Heuristics and biases.Science 185: 1124–1131.
Ward, M. M., Stone, S. C., and Sandman, C. A. (1978). Visual perception in women during the menstrual cycle.Physiol. Behav. 20: 239–243.
Ward, W. D., and Jenkins, H. M. (1965). The display of information and the judgment of contingency.Can. J. Psychol. 19: 231–241.
WHO Task Force on the Acceptability of Fertility Regulating Methods (1975).Patterns and Perceptions of Menstrual Bleeding in Ten Regions, Exeter University, Devon, England.
Wicklund, R. A. (1975). Objective self-awareness. In Berkowitz, L. (eds.),Advances in Experimental Social Psychology, Vol. 8, Academic Press, New York.
Wilcoxon, L. A., Schrader, S. L., and Sherif, C. W. (1976). Daily self-reports on activities, life events, moods, and somatic changes during the menstrual cycle.Psychosom. Med. 38: 399–417.
Zimmerman, E., and Parlee, M. B. (1973). Behavioral changes associated with the menstrual cycle: An experimental investigation.J. Appl. Soc. Psychol. 3: 335–344.
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Preparation of the manuscript and some of the research were supported by Grants SOC-7602137 and SOC-76 02179 from the National Science Foundation.
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Ruble, D.N., Brooks-Gunn, J. Menstrual symptoms: A social cognition analysis. J Behav Med 2, 171–194 (1979). https://doi.org/10.1007/BF00846665
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DOI: https://doi.org/10.1007/BF00846665