Cognitive-Behavioral and Pharmacological Interventions for Premenstrual Syndrome or Premenstrual Dysphoric Disorder: A Meta-Analysis

@article{Kleinstuber2012CognitiveBehavioralAP,
  title={Cognitive-Behavioral and Pharmacological Interventions for Premenstrual Syndrome or Premenstrual Dysphoric Disorder: A Meta-Analysis},
  author={M. Kleinst{\"a}uber and M. Witth{\"o}ft and W. Hiller},
  journal={Journal of Clinical Psychology in Medical Settings},
  year={2012},
  volume={19},
  pages={308-319}
}
The current meta-analysis investigates the efficacy of psychotherapeutic interventions and psychopharmacotherapy for premenstrual syndrome (PMS) and premenstrual dysphoric disorder. Based on a multiple-phase literature search, controlled trials were selected according to a priori defined inclusion criteria. Data were extracted on the basis of a standardized coding scheme. The standardized weighted mean difference (random effects model) was used as effect size index. Dependent on outcome, 22… Expand

Paper Mentions

Interventional Clinical Trial
The purpose of this study is to determine whether an internet-based CBT (iCBT) is effective in reducing the impairment caused by premenstrual symptoms.  
ConditionsPremenstrual Syndrome (PMS)
InterventionBehavioral, Other
Internet-Based Cognitive-Behavioural Intervention for Women with Premenstrual Dysphoric Disorder: A Randomized Controlled Trial
TLDR
The iCBT was highly effective in reducing the burden of PMDD, and it appears to be particularly important to address coping styles and stress management in the treatment. Expand
Effect of psychosocial interventions on the severity of premenstrual syndrome: a meta-analysis
TLDR
Psychosocial interventions, especially coping skills training for women with PMS, were effective in reducing the severity of PMS; however, needed caution due to the small number of studies. Expand
Reply to “Questioning the Beneficial Effects of Internet-Based Cognitive Behavioral Therapy on Premenstrual Dysphoric Disorder”
TLDR
The moderator effect of seeking social support as a coping mechanism is rather unlikely to be attributed to a current diagnosis of depression only, because the involved neuronal brain circuits and the exact changes in serotonin metabolism have been different between depression and PMDD. Expand
Internet-based cognitive behavioural self-help for premenstrual syndrome: study protocol for a randomised controlled trial
TLDR
Evaluating the efficacy of a cognitive behavioural self-help treatment for women suffering from premenstrual syndrome based on cognitive behavioural therapy principles via the internet as a randomised controlled trial. Expand
A Comprehensive Review of Treatment Options for Premenstrual Syndrome and Premenstrual Dysphoric Disorder
TLDR
Serotoninergic antidepressants have been established as the first-line treatment option for PMDD; however, there are a variety of additional treatment options that should be considered if a patient fails to achieve an adequate therapeutic response with a selective serotonin reuptake inhibitor. Expand
Premenstrual Dysphoric Disorder Without Comorbid Psychiatric Conditions: A Systematic Review of Therapeutic Options
TLDR
Based on the results of the qualitative synthesis, the best therapeutic option in the treatment of adult PMDD patients free of other mental disorders are selective serotonin reuptake inhibitor antidepressants and low doses of oral estroprogestins. Expand
Case of a Girl with Irritability and Mood Swings with Her Periods
Premenstrual syndrome and its more severe counterpart, premenstrual dysphoric disorder, are characterized by somatic, behavioral, and affective symptoms in the luteal phase of the menstrual cycle.Expand
Comorbid Premenstrual Dysphoric Disorder in Women with Bipolar Disorder: Management Challenges
TLDR
The management of comorbid PMDD/BD needs as a first step to stabilize the bipolar symptoms by means of optimal dosages of mood stabilizers, and in euthymic BD patients, the PMDD symptoms could be treated with estroprogestins. Expand
Treating comorbid premenstrual dysphoric disorder in women with bipolar disorder.
TLDR
The use of anti-depressants in this population should be restricted to patients in whom PMDD is disabling and is not responsive to hormonal agents, as well as practical, stepwise recommendations for the diagnosis and management of these comorbid conditions. Expand
How to measure the impact of premenstrual symptoms? Development and validation of the German PMS-Impact Questionnaire
TLDR
The PMS-Impact Questionnaire was found to be a valid, reliable, and an economic measure to assess the impact of premenstrual symptoms and cross validations and confirmatory factor analyses should be conducted. Expand
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References

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Psychological Intervention for Premenstrual Syndrome: A Meta-Analysis of Randomized Controlled Trials
TLDR
Low quality evidence from randomized trials suggests that cognitive behavioural therapy may have important beneficial effects in managing symptoms associated with premenstrual syndrome. Expand
Differential response to antidepressants in women with premenstrual syndrome/premenstrual dysphoric disorder: a randomized controlled trial.
TLDR
The comparison of 2 classes of antidepressants strongly favored the serotonergic drug, which effectively reduced symptoms and improved functioning and was well tolerated by women with severe premenstrual syndrome. Expand
Selective Serotonin Reuptake Inhibitors for Premenstrual Syndrome and Premenstrual Dysphoric Disorder: A Meta-Analysis
TLDR
A meta- analysis demonstrates that SSRIs are effective for treating PMS and premenstrual dysphoric disorder, with continuous dosing regimens favored for effectiveness. Expand
Medical (fluoxetine) and psychological (cognitive-behavioural therapy) treatment for premenstrual dysphoric disorder: a study of treatment processes.
TLDR
Evidence of differential treatment effects of fluoxetine and CBT for PMDD is provided and information that will enhance clinical decision-making is offered. Expand
Symptomatic Improvement of Premenstrual Dysphoric Disorder With Sertraline Treatment: A Randomized Controlled Trial
TLDR
Serotonin reuptake inhibitors such as sertraline are useful therapeutic options for women with premenstrual dysphoria as reflected by symptomatic improvement and change in reported functional impairment. Expand
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TLDR
Doses of paroxetine CR doses of 12.5 mg/day and 25 mg/ day are effective in treating PMDD and are well tolerated. Expand
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TLDR
The new antidepressant venlafaxine, which blocks reuptake of serotonin and norepinephrine, seems to be an effective means of treating premenstrual dysphoric disorder. Expand
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TLDR
SSRIs were found to be highly effective in treating premenstrual symptoms and there was no significant difference between trials funded by pharmaceutical companies and those independently funded. Expand
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TLDR
It is concluded that CT for PMS is associated with substantial improvements that cannot be attributed to the passage of time or the completion of the diary and other assessments, and is significantly more effective than assignment to the waitlist group. Expand
Efficacy of Intermittent, Luteal Phase Sertraline Treatment of Premenstrual Dysphoric Disorder
TLDR
Sertraline was significantly more effective than a placebo and was well tolerated as a treatment for premenstrual dysphoric disorder when administered intermittently during the luteal phase of the menstrual cycle. Expand
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