Das Spektrum prämenstrueller Veränderungen - Erscheinungsbild, Einflussfaktoren und Behandlung
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Philipps-Universität Marburg
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Abstract
Up to 90% of all women experience premenstrual changes (Campagne & Campagne, 2007). There are over 200 different premenstrual changes in research and literature, which can be somatic and psychological as well as negative and positive. So far, the focus in research and society has been on negative premenstrual changes (King & Ussher, 2012). This focus can be explained by the entities of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). Following the DSM-5, PMDD can be diagnosed if a certain number of premenstrual symptoms occur regularly and are accompanied by impairment. The diagnosis of PMDD covers a large number of different clinical patterns that cannot be differentiated using the diagnostic guidelines of the DSM-5 (Quintana-Zinn et al., 2017). Accordingly, there is little evidence to date about the relationship between different patterns and impairments. In the treatment of clinically relevant premenstrual changes, there are indications of the effectiveness of cognitive-behavioral therapeutic approaches. However, the methodological quality of these intervention studies is not satisfactory (Busse, 2009). The spectrum of premenstrual changes has not been examined. Based on research results to date, two focal points were derived for this dissertation.
On the one hand, a differentiated approach to premenstrual changes was promoted. For this purpose, the influence of knowledge about positive and negative changes under consideration of somatosensory amplification was experimentally investigated (study I). The understanding of positive and negative premenstrual changes has a decisive impact on the premenstrual experience. Next to that, we found a correlation between the extent of somatosensory amplification and reported premenstrual changes. In study IV, prospectively recorded diary data were analyzed. Results found distinct symptom patterns of negative premenstrual changes; which are associated differently with different kinds of impairment.
On the other hand, a cognitive-behavioral therapy-based treatment approach for PMDD was tested for its effectiveness in a randomized controlled intervention study (study III). To examine premenstrual coping strategies as a possible moderator, an inventory for assessing premenstrual coping strategies was developed beforehand (study II).
Overall, the effectiveness of the cognitive-behavioral therapeutic approach has been demonstrated. The Internet-supported approach thus offers a cost-effective, low-threshold treatment option for women affected by PMDD. In the experimental study on the influence of knowledge on the report of positive premenstrual changes, the chances of a holistic view of negative and positive premenstrual changes are outlined. By providing information on both types of premenstrual changes, the positive premenstrual experience could be promoted and negative premenstrual symptoms compensated. Furthermore, in the last study, distinct symptom patterns were found. These can serve as a basis for a differentiated diagnosis and treatment of premenstrual changes to further develop and individualize treatment programs.
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Created: 2018Issued: 2018-12-20Updated: 2018-12-20
Faculty
Fachbereich Psychologie
Publisher
Philipps-Universität Marburg
Language
ger
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DoctoralThesis
Keywords
Premenstrual Dysphoric Disorder (PMDD)cognitive-behavioural thInternetbasierte SelbsthilfePrämenstruelle Dysphorische Störung (PMDS)positive prämenstruelle Veränderungenpositive premenstrual changesPremenstrual Syndrome (PMS)Prämenstruelles Syndrom (PMS)KognitInternet-based self-help
DFG-subjects
DiagnostikPsychologiePsychotherapieBehandlung
DDC-Numbers
150
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Kaiser, Gudrun: Das Spektrum prämenstrueller Veränderungen - Erscheinungsbild, Einflussfaktoren und Behandlung. : Philipps-Universität Marburg 2018-12-20. DOI: https://doi.org/10.17192/z2019.0051.