The Effect of Resilient Counseling on the Symptoms of Premenstrual Syndrome among Adolescent Girls in Hamadan, Iran, 2018 A Clinical Trial

Document Type : Original Article

Authors

1 Department of Midwifery, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran

2 Department of Psychology, Faculty of Economic and Social Sciences, BU‑Ali Sina University, Hamadan, Iran

3 Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran

10.4103/nms.nms_3_22

Abstract

Background: 
Premenstrual syndrome (PMS) is one of the most common causes of poor performance in girls and women.
Objectives: 
The aim of this study was to examine the effect of group resilience counseling on PMS severity in adolescent girls.
Methods: 
A randomized controlled trial was conducted on 120 high school girls in Hamadan, Iran. Participants were recruited conveniently and randomly assigned to an intervention group (n = 60) and a control group (n = 60). The intervention group participated in eight 1-h resilience counseling sessions, whereas the control group received no intervention. Data were collected using a demographic characteristics form, the Premenstrual Symptoms Screening Tool, and the Connor-Davidson Resilience Scale. The primary and secondary outcome measures were PMS severity and resilience score. The independent samples and paired samples t-tests were used to analyze the data.
Results: 
Most of the participants in the intervention and control groups had severe PMS symptoms at baseline (61.7% and 63.3%, respectively). However, after the intervention, the majority of the intervention group reported mild (36.7%) or moderate (46.4%) symptoms (P < 0.001). No significant changes occurred in the control group. The mean total resilience score in the intervention group increased from 50.5 ± 14.9 to 67.3 ± 15.2 (P < 0.001).
Conclusion: 
Resilience counseling for girls with PMS can reduce the severity of PMS.

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