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


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



Premenstrual syndrome (PMS) is one of the most common causes of poor performance in girls and women.
The aim of this study was to examine the effect of group resilience counseling on PMS severity in adolescent girls.
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.
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).
Resilience counseling for girls with PMS can reduce the severity of PMS.