Effect of a psychoeducation program based on cognitive-behavioral psychodrama techniques on premenstrual syndrome symptoms: a randomized controlled trial

Psychol Health Med. 2025 Jan;30(1):178-190. doi: 10.1080/13548506.2024.2424999. Epub 2024 Nov 6.

Abstract

Premenstrual syndrome is characterized by physical and psychological symptoms that negatively affect daily functioning. This study investigated the effect of a psychoeducation program based on cognitive-behavioral psychodrama techniques on premenstrual syndrome symptoms. This study utilized a 2 × 2 pretest-posttest, experimental-control group research design. The sample consisted of 32 participants randomized into experimental (n = 16) and control (n = 16) groups. The experimental group participated in a seven-session psychoeducation program based on cognitive-behavioral psychodrama techniques. Data were collected using a personal information questionnaire and the Premenstrual Syndrome Scale (PMSS). The experimental group demonstrated a significantly lower median posttest PMSS total and 'depressive affect', 'fatigue', 'irritability', 'depressive thoughts', 'changes in appetite' and 'changes in sleeping habits' subscale scores than the pretest score (p < .05). Moreover, the experimental group had a significantly lower median posttest 'anxiety' score than the control group (p = .021). A psychoeducational program based on cognitive-behavioral and psychodrama techniques can be used as an effective therapeutic intervention to relieve or managing premenstrual symptoms.

Keywords: Cognitive-behavioral therapy; premenstrual syndrome; psychodrama; therapeutic intervention.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anxiety / psychology
  • Anxiety / therapy
  • Cognitive Behavioral Therapy* / methods
  • Depression / psychology
  • Depression / therapy
  • Female
  • Humans
  • Patient Education as Topic / methods
  • Premenstrual Syndrome* / psychology
  • Premenstrual Syndrome* / therapy
  • Psychodrama / methods
  • Young Adult