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Randomised trial, 1991

Does cognitive-behavioral therapy work better than medication or relaxation for PMS?

Yes. Cognitive-behavioral therapy showed significant improvement after the first month that continued throughout and persisted at 3-month follow-up. Medication and relaxation showed quick improvement that faded after 2 months.

Early or limited evidence Women with PMS, approximately 10 percent of whom are severely affected during reproductive years

What they did

A study comparing three approaches: cognitive-behavioral therapy (a psychological treatment focused on thoughts and behaviors), hormone medication, and relaxation exercises (control group). Women's symptoms were measured over 2 months with follow-up at 3 months.

What they found

Hormone medication and relaxation showed rapid initial symptom improvement that decreased after 2 months. Cognitive-behavioral therapy showed significant benefits after the first treatment month that continued throughout and were maintained at the 3-month follow-up.

What it means for you

Cognitive-behavioral therapy may provide longer-lasting relief than medication or relaxation for PMS. Main limits are that sample sizes were not reported and there was high dropout in the relaxation control group.

10%

of women severely affected by severe PMS

2

months when medication and relaxation benefits faded

3

months of follow-up for CBT benefits

About the study

Original title
A comparison of hormone therapy, coping skills training, and relaxation for the relief of premenstrual syndrome
Authors
Morse CA, Dennerstein L, Farrell E et al.
Journal
Journal of behavioral medicine
Year
1991
Study design
Randomised trial
What was tested
Cognitive-behavioral therapy

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