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Randomised trial, 2026

Which works better for PMDD: cognitive-behavioral therapy or mindfulness-based cognitive therapy?

Both therapies reduced stress and improved well-being in PMDD, with cognitive-behavioral therapy being more effective. However, neither significantly improved emotional well-being.

Moderate study design 120 female university students at Islamic Azad University diagnosed with PMDD

What they did

120 female university students with PMDD were divided into three groups of 20. Two groups received different therapies: cognitive-behavioral therapy (CBT) or mindfulness-based cognitive therapy (MBCT), delivered in eight 2-hour sessions. The third group served as control and received no intervention.

What they found

Both CBT and MBCT reduced perceived stress and increased subjective well-being compared to the control group. Cognitive-behavioral therapy was more effective than mindfulness-based cognitive therapy. However, neither therapy significantly improved emotional well-being.

What it means for you

Talk therapy can help women with PMDD reduce stress and feel better overall, with cognitive-behavioral therapy working better than mindfulness-based therapy. A limitation is that emotional well-being was not improved. This study used a control group but was not fully randomized, which limits confidence in the results.

120

female students

8

therapy sessions

2

hours per session

About the study

Original title
Comparing the Effectiveness of Cognitive-Behavioral Therapy and Mindfulness -Based Cognitive Therapy on Perceived Stress and Subjective Well-Being among Girls with Premenstrual Dysphoric Disorder
Authors
Zahra Seyfi Kordlar, Majid Baradaran, Azar Kiamarsi et al.
Journal
DOAJ (DOAJ: Directory of Open Access Journals)
Year
2026
Study design
Randomised trial
Participants
120
What was tested
Cognitive-behavioral therapy versus mindfulness-based cognitive therapy versus control

Topics