From: Internet-based cognitive-behavioral therapy for premenstrual syndrome: a randomized controlled trial
Outcomes | Baseline | Post-intervention | ||||
---|---|---|---|---|---|---|
Intervention n = 46 | Control n = 46 | Intervention n = 42 | Control n = 46 | Adjusted differencea (95% CI) | P | |
Primary outcomes | Â | Â | Â | Â | Â | Â |
Total score of premenstrual syndrome severityb (0–100) | 20.1 (10.7) | 20.4 (10.3) | 10.4 (10.0) | 20.2 (10.0) | − 9.9 (− 13.3 to − 6.6) | < 0.001 |
Quality of life and satisfaction (0–100)c |  |  |  |  |  |  |
 Peri-menstrual period | 49.3 (16.4) | 50.4 (12.8) | 64.2 (15.4) | 50.3 (10.8) | 14.1 (8.5 to 19.8) | < 0.001 |
 Late follicular period | 63.0 (14.1) | 65.5 (10.3) | 68.3 (15.4) | 67.3 (12.3) | 1.9 (− 4.4 to 8.1) | 0.975 |
Secondary outcomes | Â | Â | Â | Â | Â | Â |
Sub-scales of premenstrual syndrome symptoms | Â | Â | Â | Â | Â | Â |
 Depressive symptoms (0–100) | 19.1 (12.5) | 18.8 (11.6) | 8.7 (10.2) | 18.6 (10.5) | − 10.2 (− 13.0 to − 7.3) | < 0.001 |
 Physical symptoms (0–100) | 15.1 (9.4) | 20.2 (12.9) | 12.7 (9.0) | 18.6 (12.4) | − 2.1 (− 4.1 to − 0.1) | 0.041 |
 Anger/irritability (0–100) | 26.3 (15.6) | 24.2 (15.9) | 12.9 (13.1) | 23.7 (11.5) | − 12.0 (− 16.2 to − 7.9) | < 0.001 |
 Reduced productivity at work/school/or home (1–6) | 1.7 (0.7) | 1.8 (0.7) | 1.3 (0.5) | 1.9 (0.7) | − 0.6 (− 0.8 to − 0.3) | < 0.001 |
 Interfered with hobbies or social activities (1–6) | 1.7 (0.7) | 1.8 (0.8) | 1.3 (0.5) | 2.1 (0.7) | − 0.8 (− 1.0 to − 0.6) |  < 0.001 |
 Interfered with relationships with others (1–6) | 1.7 (0.8) | 1.9 (0.9) | 1.3 (0.6) | 2.3 (0.7) | − 0.9 (− 1.2 to − 0.7) | < 0.001 |
Disability severityd | Â | Â | Â | Â | Â | Â |
 Total (0–30) | 11.0 (6.2) | 13.1 (4.6) | 6.0 (4.7) | 13.8 (5.0) | − 6.9 (− 8.7 to − 5.2) | < 0.001 |
 In work/school work (0–10) | 2.9 (2.7) | 4.1 (2.4) | 1.6 (1.8) | 4.1 (2.5) | − 2.2 (− 3.1 to − 1.3) | < 0.001 |
 In social life (0–10) | 4.0 (2.6) | 4.4 (2.0) | 2.1 (1.8) | 4.5 (2.0) | − 2.4 (− 3.1 to − 1.7) | < 0.001 |
 In family life/home responsibilities (0–10) | 4.1 (2.6) | 4.7 (1.8) | 2.3 (1.9) | 5.1 (1.6) | − 2.7 (− 3.4 to − 2.0) | < 0.001 |
Menstrual attitudee | Â | Â | Â | Â | Â | Â |
 Menstruation as a debilitating event (12–84) | 59.2 (9.2) | 58.9 (8.8) | 52.5 (9.9) | 56.9 (8.7) | − 4.7 (− 7.9 to − 1.6) | 0.003 |
 Menstruation as a bothersome event (6–42) | 24.8 (6.7) | 23.7 (6.1) | 21.8 (6.8) | 23.5 (6.6) | − 2.2 (− 4.1 to − 0.3) | 0.022 |
 Menstruation as a natural event (4–28) | 25.0 (5.2) | 25.7 (4.5) | 27.4 (4.8) | 25.4 (4.7) | 2.0 (0.8 to 3.2) | 0.002 |
 Anticipation and prediction of the onset of menstruation (4–28) | 26.9 (3.7) | 27.4 (3.6) | 25.2 (5.1) | 27.0 (3.5) | − 1.5 (− 3.1 to 0.0) | 0.059 |
 Denial of any effect of menstruation (7–49) | 19.8 (5.3) | 19.0 (4.6) | 22.3 (6.1) | 18.5 (5.7) | 3.3 (1.1 to 5.5) | 0.004 |