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Randomized Controlled Trial
. 2024 Feb 22;24(1):555.
doi: 10.1186/s12889-024-18003-0.

Effectiveness of computer-based stress inoculation training (SIT) counseling approach on anxiety, depression, and stress of students with premenstrual syndrome

Fatemeh Zolfaghary  1 , Hajar Adib-Rad  2   3 , Fatemeh Nasiri-Amiri  4 , Mahbobeh Faramarzi  4   5 , Hajar Pasha  4   5 , Hemmat Gholinia-Ahangar  6
Affiliations
Randomized Controlled Trial

Effectiveness of computer-based stress inoculation training (SIT) counseling approach on anxiety, depression, and stress of students with premenstrual syndrome

Fatemeh Zolfaghary et al. BMC Public Health. .

Abstract

Background: Premenstrual Syndrome (PMS) is a common public health issue affecting many women of reproductive age worldwide. This study has been designed to investigate of computer-based stress inoculation training (SIT) counseling approach on anxiety, depression, and stress of university students with PMS.

Methods: A randomized trial study with two parallel arms was done from 30 October 2022 to 21 June 2023 on 100 university students aged 18 to 38 at Babol University of Medical Sciences. The participants were randomly divided into two groups intervention and control. The data collection tools included questionnaires on demographic-fertility characteristics, the Premenstrual Symptoms Screening Tool (PSST), the Hospital Anxiety and Depression Scale (HADS), the Perceived Stress Scale (PSS-14), the Sheehan Disability Scale (SDS) and Riff's Psychological Well-being Scale (RPWS). The data were assessed using chi-square, t-student, ANOVA repeated measure, and linear regression tests. A significance level of P < 0.05 was considered for the analysis.

Results: The results of the study showed that the SIT interventions decreased the PMS severity and most psychological factors so in the intervention group, SIT was able to significantly reduce anxiety, depression, perceived stress, and Sheehan's disability after intervention (P < 0.001). Based on multiple linear regression analysis, the most predictors of HADS were the PSS and SDS (β = 0.285, p = 0.009 and β = 0.236, p = 0.024, respectively).

Conclusion: The computer-based SIT counseling approach could reduce the severity of symptoms and psychological factors in students. Therefore, SIT intervention is recommended to manage their PMS.

Trial registration: IRCT20230130057274N2.

Keywords: Anxiety; Depression; Premenstrual syndrome; Stress; Stress inoculation training.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
flowchart of participants
Fig. 2
Fig. 2
Status of premenstrual symptoms screening tools in students with premenstrual syndrome (n = 100)
Fig. 3
Fig. 3
Status of Sheehan disability scale in students with premenstrual syndrome (n = 100)
See this image and copyright information in PMC

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