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Stress inoculation training (cognitive-behavioural therapy) can serve as a promising alternative to conventional treatments and can help individuals manage stress and build resilience against the challenges related to menstrual cramps.
Meichenbaum’s computer-based stress inoculation training (SIT) has proven highly effective in relieving pelvic pain, reducing anxiety and depression, and encouraging pain management self-confidence among students suffering from primary dysmenorrhea, a study published in “BMC Medical Education” described.
Primary dysmenorrhea presents as one of the most common sources of pain for women which is often accompanied by intense pain in the pelvic region, emotional distress, and high levels of perceived stress. The clinical trial under focus by Leila Dailer and colleagues involved 100 students with primary dysmenorrhea, who underwent eight multimedia-based SIT sessions delivered through a computer platform. Each session was interactive, with participants answering questions concerning the topics of the session. The sessions, which lasted around 50 minutes each, were delivered offline to participants.
To measure the impact of the intervention, participants completed a range of assessments, such as the McGill Pain Index, Moos Menstrual Distress Questionnaire to study the influence of menstrual distress on routine activities, Zigmond and Snaith’s Hospital Anxiety and Depression Scale, Pain Self-Efficacy Questionnaire and Perceived Stress Scale to evaluate last month’s stress. Results favoured the use of SIT as it considerably reduced depression, anxiety, menstrual distress, intensity of pain and perceived stress while increasing pain self-efficacy.
Depression and anxiety levels were particularly lowered, with significant decreases (p < 0.05). Also, factors like age and dormitory living had an impact on depression levels, while birth rank and university admission type impelled pain self-efficacy. This research emphasises the prospect of computer-based SIT as a valuable intervention for women with primary dysmenorrhea.
BMC Medical Education
The effect of computer-based Stress Inoculation Training (SIT) approach on the pelvic pain, depression, and anxiety in students with primary dysmenorrhea: a clinical trial study
Leila Dailer et al.
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