COMPLEMENTARY THERAPIES FOR PREMENSTRUAL SYNDROME: A COMPREHENSIVE REVIEW OF EVIDENCE-BASED INTERVENTIONS
DOI:
https://doi.org/10.58526/ezrasciencebulletin.v3i2.430Keywords:
Premenstrual syndrome (PMS), Adolescents, Complementary therapy, Cognitive Behavioral Therapy (CBT), motional Freedom Technique (EFT), Mindfulness, Emotion-focused therapyAbstract
Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are common conditions among adolescent girls, characterized by recurring physical, emotional, and behavioral symptoms that significantly affect quality of life and daily functioning. Conventional treatments, such as hormonal therapy and pharmacological agents, often have limitations in long‑term adherence and potential side effects, creating a need for holistic and non‑pharmacological alternatives. This review aims to analyze and synthesize evidence on complementary therapies that are effective in managing PMS and PMDD among adolescents. A comprehensive literature review was conducted using databases including PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar for studies published between 2018 and 2025. Search keywords included “premenstrual syndrome,” “adolescents,” “complementary therapy,” “cognitive behavioral therapy,” “mindfulness,” and “emotional freedom technique.” Inclusion criteria were randomized controlled trials (RCTs) and quasi-experimental studies evaluating non-pharmacological interventions with measurable outcomes related to PMS symptom reduction and psychological well-being. Ten studies met the criteria, highlighting the effectiveness of Cognitive Behavioral Therapy (CBT), Internet-based CBT (ICBT), Emotional Freedom Technique (EFT), mindfulness-based programs, and emotion-focused therapy. These interventions significantly reduced PMS and PMDD symptoms (p < 0.05), improved emotional regulation, resilience, and quality of life, and demonstrated effects that persisted up to 1–1.5 months post-intervention. Complementary therapies offer holistic, safe, and accessible strategies for managing PMS in adolescents, addressing both physical and emotional dimensions. Integrating these evidence-based approaches into adolescent health programs could provide sustainable benefits, reduce the burden of PMS while promoting psychological well-being and adaptive coping skills.
References
Azam, M., & Shoaib, S. (2024). The Effect of Cognitive Behavioral Therapy on the Symptoms of Premenstrual Dysphoric Disorder of Pakistani Female Adolescents. Annals of Human and Social Sciences, 5(I). https://doi.org/10.35484/ahss.2024(5-i)46
Bakır, N., Irmak Vural, P., & Körpe, G. (2022). The effects of emotional freedom techniques on coping with premenstrual syndrome: A randomized control trial. Perspectives in Psychiatric Care, 58(4), 1502–1511. https://doi.org/10.1111/ppc.12957
Başoğul, C., Aydın Özkan, S., & Karaca, T. (2020). The effects of psychoeducation based on the cognitive-behavioral approach on premenstrual syndrome symptoms: A randomized controlled trial. Perspectives in Psychiatric Care, 56(3), 515–522. https://doi.org/10.1111/ppc.12460
Borji-Navan, S., Mohammad-Alizadeh-Charandabi, S., Esmaeilpour, K., Mirghafourvand, M., & Ahmadian-Khooinarood, A. (2022). Internet-based cognitive-behavioral therapy for premenstrual syndrome: a randomized controlled trial. BMC Women’s Health, 22(1), 1–11. https://doi.org/10.1186/s12905-021-01589-7
Branecka-Wozniak, D., Cymbaluk-Ploska, A., & Kurzawa, R. (2022). The impact of premenstrual syndrome on women’s quality of life - a myth or a fact? European Review for Medical and Pharmacological Sciences, 26(2), 598–609. https://doi.org/10.26355/eurrev_202201_27887
Dehnavi, S. I., Mortazavi, S. S., Ramezani, M. A., Gharraee, B., & Ashouri, A. (2024). Emotion-focused therapy for women with premenstrual dysphoric disorder: a randomized clinical controlled trial. BMC Psychiatry, 24(1), 1–11. https://doi.org/10.1186/s12888-024-05681-8
Gilandoust, A., Henormand, M. M., & Yavari, A. (2023). The effect of cognitive behavioral therapy on symptoms of premenstrual syndrome and premenstrual dysphoric disorder. Advance in Cognitive Science, 25(3), 64–76. http://icssjournal.ir/article-1-1612-en.html
Khodakarami, B., Babakhani, N., Masoumi, S. Z., Mohagheghi, H., & Farhadian, M. (2023). The Effect of Cognitive-behavioral Counseling on the Resilience of Female Adolescents with Premenstrual Syndrome: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery, 11(4), 237–246. https://doi.org/10.30476/ijcbnm.2023.99040.2276
Liguori, F., Saraiello, E., & Calella, P. (2023). Premenstrual Syndrome and Premenstrual Dysphoric Disorder’s Impact on Quality of Life, and the Role of Physical Activity. Medicina (Lithuania), 59(11). https://doi.org/10.3390/medicina59112044
Liu, Q., Lin, Y., & Zhang, W. (2024). Psychological stress dysfunction in women with premenstrual syndrome. Heliyon, 10(22), e40233. https://doi.org/10.1016/j.heliyon.2024.e40233
Mazaheri Asadi, D., Zahedi Tajrishi, K., & Gharaei, B. (2022). Mindfulness Training Intervention With the Persian Version of the Mindfulness Training Mobile App for Premenstrual Syndrome: A Randomized Controlled Trial. Frontiers in Psychiatry, 13(June), 1–9. https://doi.org/10.3389/fpsyt.2022.922360
Meng, Y., Chang, L., Hou, L., & Zhou, R. (2022). Menstrual attitude and social cognitive stress influence autonomic nervous system in women with premenstrual syndrome. Stress, 25(1), 87–96. https://doi.org/10.1080/10253890.2021.2024163
Mirhoseyni, F., Demehri, F., & Azizi, M. (2025). The effectiveness of emotional freedom technique on menstrual pain and emotional regulation in female students Introduction. 11(3), 68–81.
Tiranini, L. (2022). Recent advances in understanding / management of premenstrual dysphoric disorder / premenstrual syndrome. 11.
Ummah, T., & Ismarwati. (2024). The impact of complementary therapies on dysmenorrhea in young women. Majalah Obstetri & Ginekologi, 32(1), 29–38. https://doi.org/10.20473/mog.v32i12024.29-38
Yazar, M., Dağ Tüzmen, H., Altuntuğ, K., & Ege, E. (2025). The Effect of Emotional Freedom Technique on Premenstrual Syndrome and Pain in University Students: A Randomized Controlled Study. Turkiye Klinikleri Journal of Medical Sciences, 45(1), 24–32. https://doi.org/10.5336/medsci.2024-104471
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Copyright @2022. This is an open-access article distributed under the terms of the Creative Commons Attribution-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-sa/4.0/) which permits unrestricted commercial used, distribution and reproduction in any medium
Ezra Science Bulletin is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



