The Effect of Cognitive-behavioral Counseling on the Resilience of Female Adolescents with Premenstrual Syndrome: A Randomized Controlled Trial.
Batoul Khodakarami, Narges Babakhani, Seyedeh Zahra Masoumi and 2 others
PMID 37901183WHAT IT FOUND
Group cognitive-behavioral counseling raised resilience scores in adolescent girls with moderate to severe PMS.
Total resilience improved significantly over three months compared with no intervention, except for the spiritual influences subscale.
Key findings
01The intervention group showed significantly higher total resilience and most subscale scores than the control group three months after counseling.
02Total resilience scores in the intervention group increased from 50.50 to 67.30, while the control group changed minimally from 58.20 to 59.20.
03The counseling did not significantly improve the spiritual influences subscale of resilience.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The intervention group had lower baseline resilience scores than the control group, which may have influenced the magnitude of improvement. Participants and counselors were not blinded to the intervention, which could introduce performance or detection bias. The study only measured resilience, not PMS symptom severity or quality of life directly, so the clinical impact on PMS itself is inferred. The follow-up period was three months, so long-term effects are unknown. The intervention had no effect on the spiritual influences subscale, suggesting a limited scope of impact.
Declared interests
The study was funded by Hamadan University of Medical Sciences (project number 9509025106). The authors declared no conflicts of interest.
The easy way to misread this
Do not assume this counseling reduces PMS physical symptoms or improves overall quality of life directly. The study measured resilience, not symptom severity, and the control group started with higher resilience scores, which complicates the comparison.