Physiological and psychological reactivity in women with asthma: the effects of anxiety and menstrual cycle phase.

The relation between menstrual cycle timing, panic attacks, and diagnosis of asthma was explored in this study. Women with or without asthma and with or without a history of panic attacks engaged in a psychophysiological task during either the intermenstrual or premenstrual cycle phase and completed self-report measures of menstrual symptoms and attitudes, general psychological symptoms, and attitudes toward illness. No significant differences were identified for psychological or psychophysiological measures with menstrual cycle phase as a factor. However, women with both asthma and a history of panic attacks reported more general psychological distress than women in the other groups, and more state anxiety than controls. Women in the asthma, asthma and panic, and panic groups reported higher anxiety sensitivity than the control group. After listening to asthma-related scenes, women with asthma exhibited a decrease in peak expiratory air flow, and women with asthma and panic exhibited increased skin conductance response magnitude. Implications for the role of anxiety in lung function are discussed, as well as directions for future research with asthma and anxiety populations.     

Symptom Attributions Across the Menstrual Cycle in Women with Panic Disorder

Women with panic disorder are likely to experience greater menstrual-specific symptoms (e.g., headaches, cramps) as well as more panic/anxiety-related symptoms (e.g., dizziness, faintness, chest pain, heart pounding), and may be more likely to experience these symptoms during the premenstrual phase. This study examines the attributions women make about the somatic and affective symptoms they experience during the menstrual cycle. Using a 30-day prospective design, women with and without panic disorder monitored physical and affective symptoms. Participants reported on severity of various symptoms and a primary cause for each symptom (menstrual cycle-related, panic/anxiety related, stress-related, health-related). Women with panic disorder reported more panic attacks during the premenstrual phase compared to other cycle phases. They also reported more severe affective and panic symptoms during the premenstrual phase compared to other phases, but did not significantly differ from the comparison group in menstrual symptom severity across the three cycle phases. Although women with panic disorder attributed more panic/anxiety-related causes for their symptoms across the menstrual cycle, they were able to discriminate between panic/anxiety causes and menstrual cycle-related causes. Women with panic disorder may benefit for therapy that focuses on their exacerbation of panic symptoms during the premenstrual phase.     

The Relationship Between Premenstrual Distress and Anxiety Sensitivity: The Mediating Role of Rumination

Given that premenstrual distress is reported by large numbers of women, research has focused on the identification of biological and psychological factors that influence its severity. Previous research suggests that women who are high in anxiety sensitivity also report greater levels of premenstrual distress and negative affect. According to the menstrual reactivity hypothesis, women who have a tendency to self-focus and catastrophize about physical sensations are more likely to report greater levels of premenstrual distress. Cognitive schemas surrounding the menstrual cycle develop that are influenced by gender roles, cultural stereotypes, and expectations about bodily sensations. Another cognitive process, rumination, may also be linked to increased reports of premenstrual distress. Conceptually, the constructs of anxiety sensitivity and rumination share the tendency to self-focus on internal states. The goal of this study was to investigate how these two constructs relate to the prediction of premenstrual distress in a large sample of healthy undergraduate women (N = 478). Using mediational modeling, support was found for a mediational model; women who reported high levels of rumination and anxiety sensitivity reported the greatest premenstrual distress. These results are discussed within the framework of the menstrual reactivity hypothesis, a diathesis-stress model of premenstrual distress.     

Men's and women's attitudes and beliefs about the menstrual cycle

Recent analyses of menstrual distress have emphasized sociocultural influences. Yet beliefs and attitudes of men—an important socialization force in the lives of women—have received little attention. In the present study, 239 students (156 females and 83 males) from three colleges filled out a survey on expectations for menstrual and premenstrual symptoms, attitudes about mensturation, sources of menstrual-related information, and effects of menstruation upon daily activities. The major findings are as follows: First, although both males and females believed women experience certain cycle-related symptoms, females reported that women experience more severe menstrual and premenstrual symptoms (when compared to intermenstrual ones) than males reported, while males believed women experience more severe menstrual than premenstrual symptoms than females believed. Second, males learned less about menstruation from the majority of possible informational sources and rated most sources as more negative than did the females. Third, males believed that menstruation had more of an effect on women's moods and had a more debilitating effect on women's lives than did females. Fourth, females rated menstruation as more bothersome than did males. Fifth, more males believed their mothers experienced menstrual irritability and moodiness, while more females believed their mothers experienced swelling. The findings are discussed in terms of the role of socialization and the type of information imparted to males and females in America today.     

Physical Characteristics of the Menstrual Cycle and Premenstrual Depressive Symptoms

ABSTRACT— Little is known about the associations between premenstrual depressive symptoms and specific physical symptoms of the menstrual cycle. In a nonclinical sample of 183 female university students, six physical symptoms of the menstrual cycle (headaches, skin changes, gastrointestinal problems, breast changes, and coagulation and heaviness of menstrual bleeding) were tested for their associations with premenstrual depressive symptoms. The physical symptoms explained nearly 30% of the variance in depressive symptoms. Moreover, when the summed score for all six physical symptoms was used as a predictor of depressive symptoms, a strong linear effect and a moderate curvilinear effect were observed. These results could not be explained by response bias or by the presence of a small group of highly depressed individuals. This study emphasizes the need to consider physical symptoms of the menstrual cycle to better understand premenstrual depressive symptoms, and suggests that the contribution of the menstrual cycle to depressive symptoms in the general population is underrecognized.     

Frontal EEG asymmetry and premenstrual dysphoric symptomatology

Resting frontal electroencephalographic (EEG) asymmetry has been hypothesized to tap a diathesis toward depression or other emotion-related psychopathology. Frontal EEG asymmetry was assessed in college women who reported high (n = 12) or low (n = 11) levels of premenstrual negative affect. Participants were assessed during both the follicular and the late luteal phases of the menstrual cycle. Women reporting low premenstrual dysphoric symptomatology exhibited greater relative left frontal activity at rest than did women high in premenstrual dysphoric symptomatology, an effect that was not qualified by phase of cycle. Although women with extreme levels of symptomatology were assessed, the question of whether such symptoms qualified for premenstrual dysphoric disorder criteria was not assessed. These results are consistent with a diathesis-stress model for premenstrual dysphoric symptomatology.     

Ambivalent sexism,attitudes towards menstruation and menstrual cycle‐related symptoms

The objective of the present study was to investigate the relationship between ambivalent sexism and beliefs and attitudes towards menstruation, and, in turn, to study the influence of these variables on menstrual cycle‐related symptoms. One hundred and six Mexican women completed the Ambivalent Sexism Inventory, the Beliefs about and Attitudes toward Menstruation Questionnaire and the Menstrual Distress Questionnaire. The higher scores on benevolent sexism were associated with the most positive attitudes towards menstruation and also with the belief that a menstruating woman should or should not do some activities and that menstruation keeps women from their daily activities. The higher scores on hostile sexism were associated with rejection of menstruation as well as with feelings of embarrassment about it. Beliefs about and attitudes towards menstruation predicted menstrual cycle‐related symptoms related to negative affect, impaired concentration and behavioural changes, but did not predict somatic symptoms. These results will be useful to health professionals and advocates who want to change the negative expectations and stereotypes of premenstrual and menstrual women and reduce the sexism and negative attitudes towards women that are evident in Mexican culture.     

Emotional distress and the perceived interference of menstruation

The relation of perceived interference of menstruation on expected behaviors to emotional distress was examined. It was predicted that the perceived interference of menstruation would be more predictive of emotional distress associated with menstruation than either menstrual or premenstrual pain. Participants completed measures of menstrual pain and visual analogue scales of emotional distress (anger, frustration, depression, anxiety, fear). Measures of perceived ability to tolerate the pain, the perceived interference of the pain, and attitudes toward menstruation were also collected. Results indicated that perceived interference was the strongest predictor of emotional distress secondary to menstrual pain. Ratings of menstrual and premenstrual pain were also significant predictors of emotional distress. Results supported the major hypothesis of the study and provide evidence that the appraisal of interference imposed by a particular condition or Stressor may be an important factor in stress and coping processes.     

Daily moods and symptoms: effects of awareness of study focus, gender, menstrual-cycle phase, and day of the week

Evaluated changes in daily ratings of moods and symptoms in 30 normally cycling women and 23 men. Women were randomly assigned to two groups for manipulating awareness of the study focus (aware vs. unaware). Principal-components analysis revealed six factors (Dysphoric Moods, Well-being, Physical Symptoms, Personal Space, Food Cravings, Depression) that accounted for 70% of the variance in daily ratings. Repeated-measures analyses revealed cyclic variation on each factor and no significant differences between aware and unaware women during premenstrual or menstrual phases on any measure. Unaware women reported less well-being than men during the premenstrual phase but did not differ on any other measure. Aware women did not differ from men in premenstrual or menstrual ratings on any measure. The way these findings relate to retrospective symptom reports, menstrual attitudes, and changes in moods and symptoms across the week was examined.     

Effects of Participation in a First Women's Studies Course on Collective Self‐Esteem,Gender‐Related Attitudes,and Emotional Well‐Being1

We studied the psychological sequelae of participation in a first women's studies course. It was hypothesized that this course would impact women's social identities (collective self‐esteem, CSE) and attitudes about gender (sexist and feminist beliefs). Further, we hypothesized that more liberal attitudes about gender would enhance mood, whereas awareness of devaluation (public CSE) would reduce mood. Female students enrolled in Psychology of Women (n= 55) and Introductory Psychology (n= 41) provided data at the beginning and end of an academic semester. As predicted, Psychology of Women students endorsed significantly more liberal attitudes about gender and awareness of devaluation over the course of the semester. Further, acceptance of feminist attitudes buffered against anxiety, whereas awareness of devaluation increased anxiety. The net effect was a nonsignificant change in anxiety for Psychology of Women students over time.     

Feminism and Attachment Parenting: Attitudes, Stereotypes, and Misperceptions

This paper investigated attitudes and stereotypes about what feminist women, primarily from the United States, believed about a number of practices associated with attachment parenting which is theorized to be both feminist and non-feminist. The goals of this study were to determine whether feminists endorsed attachment parenting and whether stereotypes of feminists’ beliefs corresponded to actual feminists’ attitudes. Women were recruited online, primarily through blogs, to complete an online survey about feminism and mothering. Four hundred and thirty one women comprised the sample for the current investigation and included heterosexual-identified feminist mothers (n?=?147), feminist non-mothers (n?=?75), non-feminist mothers (n?=?143), and non-feminist non-mothers (n?=?66). Participants were asked to rate their own attitudes towards specific practices associated with attachment parenting and to indicate their perceptions of the beliefs of the typical feminist. Results indicated that feminists were more supportive of attachment parenting practices than were non-feminists. Non-feminists, particularly mothers, held misperceptions about the typical feminist, seeing them as largely uninterested in the time-intensive and hands-on practices associated with attachment parenting. Feminist mothers also held stereotypes about feminists and saw themselves as somewhat atypical feminists who were more interested in attachment parenting than they thought was typical of feminists. Our data indicated that feminists did endorse attachment parenting and that stereotypes of feminists related to attachment parenting are untrue. Furthermore, the role of feminism in the identity of feminist mothers and whether attachment parenting is truly a feminist way to parent are discussed.     

THE FEMALE ROLE AND MENSTRUAL DISTRESS

Numerous studies of either sex role behavior (masculinity/femininity) or women's role attitudes (contemporary/traditional) as related to menstrual distress have amassed inconsistent and contradictory results. It was proposed that these two role variables may hold an interactive relationship with menstrual distress, and their study in isolation may have provoked less reliable results. An interaction was found with masculine women preferring a contemporary role and feminine women committed to traditional role values reporting greater menstrual and premenstrual distress. Feminine Contemporary and masculine traditional women revealed less distress ássociated with the menstrual cycle.     

Changes in Moods and Activation Levels During the Menstrual Cycle in Experimentally Naive Subjects

Two experiments providing additional validity data on the Profile of Mood States and the Thayer Activation-Deactivation Adjective Check List were per-formed. In the third and main experiment, seven normally menstruating women filled out both questionnaires at the same time every day for 90 days. They were not aware that they were participating in a study of menstruation. Analysis of the time series records of individual women revealed relatively few significant fluctuations in moods and activation levels. Analysis of the group data showed that Fatigue, Confusion, Deactivation/Sleep, and Depression/Dejection were significantly lower in the premenstrual phase than in the periovulatory phase of the cycle, while General Activation was higher. Anger/Hostility and Confusion were both lower in the menstrual phase than in the periovulatory phase. On a retrospective menstrual distress questionnaire, these same subjects say that they experience increases in anxiety, irritability, depression, and tension in the premenstrual phase of the cycle. The differences between individual and group data and the apparent discrepancy between daily self-reports and retrospective questionnaires are discussed.     

Menstrual Distress and Sex-Role Attributes

The relationship between severity of menstrual distress, measured by the Moos Menstrual Distress Questionnaire, and sex-role attributes, measured by the Bern Sex-Role Inventory, was examined for a group of 103 undergraduate women. Data were compared for women using and not using oral contraceptives and for women from different religious groups. Because trait anxiety, as measured by a 28-item short form adapted from the Taylor Manifest Anxiety Scale, was significantly correlated with menstrual distress, first-order correlations between distress and sex-role attributes partialled out anxiety scores. Although none of the sex-role attributes was significantly related to distress for the entire group or for the group of women using the pill, a significant positive relationship between masculinity and menstrual distress was noted for the group of women not using the pill. The pattern of results suggested that although sex role attributes and anxiety are related to reports of menstrual distress for Catholic women, only anxiety is associated with distress for Jewish women, and neither sex-role attributes nor anxiety is correlated with distress for Protestant women.     

Emotional regulation,attachment to possessions and hoarding symptoms

This study aimed to test which particular facets of emotion regulation (ER) are most linked to symptoms of hoarding disorder, and whether beliefs about emotional attachment to possessions (EA) mediate this relationship. A non‐clinical sample of 150 participants (108 females) completed questionnaires of emotional tolerance (distress tolerance, anxiety sensitivity, negative urgency – impulsivity when experiencing negative emotions), depressed mood, hoarding, and beliefs about emotional attachment to possessions. While all emotional tolerance measures related to hoarding, when considered together and controlling for depression and age, anxiety sensitivity and urgency were the significant predictors. Anxiety sensitivity was fully mediated, and urgency partially mediated, via beliefs regarding emotional attachment to possessions. These findings provide further support for (1) the importance of anxiety sensitivity and negative urgency for hoarding symptoms, and (2) the view that individuals with HD symptoms may rely on items for emotion regulation, leading to stronger beliefs that items are integral to emotional wellbeing.     

Menstrual symptom questionnaire: further psychometric evaluation

Novak, Jones, and Jones (1975) state that menstrual distress (dysmenorrhea) is the greatest cause of lost work hours among women, and Kistner (1970) estimate this to be 140 million annual work hours. Thirty-five percent of female adolescents. 25% of college women, and 60–70% of single females in their 30's and 40's are said to be invalid during menstruation (Green, 1971). Treatment procedures for primary dysmenorrhea have included hypnosis (Lackie, 1964), physical exercises (Golub. 1959). natural childbirth techniques (House, 1969), and oral contraceptives.

Though hormones are the most recent, frequent and effective treatment approach (Novak et al. 1975). Tyler (1973) cautions against their use because of possible adverse side effects. Recently, systematic desensitization (SD) has been used to relieve menstrual distress (Mullen, 1968, 1971; Reich, 1972; Tasto and Chesney, 1974) without risk of such side effects. Although SD has been effective, considerable response variability has been noted.

Becuase of this variability. Chesney and Tasto (1975a) developed the Menstrual Symptom Questionnaire (MSQ) to psychometrically identify two types of primary dysmenorrhea: spasdomic dysmenorrhea which designates distress during the flow period associated with excessive muscle tension, and congestive dysmenorrhea referring to premenstrual tension related to water retention. This instrument was designed to define types of menstrual symptoms and not symptom severity. Test-retest reliability was 0.87 and discrimination between spasdomic and congestive dysmenorrhea was highly significant. Of 48 women tested. 29 were identified as spasdomic with MSQ scores between 82 and 102, while 19 scored in the congestive range (46–68). Interestingly, no women scored in the median range (69–81), suggesting that there exists two unique types of primary dysmenorrhea identifiable by the MSQ. Subsequently, Chesney and Tasto (1975b) reported that congestive women did not respond to SD, while spasdomic symptoms were significantly reduced. It was hypothesized that the relaxation training component of SD was effective with spasmodic muscle tension symptoms and ineffective with congestive water retention symptoms. Consequently, the MSQ was thought capable of accounting for previously reported response variability of primary dysmenorrhea to SD.

The present study was intended to replicate Chesney and Tasto's (1975a, 1975b) findings. The following Null hypotheses were tested; (a) the MSQ does not have significant test-retest reliability; (b) the congestive-spasmodic symptom dimension of the MSQ is not dichotomous; and (c) the MSQ does not predict SD effectiveness     

Men's and Women's Beliefs about the Influence of the Menstrual Cycle on Academic Performance: A Preliminary Study1

A preliminary investigation of beliefs about the influence of the menstrual cycle on work performance was conducted. Undergraduate students were asked to make a pass/fail decision about a borderline exam mark based on a wide variety of educational, medical, and personal information about the candidate and to rate the importance of various factors in their decisions. Three versions of the questionnaire were used, varying only in the menstrual cycle status of the examinee. The results showed that students do believe that the premenstrual and, particularly, menstrual phases have a negative impact on performance. However, in this context, they were considered of minor importance compared with educational and personality factors.     

Pain perception across the menstrual cycle phases in women with chronic pain

The menstrual cycle has been reported to alter pain perception but the patterns differ among studies. It has been reported that estrogens may influence somatic sensory processes. The present aim was to investigate whether the perception of pain varies by phases of the menstrual cycle. 20 women with chronic low pain volunteered to participate and were asked to rate their pain each day during three successive menstrual cycles. The menstrual cycle was divided into four and five phases to be able to compare results. Analysis showed there were phase differences in pain ratings during the menstrual cycle. Regardless of whether the menstrual cycle was divided into four or five phases, women rated pain significantly higher in the menstrual and premenstrual phases than in the midmenstrual and ovulatory phases. This is consistent with other studies showing less pain sensitivity during phases of the menstrual cycle associated with high estrogen. Women with high pain frequency reported more frequently a passive coping style and catastrophizing thoughts.     

A Mixed-Methods Analysis of Feminist Beliefs and Feminist Identity Development Among College Women Survivors of Gender-Based Violence

Using a mixed-methods approach, we explored how college women’s lifetime experiences of physical or sexual gender-based violence (GBV) were associated with appraisals of GBV and their feminist beliefs or identity (N = 32). Women commented on their increased awareness of the prevalence of GBV, their desire to help other women, and their beliefs about the trustworthiness of men and the current state of gender equality. Women who perceived no or minimal influence of sexism on GBV attributed their GBV experiences to a flaw in themselves or the perpetrators (i.e., self-blame, poor vigilance) or as a reasonable disciplinary measure for their ‘misbehavior.’ We also found that some women reported agreement with pro-feminist beliefs, yet rejected a feminist identity. Our findings illustrate how feminist stigma and sexism might prevent women who endorse core feminist beliefs from characterizing GBV as a sexist event. Given the potential harmful consequences of GBV and other forms of sexism, connecting women with meaningful resources, such as empowering educational programs, nurturing peer-to-peer women’s support groups, and awareness campaigns, may help to facilitate sisterhood and alleviate distress. Our findings also support the need for clinical assessment of how GBV may have affected beliefs about gender, self, world, and others.     

The Relationship Between Perceived Parenting,Negative Core Beliefs,and Dysfunctional Attitudes Among Young Adults

Previous studies have found that perceived parenting is associated with dysfunctional attitudes that predict depression. However, few studies have empirically investigated processes by which perceived parenting is associated with dysfunctional attitudes. To fill this gap, this study tested the hypothesis that perceived low parental care would be associated with negative core beliefs, which, in turn, would be associated with dysfunctional attitudes. To strictly test the hypothesis, this study controlled for current depressive symptoms that could affect the relationships between study variables. The participants were 305 college students (141 females). The results differed by sex: for female students, the hypothesis was supported; for male students, negative core beliefs were associated with dysfunctional attitudes; however, perceived low care was not associated with negative core beliefs. The findings suggest that targeting low parental care and negative core beliefs for females and negative core beliefs for males may help prevent their dysfunctional attitudes and the resultant depression.