MENSTRUAL JOY The Construct and Its Consequences

Fifty female college students participated in a study of women's health. In a counterbalanced design, half of the participants completed the Menstrual Joy Questionnaire (MJQ) and the Menstrual Attitude Questionnaire (MAQ) in the first testing session. A week later they completed the Menstrual Distress Questionnaire (MDQ) and the Menstrual Attitude Questionnaire. The other participants completed the MDQ and MAQ in the first session and the MJQ and MAQ in the second. A multivariate analysis of variance revealed that those who received the MJQ first reported more positive cyclic changes on the MDQ and more positive attitudes on the MAQ. A follow-up study of 40 college students examined their responses to the MJQ. Participants reported that they were surprised or incredulous; most had not previously considered positive aspects of the menstrual cycle. Thirty percent reported that the MJQ had caused them to look at menstruation in a different way.     

Mentioning Menstruation: A Stereotype Threat that Diminishes Cognition?

To investigate menstruation as a stereotype threat that could have the effect of diminishing cognitive performance, 92 undergraduate women from a small, urban university in the Mid-Atlantic region of the United States (US) completed two cognitive tasks, a Stroop test, and an SAT-based mathematics test, as well as a Menstrual History Questionnaire (MH) and the Menstrual Attitudes Questionnaire (Brooks-Gunn and Ruble 1980). The MH served as the menstruation stereotype threat. Some women were also presented with positive information about menstruation, which served as the positive prime. The order of materials varied to yield four conditions: Menstruation Threat/No Positive Prime—MH first, then cognitive tasks; Menstruation Threat/Positive Prime—MH first, then positive information, then cognitive tests; Positive Prime/No Menstruation Threat—positive information first, then cognitive tasks, then MH; and No Positive Prime/No Menstruation Threat—cognitive tests first, then MH. In all four conditions, participants completed the Menstrual Attitudes Questionnaire last. Results indicated that participants receiving the Menstruation Threat completed significantly fewer items on the Stroop test. In addition, subjects in the No Positive Prime/Menstruation Threat condition performed more poorly on the Stroop the closer they were to their next period. This effect was absent for the Positive Prime/Menstruation Threat condition and reversed for participants in the Positive Prime/No Menstruation Threat. This suggests that positive priming moderates the relationship between closeness to menstruation and cognitive performance. Implications of the results for addressing stigma associated with menstruation are discussed.     

Prospective versus retrospective assessment of Menstrual cycle symptoms and moods: Role of Attitudes and beliefs

Prospective vs. retrospective self-reports of menstrual cycle symptoms and moods in users and nonusers of oral contraceptives were investigated. Subjects, aged from 17 to 27 years, included 56 women on the pill and 47 nonusers. The Menstrual Distress Questionnaire (MDQ) quantified physical symptomatology, while the Differential Emotions Scale (DES-IV) measured emotional states. Prospective reports suggested less discernible symptom and mood effects than did retrospective reports. Physical symptoms were significantly higher menstrually than premenstrually, whereas negative affects increased premenstrually. Women on the pill reported significantly fewer symptoms and negative moods than nonusers, although there were no significant differences in positive mood states. Menstrual Attitude Questionnaire (MAQ) scores suggested that nonusers of oral contraceptives found menstruation more debilitating than those on the pill. Based on a paper presented at the 5th Biennial Conference of the International Society for the Study of Individual Differences, Department of Experimental Psychology, Oxford University, July 22–26, 1991.     

Psychometric evaluation of the Menstrual Joy Questionnaire

Analysis of 10 terms in the Menstrual Joy Questionnaire of Delaney, Lupton, and Toth indicated that the 34 undergraduate students did not agree on the definitions of scale items. The authors discuss the use of this questionnaire as a stimulus in experimental research and as a measure of positive perimenstrual experience.     

IS A LITTLE (PSYCHIATRIC) KNOWLEDGE A DANGEROUS THING?

One hundred thirty-four participants completed a revised Menstrual Distress Questionnaire (MDQ), which included criteria for premenstrual dysphoric disorder (PMDD). Two weeks later the participants again completed the revised MDQ after reading either the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) diagnostic criteria for the PMDD or a copy of the same criteria retitled "Episodic Dysphoric Disorder," with all menstrual cycle references removed. Knowledge of the diagnosis did not affect women's perceptions of their own menstrual cycle-related symptoms, but it increased participants' perceptions of premenstrual changes as a problem for women in general. Chi-square analyses revealed that participants were more willing to attach a psychiatric diagnosis to women they know if they believed the diagnosis was related to the menstrual cycle.     

Problem-Solving Appraisal,Oral Contraceptive Use,and Menstrual Pain1

The effects of self-appraisal problem-solving ability and oral contraceptive use on ratings of menstrual pain were studied among 130 undergraduate women. Participants completed the Problem-Solving Inventory (Heppner, 1988) and the Menstrual Distress Questionnaire (Moos, 1984). Regression analyses indicated that oral contraceptives–which are often prescribed to relieve menstrual pain among college women–were not predictive of lower pain ratings. Problem-solving appraisal, however, was significantly predictive of pain. Ratings of effective personal control during problem solving were associated with lower ratings of premenstrual and menstrual pain. Results are discussed as they pertain to the study of psychological factors in menstruation, and to the study of problem solving and behavioral health.     

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.     

The menstrual distress questionnaire: Are the critics right?

The Menstrual Distress Questionnaire (MDQ) is the most widely used method of assessing premenstrual symptomatology. It is also the most frequently criticized instrument in this field. A review of the criticisms made toward the MDQ revealed three major issues concerning the reliability and validity of this instrument and the sample from whom normative data were gathered. These issues were examined in light of 49 studies that used this instrument between 1968 and 1990. Many of the criticisms were found to be justified. A marked lack of adequate research into the MDQ’s reliability, problems associated with the normative sample, and uncertain validity were found. In particular, the MDQ appears to measure constructs unrelated to the menstrual cycle and define premenstrual syndrome inaccurately. In addition, the factor structure of this instrument may be unstable. These conclusions were tempered with the knowledge that the MDQ has not been utilized to its full potential in most of the research conducted to date.     

The menstrual distress questionnaire: Are the critics right?

The Menstrual Distress Questionnaire (MDQ) is the most widely used method of assessing premenstrual symptomatology. It is also the most frequently criticized instrument in this field. A review of the criticisms made toward the MDQ revealed three major issues concerning the reliability and validity of this instrument and the sample from whom normative data were gathered. These issues were examined in light of 49 studies that used this instrument between 1968 and 1990. Many of the criticisms were found to be justified. A marked lack of adequate research into the MDQ’s reliability, problems associated with the normative sample, and uncertain validity were found. In particular, the MDQ appears to measure constructs unrelated to the menstrual cycle and define premenstrual syndrome inaccurately. In addition, the factor structure of this instrument may be unstable. These conclusions were tempered with the knowledge that the MDQ has not been utilized to its full potential in most of the research conducted to date.     

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     

Menstrual cycle as focus of study and self-reports of moods and behaviors

Retrospective questionnaires show cyclical variations in moods and behaviors across the menstrual cycle. However, results obtained from daily mood questionnaires are inconsistent. In the present study, which ran for 11 weeks, self-report measures of menstrual symptomatology, using the 8-factor Moos (1968, 1969 a,c) Menstrual Distress Questionnaire (MDQ), were investigated. The MDQ was administered under conditions that made the menstrual cycle a salient (retrospective questionnaire) or not a salient (daily questionnaire) part of the study. The study included women who were taking and not taking oral contraceptives. A 2×3 analysis of variance (with the two groups of women and three menstrual cycle phases as independent variables) yielded broad cyclical variations only in the menstrual cycle salient condition. When the menstrual cycle was not a salient part of the study, only the pain factor reached significant cyclical variation (p<.01).A 2×3 analysis of variance (with the two types of questionnaires and three menstrual cycle phases as independent variables) indicated that for women not taking oral contraceptives the two questionnaires differed on pain (p<.01), concentration (p<.01), autonomic reaction (p<.05), and water retention (p<.01). Phase effects were significant on all factors, with largest cyclical variations in the menstrual cycle salient condition. A similar analysis for women taking oral contraceptives yielded fewer significant differences. These results suggest that questionnaires that make the menstrual cycle a salient part of the study may exaggerate possible cyclical variations in moods and behaviors.The authors are grateful to Dawn Christie Burns and Ross Hodges for their help in data reduction.     

Gender and context differences in alcohol expectancies

In 2 studies, the authors investigated gender and context effects of alcohol expectancies among U.S. college students. In Study 1, they examined the responses of 771 women and 493 men to the Sexual Enhancement (SE) subscale and the Relaxation and Tension Reduction (TR) subscale of the Alcohol Expectancy Questionnaire (S. A. Brown, B. A. Christiansen, & M. S. Goldman, 1987). They found no gender differences when they controlled for drinking quantity. When they controlled for drinking frequency, the men scored significantly higher on the TR subscale than the women did. In Study 2, also among U.S. college students, 41 women and 21 men first imagined that they were on blind dates or in long-term relationships and then completed the SE and TR subscales. On the SE subscale, the women scored higher in the relationship context than in the blind-date context, whereas the men did not vary between contexts. All the participants also reported more tension-reduction expectancies in the relationship context than in the blind-date context.     

Gender and Context Differences in Alcohol Expectancies

Abstract

In 2 studies, the authors investigated gender and context effects of alcohol expectancies among U.S. college students. In Study 1, they examined the responses of 771 women and 493 men to the Sexual Enhancement (SE) subscale and the Relaxation and Tension Reduction (TR) subscale of the Alcohol Expectancy Questionnaire (S. A. Brown, B. A. Christiansen, & M. S. Goldman, 1987). They found no gender differences when they controlled for drinking quantity. When they controlled for drinking frequency, the men scored significantly higher on the TR subscale than the women did. In Study 2, also among U.S. college students, 41 women and 21 men first imagined that they were on blind dates or in long-term relationships and then completed the SE and TR subscales. On the SE subscale, the women scored higher in the relationship context than in the blind-date context, whereas the men did not vary between contexts. All the participants also reported more tension-reduction expectancies in the relationship context than in the blind-date context.     

Family Dynamics and Attitudes Toward Marriage

To examine our hypothesis that family experiences would be associated with attitudes toward marriage, we administered the Family Environment Scale (FES; Moos & Moos, 1986) and a Marriage Attitudes Questionnaire (MAQ; adapted from Long, 1987) to 40 unmarried college students. Correlational analyses indicated that for the conflict subscale of the FES, only two of the six marital expectation questions approached significance. However, family expressiveness (another subscale of the FES) was significantly correlated with three of the marital expectation questions and approached significance with a fourth question. These results indicated that higher expressiveness in the family was significantly related to positive attitudes toward marriage. We concluded that family dynamics need to be studied from multiple perspectives to identify factors that influence marital expectations.     

Self-reported assertion and aggression among violent offenders with high or low levels of overcontrolled hostility

Self-report measures of personality, assertion, aggression and difficulty with social situations were completed by 66 male prisoners convicted for violent offences. Inmates were divided into overcontrolled and less-controlled groups on the basis of MMPI OH scores. No significant differences emerged on total ASES Assertion scale scores or on the four social-situation difficulty items dealing with assertiveness. However, overcontrolled men scored significantly lower on the Negative Assertion subscale and on the Aggression scale, as well as on two social-situation difficulty items dealing with the control of aggression. Less-controlled males showed a significant positive correlation between Aggression scale scores and negative assertion which was not obtained for the overcontrolled group. Results were discussed in terms of the different treatment needs of the two groups when using assertion or social-skills training with offender populations.     

Enhanced perceptual priming for neutral stimuli occurring in a traumatic context: two experimental investigations

Intrusive memories in posttraumatic stress disorder are often triggered by stimuli that are perceptually similar to those present shortly before or during the trauma. The present study aims to examine the possible role of perceptual priming in this phenomenon. It further investigates whether the degree of perceptual priming is associated with dissociation and whether both perceptual priming and intrusive memories can be reduced through elaboration. Two experiments measured perceptual priming for neutral stimuli that immediately preceded a "traumatic" event. Volunteers (N=46, 92) watched a series of "traumatic" and neutral picture stories, and completed a blurred object identification (perceptual priming) memory task, and a recognition memory task. Participants in Experiment 1 were selected to score either high or low on the Trait Dissociation Questionnaire [Murray, Ehlers, & Mayou (2002). Dissociation and posttraumatic stress disorder: Two prospective studies of motor vehicle accident survivors. British Journal of Psychiatry, 180, 363-368]. They also completed a state dissociation measure in the session. Experiment 2 randomly allocated participants to an experimental condition designed to increase elaboration or to a control condition. This experiment also included a measure of intrusive memories. Both experiments found enhanced perceptual priming for the stimuli that immediately preceded the "traumatic" stories compared to those preceding neutral stories. Participants with high trait dissociation showed relatively stronger perceptual perceptual priming. The degree of perceptual priming for stimuli from the "traumatic" stories also correlated with state dissociation (Experiment 1). Experimental manipulation of the elaboration of the stories showed that elaboration reduced the enhanced perceptual priming effect and the relative probability of reexperiencing symptoms (Experiment 2). The results support the role of perceptual priming in intrusions after traumatic events.     

Hindi Translation of the Gray-Wilson Personality Questionnaire: A Cross-Cultural Replication of Sex Differences

Abstract

The Gray-Wilson Personality Questionnaire (GWPQ) was translated into Hindi and administered to 246 male and 191 female university students. It measures six animal-learning paradigms corresponding to Gray's (1987) three-emotion systems model of personality. Sex differences previously reported from the United Kingdom and Japan were replicated: Women scored significantly higher on the Active Avoidance and Flight subscales, men on the Approach subscale. In the Indian sample, women scored higher than men on the Extinction subscale; this difference, although in the same direction, was not significant in the United Kingdom and Japan. In India, as in Japan and the United Kingdom, women were relatively punishment sensitive, and men were relatively reward sensitive. Consistent with Gray's model, scores on Fight and Flight subscales were positively correlated, as were Passive Avoidance and Extinction subscale scores; however, contrary to the model were the negative correlation between subscale scores for Approach and Active Avoidance and the positive correlation between subscale scores for Approach and Passive Avoidance, also observed previously in the United Kingdom and Japan.     

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.     

Underlying correlation structures of parental stress, general health and anxiety

A partial least square regression (PLSR) was performed on the Swedish Parenthood Stress Questionnaire (SPSQ) sum score and subscales on incompetence, role restriction, social isolation, spouse relationship and health problems, using 42 items from the General Health Questionnaire (GHQ) and 20 items from the State Anxiety Inventory (STAI-X1). The dataset contained 227 fathers and 301 mothers of children aged 1.0-6.6 years from a population-based study on parental psychological distress in the general Norwegian population, and all items correlated positively with SPSQ. Subscales on spouse relationship, incompetence, social isolation and role restriction related to items on state anxiety and depression. The SPSQ subscale on health problems related to GHQ items on somatic symptoms and social dysfunction. The STAI-X1 item "not feeling rested" had a particularly important effect on parental stress. Underlying correlation structures between parental stress and items from STAI-X1 and GHQ were explored, but only the SPSQ sum score could be acceptably predicted. PLSR as a statistical methodology was found useful for health and psychometric data.