Causal attributions in premenstrual syndrome

Abstract

The relationship between causal attributions and symptoms was investigated with self-report inventories in patients with premenstrual syndrome (n=38) and controls (n=26) during the premenstrual as well as the intermenstrual phase of the cycle. Patients with prospectively confirmed premenstrual exacerbations of physical and psychological symptoms more frequently attributed their complaints during premenstruum to the cycle than was the case during the intermenstrual period. Controls showed no differences in types of explanations for complaints in either phase of the cycle. It appeared that patients used not only the menstrual cycle, but also psychological distress and physical exertion, more often then controls as an explanation for complaints during both phases of the cycle. Implications of the finding that patients used medical as well as non-medical explanations for complaints during the cycle are discussed with regard to treatment strategies for PMS.