ArticleArchives of women's mental health2026
The mediating role of self-compassion in the relationship between negative menstrual attitudes and premenstrual syndrome.
Article in Archives of women's mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeSelf-compassion, an important component of mindfulness, may influence experiences related to menstruation and the severity of premenstrual syndrome (PMS). This study aimed to determine the mediating role of self-compassion in the relationship between negative menstrual attitudes and premenstrual syndrome in women.
methodsA total of 261 women were recruited via social media platforms and completed an online survey developed using Google Forms in this descriptive and correlational cross-sectional design study. Data were collected using a Personal Information Form, Premenstrual Syndrome Scale (PMSS), Self-Compassion Scale Short Form (SCS-SF), and Negative Menstrual Attitudes Assessment Scale (NMAS).
resultsThe mean age of the women participating in the study was 26.87 ± 7.92, 76.3% were university graduates, and 29.1% were married. It was determined that 74.7% of the women had PMS, and 29.5% had a high level of negative menstrual attitude. According to the cut-off scores of the PMSS subscales, 83.9% of women experienced fatigue, 81.6% swelling, 78.9% depressive moods, 78.9% changes in appetite, 79.3% irritability, 68.6% pain, 65.5% changes in sleeping habits, 59.4% depressive thoughts, and 43.3% experienced anxiety above the moderate level. Regression analysis revealed that the predictors of premenstrual syndrome were self-compassion and negative menstrual attitudes (p < 0.05). Furthermore, the findings were statistically consistent with a partial mediation model involving self-compassion in the relationship between negative menstrual attitudes and premenstrual syndrome (p < 0.001). DISCUSSION: The findings were statistically consistent with a partial mediation model in which self-compassion was associated with the relationship between negative menstrual attitudes and premenstrual syndrome. Negative menstrual attitudes were associated with premenstrual syndrome both directly and indirectly through self-compassion. Healthcare professionals are in a key position to assess attitudes towards menstruation and provide supportive interventions. Incorporating self-compassion-based approaches and menstrual health education into routine care can help reduce PMS-related distress and improve overall well-being.
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