The Effect of Cognitive-behavioral Counseling on the Resilience of Female Adolescents with Premenstrual Syndrome: A Randomized Controlled Trial

Background: Premenstrual syndrome (PMS) is one of the causes of poor performance in women,with direct and indirect adverse effects on their marital, family, and social life. This study aimed toexamine the effect of cognitive-behavioral counseling on resilience in adolescent girls with PMS.Methods: This randomized clinical trial was conducted from February to May 2018 on 15-17-year-old girladolescents in Hamadan high schools. Using the block randomization method and the block size of 10, werandomly assigned 120 participants with moderate to severe PMS into intervention (N=60) and controlgroups (N=60). Participants in the intervention group received eight 60-minute cognitive-behavioralcounseling sessions for 8 weeks, and the control group received no intervention. Data were gatheredusing demographic questionnaire, Premenstrual Symptoms Screening Tool, and the Connor-Davidsonresilience scale. Statistical analysis was performed using SPSS version 16. The Chi-square, independentsamplest-test, and paired t-tests were used to analyze the data. P values lt;0.05 were considered significant.Results: The mean total resilience score and all its dimensions increased in the intervention group3 months after the intervention (P lt;0.05). Mean scores of total resilience and all subscales exceptspiritual influences showed statistically significant differences between the intervention and controlgroups 3 months after the intervention (P lt;0.05).Conclusion: Cognitive-behavioral counseling can improve resilience in female adolescents withmoderate to severe PMS. It is recommended that school counselors can use cognitive-behavioralcounseling to improve the resilience of girls with moderate to severe PMS.Trial Registration Number: IRCT2015052615341N6.