Identification of emotion schemes in women with premenstrual dysphoric disorder (PMDD) using an emotion-focused therapy (EFT) approach: A qualitative study.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Education and Health Promotion Pub Date : 2024-08-29 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_935_23
Saeideh Izadi Dehnavi, Seyede Salehe Mortazavi, Mohammad Arash Ramezani, Banafshe Gharraee, Ahmad Ashouri
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Abstract

Background: In women with premenstrual dysphoric disorder (PMDD), emotional problems constitute most of their symptoms. This study aimed to identify the emotion schemes of women with PMDD and to determine the core emotional pains at the center of the emotion scheme of PMDD to facilitate the treatment of this disorder using an emotion-focused therapy (EFT) approach.

Materials and methods: This study was performed using the directed content analysis method by Hsieh and Shannon. The participants were selected by purposive sampling. The Premenstrual Symptoms Screening Tool (PSST) was used for the primary diagnosis of women, and the Structured Clinical Interview for DSM-5 (SCID-5) was conducted for the final diagnosis. A total of 10 participants were examined via in-depth interviews in this study. The emotion scheme matrix was used as a framework to identify the emotion scheme of PMDD.

Results: Based on the emotion scheme matrix, the participants' experiences were classified into two main themes, four categories, and eight subcategories, with 37 extracted codes.

Conclusion: Based on the present results, the primary and secondary emotions and behaviors in women with PMDD indicated perceptual-situational, bodily-expressive, motivational-behavioral, and symbolic-conceptual elements in line with the core emotional pains of desperation, despair, and feelings of worthlessness based on the primary maladaptive scheme of shame, which is responsible for different psychological symptoms.

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使用情绪集中疗法(EFT)识别经前焦虑症(PMDD)女性患者的情绪方案:定性研究。
背景:在患有经前期情感障碍(PMDD)的女性中,情感问题是她们的主要症状。本研究旨在识别 PMDD 女性患者的情绪方案,并确定 PMDD 情绪方案中心的核心情绪痛苦,以促进采用情绪焦点疗法(EFT)方法治疗该疾病:本研究采用了Hsieh和Shannon的定向内容分析法。研究对象通过有目的的抽样选出。经前期症状筛查工具(PSST)用于女性的初步诊断,DSM-5 结构化临床访谈(SCID-5)用于最终诊断。本研究共对 10 名参与者进行了深度访谈。研究以情绪方案矩阵为框架,确定了 PMDD 的情绪方案:根据情绪方案矩阵,参与者的经历被分为两大主题、四个类别和八个子类别,共提取了 37 个代码:根据本研究结果,PMDD 女性患者的主要和次要情绪与行为显示出感知-情景、身体-表达、动机-行为和符号-概念等要素,这些要素与基于羞耻感这一主要适应不良方案的绝望、绝望和无价值感等核心情绪痛苦相一致,而羞耻感是导致不同心理症状的原因。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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