The impact of menstrual cycle-related physical symptoms on daily activities and psychological wellness among adolescent girls

Associations between perimenstrual physical and psychological symptoms have not been adequately studied among adolescent girls. The purpose of the present study was to test a mediation hypothesis postulating that perimenstrual disengagement from daily activities would mediate the association between physical symptoms and psychological symptoms. A non-clinical sample of N = 208 Italian adolescent girls (age M = 16.68 years) completed a 95-item online retrospective questionnaire regarding perimenstrual symptoms, and how these symptoms affect their daily activities. Structural Equation Modeling was used to test the mediation hypothesis. Results showed that physical and psychological symptoms were strongly associated. More importantly, results supported the hypothesis that perimenstrual disengagement from daily activities mediates the association between physical symptoms and psychological symptoms, but only for depressed mood and cognitive symptoms. This study provides support for a novel theoretical framework linking diverse aspects of menstrual cycle change. Longitudinal research is needed to replicate these findings.