Clinical Psychology and Personality

Clinical Psychology and Personality

The Effectiveness of Mindfulness-Based Stress Reduction Training on Negative Mood and Mood Swings in Menopausal Women

Document Type : Original Article

Authors
mojgan agahheris 1
leyla heydari 2
Ezzatollah Kordmirza 3
Mahdieh Rahmanian 4
1 Associate Professor, Department of Psychology, Payam Noor University, Tehran, iran.
2 Master's degree graduate, Psychology department, Payame Noor University, Tehran
3 Department of psychology, Payame Noor University, Tehran, Iran
4 Associate professor, Department of Psychology, Payame Noor University, Tehran, Iran.
10.22070/cpap.2026.20546.1721
Abstract
Introduction: This study aimed to evaluate the effectiveness of Mindfulness-Based Stress Reduction (MBSR) in reducing negative affect and mood swings among menopausal women.
Method: This research was a quasi-experimental study with a pretest-posttest-follow-up design and a control group. The study population included menopausal women referred to the Health Network of District 4 in Tehran. Thirty volunteers were selected and randomly assigned to experimental and control groups. The mean age of participants was 51.3 years. The experimental group received eight sessions of group MBSR training. Data were collected using the Negative Affect and Mood Swings questionnaires, completed at three time points. Data analysis was performed using repeated measures analysis of variance.
Results: The results indicated that MBSR training significantly reduced negative affect and mood swings in the experimental group compared to the control group at both posttest and follow-up stages (P < 0.05). The mean negative effect score in the experimental group decreased from 38.2 at pretest to 29.9 at posttest and 29.2 at follow-up, while no significant change was observed in the control group. The mean mood swings score in the experimental group also decreased from 50.0 to 41.6 and then to 41.0, with no substantial change in the control group. The intervention effects remained stable at the three-month follow-up.
Discussion and conclusion: Mindfulness-Based Stress Reduction can be considered an effective psychological intervention for improving negative affect and mood swings in menopausal women. It is recommended that this approach be emphasized in mental health promotion programs for women during menopause.
Keywords
Mindfulness
Stress
Negative Affect
Mood
Menopause
1-    Cuvadar A, Aksoy B, Ozturk C, Taylan G. The Impact of Cardiac Pacemaker Education Provided to Women During Menopause on Quality of Life: A Randomized Controlled Study. International Journal of Caring Sciences. 2024; 17(1): 413-25. https://www.proquest.com/docview/3025294544?pq-
2-    Mendoza-Huertas L, Mendoza N, Godoy-Izquierdo D. Impact of violence against women on quality of life and menopause-related disorders. Maturitas. 2024; 180:107899.
doi:‌10.1016/j.maturitas.2023.107899
3-    Sharma A, Davies R, Kapoor A, Islam H, Webber L, Jayasena CN. The effect of hormone replacement therapy on cognition and mood. Clinical Endocrinology. 2023; 98(3): 285-95.
doi:‌10.1111/cen.14856
4-    Temple S, Hogervorst E, Witcomb GL. Differences in menopausal quality of life, body appreciation, and body dissatisfaction between women at high and low risk of an eating disorder. Brain and Behavior. 2024; 14(7): e3609.
doi:10.1002/brb3.3609
5-    Soares CN. Menopause and mood: the role of estrogen in midlife depression and beyond. Psychiatric Clinics. 2023; 46(3): 463-73.
doi:‌10.1016/j.psc.2023.04.004
6-    Shea AK, Wolfman W, Fortier M, Soares CN. Guideline no. 422c: menopause: mood, sleep, and cognition. Journal of Obstetrics and Gynaecology Canada. 2021; 43(11): 1316-23. e1.
doi: 10.1016/j.jogc.2021.08.009
7-    Liu Q, Huang Z, Xu P. Effects of hormone replacement therapy on mood and sleep quality in menopausal women. World Journal of Psychiatry. 2024; 14(7): 1087. doi:‌10.5498/wjp.v14.i7.1087
8-    Pop AL, Nasui BA, Bors RG, Penes ON, Prada AG, Clotea E, et al. The current strategy in hormonal and non-hormonal therapies in menopause—a comprehensive review. Life. 2023; 13(3): 649. doi:10.3390/life13030649
9-    Merlino L, D’Ovidio G, Matys V, Piccioni MG, Porpora MG, Senatori R, et al. Therapeutic choices for genitourinary syndrome of menopause (GSM) in breast cancer survivors: a systematic review and update. Pharmaceuticals. 2023; 16(4): 550.
https://doi.org/10.3390/ph16040550
10- Feng P, Lin L, Wang Y, Chen L, Min J, Xie Y, et al. Impacts of menopause hormone therapy on mood disorders among postmenopausal women. Climacteric. 2022; 25(6): 579-85.
doi:10.1080/13697137.2022.2026915
11- Yılmaz S, Arslan I, Yengil Taci D. The effect of physical activity and depressive mood on menopausal symptoms in postmenopausal women. International journal of clinical practice. 2021; 75(7): e14247. doi:10.1111/ijcp.14247
12- Borozan S, Kamrul-Hasan ABM, Pappachan JM. Hormone replacement therapy for menopausal mood swings and sleep quality: The current evidence. World Journal of Psychiatry. 2024; 14(10): 1605. doi: 10.5498/wjp.v14.i10.1605
13- Wen J, Wang W, Liu K, Sun X, Zhou J, Hu H, et al. The psychological side of menopause: evidence from the comorbidity network of menopausal, anxiety, and depressive symptoms. Menopause. 2024: 10.1097.
doi:10.1097/GME.0000000000002406
14- Reisel D, Crockett C, Glynne S, Kamal A, Newson L. Prevalence of Cognitive and Mood-Related Symptoms in a Large Cohort of Perimenopausal and Menopausal Women. BJPsych Open. 2024; 10(S1): S204-S5.
doi:‌10.1192/bjo.2024.497
15- Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology. 1988 Jun; 54(6): 1063. doi:10.1037/0022-3514.54.6.1063
16- Bakhshi A, Daemi F, Ajilchi B. Psychometric properties of the Positive and Negative Affect Scales in an Iranian sample. Developmental Psychology (Journal of Iranian Psychologists). 2009; 5(20): 343-350. Available from:
https://sid.ir/paper/101276/en  [In Persian]
17- Johnson, S. L., Carver, C. S., & Fulford, D. Goal dysregulation in the affective disorders. 2010.  https://psycnet.apa.org/record/2009-21674-009
18- Sadeghi Jamal, Jalalian Zahra Sadat, Bagheri Saghar, Moshehgar Marzieh, Mousavinejad Meysam, & Rashidpour Roya. The role of self-control and interpersonal sensitivity in mood swings in suicide survivors .  2024.
https://sid.ir/paper/1363814/en  [In Persian]
19- Bowen S, Vieten C. A compassionate approach to the treatment of addictive behaviors: The contributions of Alan Marlatt to the field of mindfulness-based interventions. Addiction Research & Theory. 2012; 20(3): 243-9.
doi:10.3109/16066359.2011.647132