Only women residing in Australia were recruited for the study, as a participant group living in the same commercial context was desired. Although the use of medications was listed in the item pool for the coping scale, Australia has no direct marketing of pharmaceuticals, including medications targeted at premenstrual distress, which is a factor to consider when examining ways of coping with premenstrual change across different contexts. Of the 299 surveys initiated, 260 were sufficiently completed to be included in the final analysis. Five of these were excluded because the women were outside the age group or living overseas. An additional five were excluded because the women reported having no premenstrual changes.
Two measures were used to assess the participants’ experience of premenstrual change. The Premenstrual Symptoms Screening Tool (PSST) [45 (link)], which is a retrospective measure matching symptoms and impairment criteria for PMDD from the Diagnostic and Statistical Manual of Mental Disorders [46 ] and a one-item scale asking: “To what extent do you find your PMS distressing?” which is a measure that has been developed and used in previous research in the field of PMS [6 (link),20 (link)]. The rationale for using the PSST in this study was that it served to identify whether the women were experiencing any negative premenstrual changes. This measure was not used as a diagnostic tool for PMD but served to demonstrate that all women included in the study experienced at least one negative premenstrual change. This measure also helped to describe the sample in terms of the prevalence of PMD.
The recruitment procedure redirected potential participants to the study’s participant information screen, via a paid advertisement on the social media website, or via university websites. Participants indicated consent and willingness to participate by clicking to begin the survey. Participants completed an anonymous 30 minute online survey administered through the commercial survey website, Survey Monkey (