Combined Effect of Tryptophan Rich Diet and Acupuncture on Depression Related to Premenstrual Dysphoric Disorder

NCT05813366 | Unknown

• 1 other identifier: P.T.REC/012/003877
• Study Type: interventional
• Target: 39
• Locations: 0 countries
• Sites: N/A

Brief Summary

Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) affecting up to 8% of reproductive age women. It is characterized by physical and psychological symptoms that occur in the luteal phase of the menstrual cycle, prior to the onset of menses, and leads to negative impact on the psychosocial functioning of affected individuals. Selective serotonin reuptake inhibitors are usually used to treat PMDD but they have several side effects so it is important to use complementary treatment such as tryptophan-rich diet and acupuncture for women with PMDD . The purpose of the current study is to determine the combined effect of tryptophan-rich diet and acupuncture on depression related to premenstrual dysphoric disorder

Conditions

Premenstrual Dysphoric Disorder

Outcome Measures

Primary Outcomes (2)

• The Premenstrual Symptoms Screening Tool (PSST)

  It is a validated, simple, user-friendly screening tool to identify women who suffer from severe Premenstrual Syndrome (PMS) or Premenstrual Dysphoric Disorder (PMDD). It reflects and 'translates' categorical Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria into a rating scale with degrees of severity (Not at all, mild, moderate, severe). The scoring will be as follows: the following criteria must be present for a diagnosis of PMDD: * At least one of #1, #2, #3, and #4 is severe. * In addition at least four of #1 - #14 are moderate to severe. * At least one of A, B, C, D and E is severe.

  Up to 2 months

• Hamilton Depression Rating Scale (HDRS)

  The HDRS (also known as the Ham-D) is the most widely used clinician-administered depression assessment scale. HRSD provides a reliable and valid assessment of depression. Method for scoring varies by version. For the HDRS17, a score of 0 - 9 is generally accepted to be within the normal range, 10 - 13 mild, 14-17 mild to moderate and \>17 moderate to severe

  Up to 2 months

Secondary Outcomes (1)

• Quality of Life Enjoyment and Satisfaction Questionnaire - short form

  Up to months 2

Study Arms (3)

Tryptophan rich diet + vitamin B6 supplementation

EXPERIMENTAL

It will include 13 participants suffering from premenstrual dysphoric disorder (PMDD) who will be treated by diet rich wit tryptophan (high protein diet) for 8 weeks in addition to vitamin B6 tablets 60 mg once/day, throughout two menstrual cycles, starting from the first day of their menstrual cycle

Other: Tryptophan-Rich Diet; Other: Vitamin B6 Supplementation

Acupuncture + Vitamin B6 supplementation

EXPERIMENTAL

It will include 13 participants suffering from premenstrual dysphoric disorder (PMDD) who will be treated by acupuncture twice a week for 8 weeks, resulting in a total of 16 visits. Each visit, including initial care, needle application and needle retention, will last about 45 min. In addition to vitamin B6 tablet 60mg once/day, throughout two menstrual cycles, starts from the first day of their menstrual cycle

Other: Acupuncture; Other: Vitamin B6 Supplementation

Acupuncture + Tryptophan rich diet + vitamin B6 supplementation

EXPERIMENTAL

It will include 13 participants suffering from premenstrual dysphoric disorder (PMDD) who will be treated by diet rich with tryptophan (high protein diet) for 8 weeks and acupuncture twice a week for 8 weeks, resulting in a total of 16 visits. Each visit, including initial care, needle application and needle retention, will last about 45 min. In addition to vitamin B6 tablet 60mg once/day, throughout two menstrual cycles, starts from the first day of their menstrual cycle

Other: Acupuncture; Other: Tryptophan-Rich Diet; Other: Vitamin B6 Supplementation

Interventions

Acupuncture OTHER

Tony disposable, single-use 0.20×40 mm Chinese needles will be used. The needle penetrates the skin sufficiently to reach the required depth and elicit de qi. The needles remains for 30 min, with gentle rotational movements applied three times during the session.

Acupuncture + Tryptophan rich diet + vitamin B6 supplementation; Acupuncture + Vitamin B6 supplementation

Tryptophan-Rich Diet OTHER

All participants in both groups (A and C) will be treated by high protein foods rich with tryptophan including: chicken , turkey, red meat, salmon, fish, tuna, beans, milk, cheese, seeds, nuts, egg, banana, kiwi, leafy greens, mushroom, broccoli and peas, etc. Total daily calorie intake will be calculated for each participant in both groups (A and C) before diet description. All females will serve the meals that met their required kilocalorie levels and physical activity levels so that the participants will not lose weight, feel hungry or be over-fed.

Acupuncture + Tryptophan rich diet + vitamin B6 supplementation; Tryptophan rich diet + vitamin B6 supplementation

Vitamin B6 Supplementation OTHER

All participants in all groups (A, B and C) will receive a tablet of vitamin B6 60mg once/day for 8 weeks, starting from the first day of their menstrual cycle, throughout two menstrual cycles.

Acupuncture + Tryptophan rich diet + vitamin B6 supplementation; Acupuncture + Vitamin B6 supplementation; Tryptophan rich diet + vitamin B6 supplementation

Eligibility Criteria

• Age: 20 Years - 30 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• All females will be clinically diagnosed with premenstrual dysphoric disorder (PMDD) as confirmed and referred from the gynaecologist.
• All females will be firstly assessed by Hamilton Depression rating scale (HDRS) for two months to confirm depression related to PMDD before participating in the study.
• Their ages will be ranged from 20 to 30 years.
• Their BMI will be ranged from 20 to 25 kg/m.
• Being virgin.
• Having regular menstruation for the last 6 months (every 28- 35 days with no intermittent bleeding).
• All females have a sedentary lifestyle.
• Voluntary acceptance of participation in the study

You may not qualify if:

• Using hormonal contraception (such as oral contraceptives and injections).
• Menstrual irregularity.
• Using diuretics or psychiatric medications.
• Using chronic non-steroidal anti-inflammatory drugs.
• Pre-diagnosed with any other psychological problems not related to PMDD.
• Follow any exercise programs.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Premenstrual Dysphoric Disorder

Interventions

Acupuncture Therapy

Condition Hierarchy (Ancestors)

Premenstrual Syndrome; Menstruation Disturbances; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Depressive Disorder; Mood Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics

Central Study Contacts

Nahla Mohamed Ashour

CONTACT

01050069089; nashour@horus.edu.eg

Manal Ahmed El-shafei

CONTACT

01220664518; manalpt1989@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Demonstrator at Physical Therapy department of Women's Health , Faculty of Physical Therapy, Horus University

Study Record Dates

• First Submitted: March 30, 2023
• First Posted: April 14, 2023
• Study Start: April 25, 2023
• Primary Completion: June 25, 2023
• Study Completion: July 25, 2023
• Last Updated: April 14, 2023

Record last verified: 2023-04