Introduction: Premenstrual dysphoric disorder is a severe form of premenstrual disorder characterized by pronounced psychological, behavioral, and physical symptoms that significantly affect women's quality of life. In addition to pharmacological treatment, non-pharmacological approaches also play an important role and can contribute to more effective symptom management. Purpose: The purpose of this thesis is to present non-pharmacological approaches to managing premenstrual dysphoric disorder, evaluate their effectiveness, and highlight their importance in improving the quality of life of women with premenstrual dysphoric disorder. Methods: We used a descriptive method, involving a review of international scientific and professional literature. The literature was sourced from the PubMed, CINAHL Ultimate, ScienceDirect, and Cochrane Library databases. The review included freely accessible scientific and professional articles published between 2016 and 2026 that address non-pharmacological approaches for women with premenstrual dysphoric disorder. Results: The literature review showed that non-pharmacological approaches can significantly contribute to reducing premenstrual dysphoric disorder symptoms and improving quality of life. Psychological interventions, particularly cognitive behavioural therapy and mindfulness, showed promising results, while physical activity, relaxation techniques, and certain dietary interventions also demonstrated positive effects. The effectiveness of individual approaches depends on the characteristics and needs of each woman, emphasizing the importance of a comprehensive and individualized approach to care. Discussion and conclusion: Non-pharmacological approaches represent an important component of premenstrual dysphoric disorder management and can effectively complement pharmacological treatment. When planning nursing care, it is essential to consider the individual needs of each woman and incorporate various symptom management strategies. Further high-quality research is needed to better understand the effectiveness of individual non-pharmacological interventions and to support the development of evidence-based guidelines for the management of women with premenstrual dysphoric disorder.
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