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Reports of menstrual-related symptoms vary greatly among individuals, suggesting that individual differences may influence symptom reports. The menstrual reactivity hypothesis describes how the personality trait anxiety sensitivity may heighten women’s negative perceptions of symptoms that accompany menstruation. Similarly, trait body shame may increase negative focus on menstrual-related symptoms, thus increasing menstrual-related symptom reports. Moreover, this relationship may be explained by distress about bodily changes. These ideas were tested cross-sectionally in undergraduate women ( N  = 126). Trait body shame predicted increased menstrual-related symptoms regardless of menstrual cycle phase, and distress about bodily changes mediated this relationship. Findings support the extension of the menstrual reactivity hypothesis to include trait body shame.

Trait Body Shame Predicts Menstrual-Related Symptoms: Evidence for Extending the Menstrual Reactivity Hypothesis