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Research Article | DOI: https://doi.org/10.31579/2637-8892/364
Department of Psychology, University of Nigeria, Nsukka
*Corresponding Author: Juliet Ifeoma Nwufo, Department of Psychology, University of Nigeria, Nsukka.
Citation: Juliet I. Nwufo, (2026). Self-Injurious Behavior and Adverse Childhood Experiences as Factors in Premenstrual Dysphoric Disorder among In-school Adolescents in Sub-Saharan Africa, Psychology and Mental Health Care, 10(2): DOI:10.31579/2637-8892/364
Copyright: © 2026, Juliet Ifeoma Nwufo. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 11 February 2026 | Accepted: 26 February 2026 | Published: 06 March 2026
Keywords: social stigma; social isolation; adverse childhood experience; depression; adolescents living with hiv/aids
This study investigated the risk factors of Premenstrual Dysphoric Disorder (PMDD) among adolescents in Nsukka Urban, Nigeria. PMDD is a common group of symptoms occurring during the menstrual cycle's luteal phase, affecting both physical and psychological well-being. Despite PMDD's global recognition, little is known about its risk factors in this specific adolescent population. Two hypotheses were formulated, and a cross-sectional design was adopted in the study while 303 adolescent females from secondary schools in Nsukka Urban were selected through convenience sampling. The data was collected through structured questionnaires covering demographic information, the Ottawa Self-Injury Inventory, Premenstrual Symptoms Screening Tool Revised for Adolescents, and Childhood Trauma Questionnaire–Short Form. Pearson’s correlation (r) and hierarchical multiple regression analysis were conducted to test the research hypotheses. The findings showed a positive relationship between self-injurious behavior and PMDD, (β = .82, p<.001), and a positive relationship between adverse childhood experiences and PMDD, (β = .65, p<.001), emphasizing the need for increased awareness and intervention strategies. This study could enhance mental health support for adolescents and promote the awareness of PMDD and its associated risk factors.
Premenstrual Disorders (PMDs), which include premenstrual syndrome (PMS) and premenstrual dysphoric disorder, are a frequent collection of physical and psychological symptoms that occur cyclically during the luteal phase of the menstrual cycle. The worrisome part is that research studies have also revealed a concerning prevalence of PMDs (PMDD, McNulty, 2020). PMDs are associated with a multitude of negative outcomes, including mental health co-morbidities including sadness and anxiety, a markedly lower quality of life, and negative health outcomes like hypertension and suicidal ideation. It is estimated that the prevalence of PMDs among women of reproductive age is between 5 and 8% worldwide (Carlini et., 2022); and similar prevalence rates of PMDs are seen in adolescent girls as well; 70% of them report that their symptoms started during adolescence, which may indicate that early life factors are the primary cause. During the luteal phase of their menstrual cycle, a very small percentage of women who menstruate suffer from premenstrual dysphoric disorder (PMDD, McNulty, 2020). Physical and mental symptoms that characterize PMDD include mood swings, anxiety, irritability, bloating, and breast tenderness. (Cirillo et al., 2014). These symptoms can be severe enough to interfere with daily functioning and may even increase the risk of suicidal thoughts or attempts (Osborn et al., 2021; Yan et al., 2021). Hormonal abnormalities during the menstrual cycle may be connected to PMDD, a disorder that causes irregular periods and affects neurotransmitters including serotonin and GABA (Epperson et al., 2012). Usually, PMDD symptoms appear during the menstrual cycle's luteal phase (Osborn et al., 2021), exhibiting at least five of the eleven main symptoms, which include exhaustion, changes in appetite, hypersomnia, intense emotions, somatic symptoms, emotional instability, anxiety, depression, and a diminished interest in daily activities. The symptoms must cause clinically significant impairment in social media, occupational functioning, or other essential areas of functioning, and they must not be associated with any other medical condition, substance misuse, or mental illness. The first-line treatment for PMDD is a type of antidepressant medications called selective serotonin reuptake inhibitors (SSRIs, Cirillo et al., 2014). These medications work by increasing serotonin levels in the brain, which can help regulate mood and reduce PMDD symptoms. It has been shown that some SSRIs, including fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil), are helpful for PMDD (Pearlstein et al., 2005). In addition to medicine, cognitive-behavioral therapy (CBT) has been shown to be a successful talk treatment for controlling mood disorders, according to Shams-Alizadeh et al. (2018). Cognitive behavioral therapy (CBT) can be used alone or in conjunction with prescription medications to help people identify and replace negative ideas with positive ones. Lifestyle modifications like stress management and exercise can also help manage PMDD symptoms (Shams-Alizadeh et al., 2018). Natural remedies like omega-3 fatty acids, which are essential for human health, growth, development, and brain function, help lessen PMDD symptoms. Studies show that taking omega-3 supplements can help reduce PMDD symptoms like melancholy, anxiety, and irritability, according to Sohrabi et al. (2013). Because of their anti-inflammatory qualities, omega-3s—which are present in fatty fish, nuts, seeds, flaxseed oil, and St. John's Wort—may lessen the symptoms of PMDD (McNulty, 2020). It has been discovered that St. John's Wort effectively lowers PMDD symptoms like irritability, anxiety, and despair, according to Canning et al (2010; Golbidi et al., 2017). Women with PMDD are encouraged to engage in moderate exercise, such as brisk walking, cycling, or swimming, for at least 30 minutes a day. Dietary changes may also help alleviate PMDD symptoms. Example, reducing salt intake may help reduce bloating and water retention, which are common symptoms of PMDD (Golbidi et al., 2017). Consuming a nutrious, well-ballenced diet full of fruits, vegetables, and whole grains may also lower inflammation and enhance general health. According to recent studies, women with PMDD have emotional and behavioural symptoms as a result of their heightened sensitivity to progesterone and estrogen (Carlini et al., 2022). Research suggests that women with postmenopausal depression (PMDD) may react differently to stress and have higher Cortisol level than women without PMDD (Girdler et al., 2014). This might contribute to the mood disorder and emotional dysregulation linked to PMDD. To fully comprehend the precise processes via which dysregulation of the HPA axis contributes to PMDD symptoms, more research is needed. Women who have experienced trauma or high levels of stress are more vulnerable to or have more severe symptoms of PMDD, which can be made worse by environmental factors, genetics, and hormonal impacts (Shams-Alizadeh et al., 2018). Despite earlier research focusing on risk factors in adults like smoking and obesity, lifestyle factors like substance misuse, poor eating, and inactivity may contribute to the development of PMDD. Understanding the effects of PMDs on teenagers requires research on risk factors for the disorders in infancy and adolescence, such as self-harming behavior and traumatic childhood experiences. Abuse, neglect, and dysfunctional households are examples of adverse childhood experiences (ACEs), which are stressful events that can have a detrimental effect on an adult's physical and mental health. Research indicates that ACEs can result in PTSD, anxiety, and depression, which can impact one's physical and emotional well-being (Azoulay et al., 2020; Kulkarni et al., 2022; Soydas et al., 2014). However, there is scanty evidence that ACEs and PMDs are related. Furthermore, past data indicates a positive association between premenstrual symptoms and childhood neglect, as well as between PMDs and childhood maltreatment, particularly emotional and physical abuse (Kulkarni et al., 2022; Soydas et al., 2014). Premenstrual symptoms in those exposed to Aces may be influenced by early-life neuroendocrine activity, such as disruption of the hypothalamic-pituitary-adrenal axis. This has been connected to adult depression, anxiety, and PMDD. These disorders are also associated with self-injurious behavior (SIB), a maladaptive coping mechanism. Adults and adolescents with SIB, a physical and psychological disease, frequently need therapy to address underlying problems and create good coping strategies (Csorba et al., 2008). Research indicates that women with post-menopausal depression (PMDD) are more likely to engage in non-suicidal self-injury (NSSI), which is defined as intentional physical harm without suicidal intent (McNulty, 2020). In addition to reporting more severe premenstrual symptoms, mood swings, and frequent suicide thoughts, women with PMDD who engage in SIB are also more likely to have a history of childhood trauma and self-harming behaviors. (Osborn et al., 2021). The study raises the possibility of a connection between self-harming behavior and Premenstrual Dysphoric Disorder (PMDD), but more investigation is required to properly comprehend the relationship because doing so may result in more successful interventions and treatment strategies. The prevalence of self-harming behavior in women with PMDD raises concerns because it indicates a high risk of psychological distress and suicide. A recent international survey found that 34% of women with PMDD had attempted suicide at least once in their lives, and 72% had actively considered suicide (Eisenlohr-Moul et al., 2022). Additionally, the study discovered that among women with PMDD, lifetime active suicide thoughts and attempts were predicted by factors such as nulliparity, lower income, older age, and a history of borderline personality disorder or post-traumatic stress disorder (Eisenlohr-Moul et al., 2022). These findings highlight the need for adequate resources and care for those suffering with PMDD, as well as for routine screening and assessment of suicide risk in women with the disorder. This research is essential because it will provide light on the risk variables that connect self-harming behavior (SIB) and adverse childhood experiences (ACEs) to teenage Premenstrual Dysphoric Disorder (PMDD). Additionally, this study will aid in the creation of prevention and intervention plans that can cater to the unique requirements and difficulties faced by this susceptible group. It will also increase the literature on the knowledge of PMDD. This study aims to improve the quality of life and well-being of adolescent girls who suffer from PMDs by determining the early-life risk factors of this crippling disorder. The relationship between PMDD, self-harming behavior (SIB), and adverse childhood experiences (ACEs) among teenagers in Nsukka Urban, Nigeria, is little understood, despite the fact that PMDD is becoming better recognized. This study aims to understand the existing relationship; and provide insights into their mental health needs. The results may guide targeted treatments and identify variables influencing PMDD occurrence in this demographics. Thus, the following questions are the focus of this study:
1. Will Self-injurious behaviour significantly be associated with premenstrual dysphoric disorder among adolescents in Nsukka Urban?
2. Will adverse childhood experiences significantly be associated with premenstrual dysphoric disorder among adolescents in Nsukka Urban?
The Cognitive-Behavioral Theory by Beck (1996), serves as the theoretical foundation for this investigation. The way that a person's ideas, attitudes, and beliefs affect their emotions and behaviors is highly valued in this psychological approach. It argues that negative or flawed thought patterns can contribute to the development and persistence of mental health problems and that altering these patterns can improve emotional well-being. The cognitive-behavioral approach can be used to examine how self-harming behavior and traumatic childhood experiences contribute to adolescent premenstrual dysphoric disorder. CBT maintains that thoughts, feelings, and behaviors are interconnected and that unpleasant thoughts can lead to harmful behaviors. Adolescents who self-harm may have negative feelings and thoughts that they are not prepared to deal with. In premenstrual dysphoric disorder, the hormonal changes that occur during the menstrual cycle may exacerbate negative thoughts and feelings, which may lead to an increase in self-harming behavior.
Self-injurious Behavior and Premenstrual Dysphoric Disorder
Research examining the connection between SIB and PMDD seems to be lacking. Nonetheless, there are studies that connect both to other relevant variables, indicating a potential correlation between the two. For example, prior research by Csorba et al. (2008) found that the majority of teenagers who engage in self-harming behavior experience a major depressive disorder (MDD) episode, which is a symptom of PMDD. In a related study, Soydas et al. (2014) found a link between female participants' PMDD and suicide attempts. Seventy women with PMDD (DSM-IV-TR criteria) who were admitted to the outpatient psychiatry clinic of Yenimahalle State Hospital in Ankara, Turkey, between December 2012 and December 2013 were included in the cross-sectional study. In addition, the study included 78 healthy controls. The Childhood Trauma Questionnaire (CTQ) and the Premenstrual Syndrome Scale (PMSS) were given to each participant. Compared to the healthy control group, the PMDD group had a higher history of attempted suicide (7.1%) (P =.001, P =.003, and P =.024, respectively). Shams-Alizadeh et al. (2018) investigated the potential correlation between PMDD and self-harm or suicidal thoughts in a different study. A matched control group of 120 women chosen from among those accompanying other patients in other wards was compared to 120 fertile women with regular menstrual cycles who attempted suicide and were hospitalized to a general hospital as part of a case-control study. To diagnose PMDD, a psychiatric interview using the DSM-5 criteria was performed. The result showed that while the frequency of premenstrual syndrome (PMS) did not substantially differ between the two groups (P = 0.294), suicide attempt was not associated with the menstrual cycle (P = 0.52), and the frequency of PMDD was significantly greater in suicide attempters than in the controls (P = 0.001). In a systematic review of the literature, Osborn et al. (2021) sought to describe (a) the risk profile for self-harm in women diagnosed with Premenstrual Dysphoric Disorder (PMDD), a disorder marked by severe physical and psychological changes that take place during the luteal menstrual phase, and (b) the implications of these findings for clinical practice. Five databases were used in a comprehensive literature review to find any peer-reviewed works released between 1989 and 2019. Ten studies were found to be eligible for inclusion: two on both cognitions and attempts, five on suicide attempts, and three on suicide cognitions. Results indicated that experiences of PMDD were significantly correlated with suicidal thoughts and ideation, as well as self-harm, and that these correlations were true regardless of mental co-morbidities. However, compared to suicide attempters without PMDD, women with PMDD did not exhibit more severe risk profiles for suicide attempts (in terms of frequency, impulsivity, and lethality) or attempt suicide more frequently during the luteal menstrual phase. The researchers came to the conclusion that women with PMDD should be regarded as a high-risk category for self-harm; therefore, preventing suicide attempts requires recognizing and treating symptoms.
Adverse Childhood Experiences and Premenstrual Dysphoric Disorder
In their research, Younes et al. (2021) looked at how childhood abuse affected premenstrual dysphoric disorder (PMDD). During the COVID-19 pandemic in February and March of 2021, a cross-sectional investigation was carried out. An auto-administered online survey was used to recruit Lebanese students from all national universities in Lebanon using a snowball technique. To investigate the structural connection between PMDD and childhood maltreatment, structural equation modeling was used. The results of their investigation showed that higher levels of psychological abuse (Beta = 0.11; p = 0.040) and sexual abuse (Beta = 0.11; p = 0.021) were strongly linked to higher levels of PMDD. In a related investigation, Azoulay et al. (2020) sought to ascertain whether heightened premenstrual symptoms are linked to childhood trauma. For the study, 112 teenagers who were Hebrew University of Jerusalem students were enlisted. The Childhood Trauma Questionnaire (CTQ) and the Premenstrual Symptoms Screening Tool (PSST) were filled out by the participants. Sixteen adolescents (13.6%) and twenty-two adolescents (18.6%) satisfied the criteria for PMDD and premenstrual syndrome, respectively. More childhood trauma was associated with both more and more severe premenstrual symptoms (r =.282). In particular, premenstrual symptoms were substantially correlated with emotional neglect (r =.198) and sexual abuse exposure (r =.243). While neglect did not predict increased emotion dysregulation, abuse did (r =.33). In a different study, Yang et al. (2022) assessed the relationships between PMDs and the total number and kinds of adverse childhood experiences (ACEs). Using a subsample of menstruation women from the Stress-And-Gene-Analysis (SAGA) cohort, they performed a cross-sectional analysis and evaluated them for ACEs and PMDs (N=11,973). A modified ACE-International Questionnaire was used to assess the cumulative and individual exposure to 13 different types of ACEs. To find likely cases of PMDs, which were then further divided into PMS and PMDD, a modified version of the Premenstrual Symptom Screening Tool was employed. Poisson regression was used to assess the prevalence ratios (PRs) of PMDs in respect to different ACEs. Among those who satisfied the criteria for suspected PMDs, 3235 (27%) had a mean age of 34.0 years (standard deviation (SD) 9.1), with 2501 (21%) having PMS and 734 (6%) having PMDD. The number of ACEs was linearly associated with PMDs (fully-adjusted PR 1.12 per ACE, 95% CI 1.11–1.13). Specifically, the PR for PMDs was 2.46 (95% CI 2.21–2.74) for women with 4 or more ACEs compared with women with no ACEs. A stronger association was observed for probable PMDD compared to PMS (p for difference <0 xss=removed xss=removed xss=removed xss=removed xss=removed>
Following the review of literature, the following hypotheses were tested in this study:
Hypotheses
1. Self-injurious behavior will have a positive relationship with premenstrual dysphoric disorder among adolescents in Nsukka Urban.
2. Adverse childhood experiences will have a positive relationship with premenstrual dysphoric disorder among adolescents in Nsukka Urban.
Figure 1. Explains the expected associations between self-harm, Adverse Childhood Experiences, and Premenstrual Dysphoric Disorder among in-school adolescents.
Figure 1: The hypothetical model of the study variables
Participants and Methods
Study design
This study was a descriptive cross-sectional design conducted in Nigeria in 2024. The STROBE guidelines for reporting observational studies were strictly followed.
Participants and setting
A sample of 303 teenage girls from two coeducational secondary schools in Nsukka, which is in the Southeast area of Nigeria, was chosen using a convenience sampling technique. The participants ranged in age from 10 to 18 years old and were enrolled in both junior and senior classes (M=13.41, SD=1.85). JSS1 comprised 34% of the participants (n = 103), JSS2 comprised 25.1% (n = 76), JSS3 comprised 9.9% (n = 30), SS1 comprised 13.5% (n = 41), SS2 comprised 2.6% (n = 8), and SS3 comprised 2.6% (n = 8). Among the participants, 290 were Christians (95.7%), while three were Muslims (1%). Three percent (n=1) belonged to other religious groupings. Of the 283 individuals, 93.4?longed to the Igbo ethnic group.1.7% were Yoruba (n=5), and 7% were Hausa (n=2). Other ethnic groups accounted for 7% (n=2).
Measures
The Ottawa Self-Injury Inventory (OSI; Nixon et al., 2008)
A self-report tool called the Ottawa Self-Injury Inventory (OSI) provides a thorough evaluation of non-suicidal self-injury (NSSI), including measurements of its addictive characteristics and functions. It was developed by Nixon et al. (2008) and has been validated in different samples of adolescents and young adults. The scoring of the OSI is based on two main scales: the Functions scale and the Addictive Features scale. The Functions scale has 24 items that measure the reasons for engaging in NSSI. Each item is rated on a 5-point Likert scale from 0 (never) to 4 (always). To calculate the scores for each factor, the ratings of the items belonging to that factor are summed. Highest score indicates the primary function of NSSI for the individual. The Addictive Features scale has 12 items that measure the degree to which NSSI is experienced as addictive. Each item is rated on a 7-point Likert scale from 1 (strongly disagree) to 7 (strongly agree). The sum of all the components yields the overall raw score, which ranges from 12 to 84. Higher levels of addictive qualities are indicated by higher scores. Numerous studies have looked at the OSI's psychometric qualities, and they have demonstrated sufficient validity and reliability (Brown et al. 2018; Nixon et al. 2015). To validate the scale, the current researcher used a sample of 100 secondary school students in a pilot study. An acceptable reliability coefficient of.65 was attained by the scale.
The premenstrual Symptoms Screening Tool Revised For Adolescents (PSST-A; Steiner et al., 2011)
A modified version of the PSST, the premenstrual symptoms screening instrument updated for adolescents (PSST-A) was created by Steiner et al. (2003) to screen adult women for severe PMS and PMDD in accordance with the DSM-IV criteria. Steiner et al. (2011) piloted the PSST-A, which measures 14 premenstrual symptoms, in 578 girls across three international sites. The PSST-A has a similar scoring pattern as the PSST, which requires the presence of at least five moderate or severe symptoms, including at least one core symptom (tension/anxiety, irritability/anger, depressed mood/hopelessness, or tearful/increased sensitivity to rejection), as well as significant impairment in at least one functional domain (work, home, social activities, relationships, or school). Items are rated as “not at all,” “mild,” “moderate,” or “severe.” The PSST-A has been shown to be a fast and reliable tool to screen for severe PMS and PMDD in adolescents, with a prevalence rate of 29.6% in the pilot study. To validate the scale in a sample of 100 secondary school pupils, the current researcher carried out a pilot study. The scale's reliability coefficient of.78 was deemed adequate.
The Childhood Trauma Questionnaire–Short Form (CTQ-SF; Bernstein & Fink, 1998)
Basically, emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect are the five categories of childhood maltreatment that are evaluated by the 28-item Childhood Trauma Questionnaire–Short Form (CTQ-SF; Bernstein & Fink, 1998; Hagborg et al. 2022). It is scored on a 5-point Likert scale ranging from 1 (never true) to 5 (very often true). The total score ranges from 28 to 140, with higher scores indicating more severe trauma. The subscale scores range from 5 to 25, with cut-off points for low, moderate, and severe levels of maltreatment. When employed with adolescents, the CTQ-SF has high psychometric qualities and is acceptable, according to a recent study by Hagborg et al. (2022). They used a community sample of adolescents (n=1885) in four waves (from 13 or 14 to 17 years old) and a clinical sample (n=74, mean age 18), both from Sweden. They discovered that the CTQ-SF had significant or good internal consistency for every scale in the clinical sample and for every scale in the community sample, with the exception of physical neglect. Additionally, they discovered that the subscales' one-year test-retest consistencies grew from early to mid-adolescence and were significant or almost perfect (Hagborg et al. 2022).They showed that the CTQ-SF had convergent validity with measures of family climate, parental relations, and emotional health. They also reported that the CTQ-SF had moderate discriminatory ability between clinical and community samples. Another study by Cruz (2023) also evaluated the factor structure and measurement invariance of the CTQ-SF in a large, nationally representative sample of US adults (N=863). They verified that the five-factor model was generally invariant by gender and racial/ethnic group and that it suited the data well. Additionally, they discovered a positive correlation between the CTQ-SF subscales and aberrant inflammatory biomarker activity, anxiety, and sadness. To validate the scale in a sample of 100 secondary school pupils, the current researcher carried out a pilot study. The scale's reliability coefficient of.93 was deemed adequate.
The data was collected using a structured questionnaire consisting demographic information; age, gender, class, ethnicity and religion; and self report measures of the Ottawa Self-Injury Inventory, the Premenstrual Symptoms Screening Tool Revised for Adolescents, the and Childhood Trauma Questionnaire–Short Form. The study was conducted between June and September 2024. The University of Nigeria, Nsukka, Enugu state, Nigeria's Department of Psychology provided the researcher with an introductory letter, which she delivered to the schools where the study was carried out. The researcher and three research assistants—teachers in the school—administered the questionnaires to the participants who consented to participate in the study during break time after receiving approval from the administration of the various secondary schools. Every participant was made aware that there would be no financial or in-kind compensation for their involvement in the study, and that both participation and questionnaire completion were entirely voluntary. Three hundred and eighty (380) questionnaires were sent to the respondents, and 326 were gathered; of these, 23 were not accurately answered. As a result, only 303 responses were accurate and utilized for the data analysis. This amounts to a return rate of 79.74%.
Ethical considerations
Approval for the study was granted by the Ethical Committee Board, Department of Psychology, University of Nigeria, Nsukka (D.PSY.UNN/REC/2024-07-1RB000025). Informed consent was obtained from the participants. All the ethical standards according to the Helsinki Declaration of 1975, as revised in 2000 concerning human experimentation (institutional and national), were followed.
Pearson’s correlation (r) was conducted to test the relationship among the study’s variables; while hierarchical multiple regression was used for data analysis. Mendenhall et al (2009) posited that hierarchical multiple regression analysis allows researchers to concurrently use several independent or predictor variables. By using more than one independent variable, one should do a better job of explaining the variation in the criterion (dependent variable) and hence be able to make more accurate predictions. Hence, hierarchical multiple regression was used to test the hypotheses.
Table 1 shows the correlations between the demographic variables and the main study variables. Table 2 is the regression results for the test of hypotheses.
| Variables | M | SD | 1 | 2 | 3 | 4 | 5 | 6 | 7 | |
| 1 | Age | 13.41 | 1.85 | |||||||
| 2 | Class | - | - | .54** | - | |||||
| 3 | Religion | - | - | -.02 | .15* | - | ||||
| 4 | Ethnicity | - | - | .06 | .04 | .23** | - | |||
| 5 | Self-injury | 11.07 | 2.81 | .04 | .04 | -.07 | -.07 | - | ||
| 6 | Trauma | 83.20 | 8.37 | .03 | .05 | .00 | -.00 | .74** | - | |
| 7 | Premenstrual | 32.20 | 7.87 | .00 | .04 | -.02 | -.02 | .82** | .90** | - |
Table 1: Pearson’s correlations of demographics, self-injurious behaviour, adverse childhood experiences and premenstrual dysphoric disorder among adolescents.
Note: **<.01; *p<.05.
Table 1 showed that age was positively related to class(r = .54, p<.01). Class positively related to religion(r = .14, p<.05). Religion positively related to ethnicity(r = .24, p<.01). Self-injury was positively related to adverse childhood experiences(r = .74, p<.01) and premenstrual dysphoric disorder (r = .82, p<.01). Premenstrual dysphoric disorder positively related to adverse childhood experiences(r = .90, p<.01).
| Predictors | Step 1 | Step 2 | ||||
| B | β | T | B | β | t | |
| Age | -.14 | -.03 | -.14 | -.15 | -.04 | -.15 |
| Self-injury | 2.29 | .82 | 2.29*** | .97 | .35 | .96 |
| Adverse Experiences | .60 | .65 | .60*** | |||
| R2 | .68 | .87 | ||||
| R2∆ | .68 | .19 | ||||
| F | 308.81(2, 293)*** | 635.08(3, 292)*** | ||||
| F∆ | 308.81(2, 293)*** | 414.98(1, 292)*** | ||||
Table 2: Hierarchical Multiple Regression for Predictors of Premenstrual Dysphoric Disorder among Adolescents.
Note: ***p<.001.
Results of the hierarchical multiple regression analyses are shown in Table 2. In step 1, age was added as a control variable. Age was not a significant predictor of premenstrual dysphoric disorder among adolescents. Self-injury was a significant positive predictor of premenstrual dysphoric disorder among adolescents, (β = .82, p<.001). The B shows that for each one unit rise in self-injury, premenstrual dysphoric disorder among adolescents increases by 2.29 units. The model was significant, F(2, 293) = 308.81, R2∆ = .68. The R2∆ of .68 shows that 68% of the variance in premenstrual dysphoric disorder among adolescents was explained by all the variables in step 1. Adverse childhood experiences was added in step 2, and it was a significant positive premenstrual dysphoric disorder among adolescents, (β = .65, p<.001). The B shows that for each one unit rise in adverse childhood experiences, premenstrual dysphoric disorder among adolescents’ increases by .60 units. The model was significant, F(1, 292) = 414.98, R2∆ = .19. The R2∆ of .19 shows that 19% of the variance in premenstrual dysphoric disorder among adolescentswas explained by adverse childhood experiences. 87% of the variance in premenstrual dysphoric disorder among adolescentswas explained by all the variables under study.
This study looked at the relationships between premenstrual dysphoric disorder, negative childhood experiences, and self-harming behavior in teenagers in Nsukka Urban, Nigeria. The study examined two hypotheses: (1) that among adolescents in Nsukka Urban, self-harming behavior would be positively associated with premenstrual dysphoric disorder; the findings of the hierarchical multiple regression analysis confirmed this hypothesis, showing that among adolescents in school in Nsukka Urban, self-harming behavior was a significant positive predictor of premenstrual dysphoric disorder. In line with earlier research that found a connection between self-harm and premenstrual symptoms (e.g., Shams-Alizadeh et al., 2018; Soydas et al., 2014), the results showed that self-harming behavior was positively associated with premenstrual dysphoric disorder. What could account for this positive correlation may be that self-harming activity may be a coping strategy for teenagers who are experiencing extreme emotional discomfort during the premenstrual stage. Negative emotions including despair, anxiety, and irritability that are typical of premenstrual dysphoric disorder may be momentarily alleviated by self-harm (Nixon et al., 2015). Self-harming behavior could also be a sign of a deeper susceptibility to mood dysregulation, which is made worse by hormonal changes that occur during the menstrual cycle. Self-harm may be a sign of a lack of adaptive emotion management abilities, which are necessary to manage the stressors of premenstrual dysphoric disorder and the difficulties of puberty. The second hypothesis was that among teenagers enrolled in school in Nsukka Urban, negative childhood experiences would positively correlate with premenstrual dysphoric disorder. Both hypotheses were supported by the hierarchical multiple regression analysis's findings, which showed that among teenagers in Nsukka Urban, negative childhood experiences were a substantial positive predictor of premenstrual dysphoric disorder. The discovery that negative childhood experiences were positively linked to premenstrual dysphoric disorder is also consistent with earlier research that linked premenstrual symptoms to childhood trauma (e.g., Younes et al., 2021; Azoulay et al., 2020). The development of the hypothalamic-pituitary-adrenal (HPA) axis, which controls the stress response and the reproductive hormones, may be hampered by traumatic childhood experiences, which could account for this positive correlation. Chronic HPA axis activation brought on by adverse childhood events might result in dysregulation of cortisol and other hormones that affect mood and behavior during the menstrual cycle. The development of the brain areas responsible for regulating emotions, including the hippocampus, prefrontal cortex, and amygdala, may also be impacted by adverse childhood experiences. Stress and hormonal fluctuations might cause these brain areas to become hypersensitive or hypoactive, which increases susceptibility to premenstrual dysphoric disorder (Bernstein et al., 2003).
The findings of this study have several implications for the mental health of adolescents in Nsukka Urban. First, they posit that a considerable proportion of adolescents in this demographic suffer from premenstrual dysphoric disorder, a common and dangerous ailment. The quality of life, academic achievement, interpersonal connections, and physical health of adolescents with premenstrual dysphoric disorder can all be negatively impacted. Premenstrual dysphoric condition must thus be better understood and acknowledged by teenagers, parents, educators, medical professionals, and legislators in Nsukka Urban. Second, they suggest that among teens in Nsukka Urban, self-harming behavior and adverse childhood experiences are important risk factors for premenstrual dysphoric disorder. These risk factors may indicate a history of trauma, abuse, neglect, or violence that has not been adequately addressed or cared for. Teens who hurt themselves or who had traumatic events as children must therefore be eligible for screening, evaluation, intervention, and preventative services from Nsukka Urban. Third, they suggest that a combination of bad childhood experiences, self-harming behavior, and hormonal changes during the menstrual cycle may exacerbate the symptoms of premenstrual dysphoric disorder among teenagers in Nsukka Urban. Therefore, it is necessary to consider the biological, psychological, and social factors that influence the onset and presentation of premenstrual dysphoric disorder in teenagers in Nsukka Urban.
It is important to recognize the limitations of this study. Firstly, the cross-sectional design of this study makes it difficult to determine the causal links between negative childhood experiences, self-harming behavior, and premenstrual dysphoric disorder among teenagers in Nsukka Urban. To examine the chronological sequence and directionality of these interactions, a longitudinal design would be more appropriate. Second, this study used self-report measures, which may introduce biases such recall errors, social desirability, or response preferences. Objective techniques such as behavioral observations, clinical interviews, or hormone testing would be more reliable and valid for assessing the elements of interest. Third, because this study used a convenience sample of teens who attended secondary schools in Nsukka Urban, its findings might not be as generalizable to other groups or locations. A representative sample of teenagers from different regions, nationalities, or backgrounds would be more varied and educational.
This study examined the relationships between self-harming behavior, ACEs and PMDD in teens in Nsukka Urban, Nigeria. The results supported the hypotheses that self-harming behavior and adverse childhood experiences were significant predictors of premenstrual dysphoric disorder among teens in Nsukka Urban. Given the implications for the mental health of teens in Nsukka Urban, the findings point to the need for increased awareness, recognition, screening, assessment, intervention, and prevention of premenstrual dysphoric disorder and associated risk factors. The findings further highlight the need for more research using representative, objective, and longitudinal methodologies to better understand the onset and presentation of premenstrual dysphoric disorder in adolescents in Nsukka urban.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
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Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
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Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.
Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.
Dear Grace Pierce, International Journal of Clinical Case Reports and Reviews I appreciate the opportunity to review for Auctore Journal, as the overall editorial process was smooth, transparent and professionally managed. This journal maintains high scientific standards and ensures timely communications with authors, which is truly commendable. I would like to express my special thanks to editor Grace Pierce for his constant guidance, promt responses, and supportive coordination throughout the review process. I am also greatful to Eleanor Bailey from the finance department for her clear communication and efficient handling of all administrative matters. Overall, my experience with Auctore Journal has been highly positive and rewarding. Best regards, Sabita sinha
Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.
