JP7182765B1 - System for improving physical and/or mental discomfort associated with menstruation - Google Patents

Abstract

An application for treating menstrual symptoms is provided. The method stores information related to the user's menstrual cycle, a symptom memory that is a record of the user's menstrual symptoms, and a psychotherapy-based treatment module for treatment, prevention, or self-care of the menstrual symptoms. A system for treatment, prevention, or self-care of a menstrual symptom, comprising at least a storage device and a user terminal operated by a user, wherein the system treats or prevents the symptom at a predetermined timing of the menstrual cycle, Alternatively, a system characterized by providing a patient with a therapy module based on psychotherapy for self-care. [Selection drawing] Fig. 1

Description

The present invention relates to a system for the treatment and prevention of physical and/or mental discomfort before and/or during menstruation, such as premenstrual syndrome and dysmenorrhea.

Premenstrual and/or menstrual physical and mental discomfort, to varying degrees, is a complaint of many premenopausal women and is associated with premenstrual syndrome (PMS) and menstruation. The dysmenorrhea, menopause (TCL) is known.

PMS refers to a group of physical or mental symptoms that develop about a week before menstruation (luteal phase), and is medically defined as "physical and mental symptoms that begin 3 to 10 days before the onset of menstruation. and decreases or disappears with the onset of menstruation," and is also called premenstrual tension. Typical symptoms of PMS include lower abdominal pain, lower back pain, swollen lower abdomen, headache, stiff shoulders, cold hands and feet, increased appetite, diarrhea, constipation, swelling, breast pain, breast swelling. , easy to get pimples, rough skin, easy to get tired, sleepy, etc. In addition, the mental symptom group includes irritability, anger, aggressiveness, depression, tearfulness, increased anxiety, and the like. Among them, if the mental instability is conspicuous and strong, it is diagnosed as "premenstrual dysphoric disorder (PMDD)". Dysmenorrhoea is generally defined as abnormally intense pain or general disability associated with menstruation, making it impossible to lie down or work, and is also called menstrual pain. Typical symptoms of dysmenorrhoea have been reported to include pain such as lower abdominal pain and lower back pain, as well as various physical discomfort symptoms such as nausea, vomiting, diarrhea, and headache. is a disease with a high A wide variety of symptoms that appear due to a sudden decrease in the secretion of estrogen, one of the female hormones, are called menopausal symptoms, and those that interfere with daily life are called menopausal disorders. Menopausal symptoms include various symptoms such as hot flashes, abnormal sweating, and irritability. In recent years, as the number of women entering society has increased, PMS has been cited as one of the causes of the decline in women's labor productivity. , alleviating and alleviating physical and mental discomfort symptoms and improving women's QOL have become major social issues.

Patent Document 1 discloses that β-caryophyllene is inhaled to improve discomfort caused by premenstrual tension, maternity blue, and menopausal disorder, but there has been a demand for a product that exhibits even higher effects. . Patent Document 2 describes a method for predicting a menstrual cycle, and Patent Document 3 describes a method for predicting a basal body temperature.

JP-A-2004-339191 JP-A-2004-339191 WO2015/147174 publication

An object of the present invention is to easily and safely alleviate physical and/or mental discomfort before and/or during menstruation without giving physical stimulation to the body and without oral administration. to do.

(Claim 1)
a symptom memory, which is a record containing information related to the user's menstrual cycle and a plurality of items used to diagnose menstrual symptoms;
a storage device for storing psychotherapy-based treatment modules for the treatment, prevention or self-care of paramenstrual symptoms;
a user terminal operated by a user; and a system for treating, preventing, or self-care of menstrual symptoms, comprising:
At a predetermined timing of the menstrual cycle, statistical processing or AI processing is performed on the items of the symptoms associated with the user's symptoms stored in the symptom memory and data on the treatment effects of the symptoms associated with the menstruation and the treatment modules stored in the system, A system for providing a patient with a therapy module based on therapy, prevention, or self-care based on psychotherapy according to the user's menstrual symptoms.
(Claim 2)
The predetermined timing is 3 to 10 days before the start date of the next menstruation, the specific day of the menstrual cycle in which the symptom memory has been disturbed in the past, and the basal body temperature measured from the normalized curve of the basal body temperature of the user's menstruation is deviated. 2. The system of claim 1, wherein if yes, it is either the expected date of menstruation or the date when the symptom memory was disturbed.
(Claim 3)
a symptom memory, which is a record containing information related to the user's menstrual cycle and a plurality of items used to diagnose menstrual symptoms;
a storage device for storing psychotherapy-based treatment modules for the treatment, prevention or self-care of paramenstrual symptoms;
a user terminal operated by a user; and a system for treating, preventing, or self-care of menstrual symptoms, comprising:
Statistical processing and AI processing of a symptom memory, which is a record containing a plurality of items used for diagnosing the aforementioned paramenstrual symptoms related to the menstrual cycle, are performed, the user's paramenstrual symptoms are clustered, and a treatment module according to the cluster is generated. A system characterized by:
(Claim 4)
4. The system according to any one of claims 1 to 3, wherein said treatment module presents disease education content, psychoeducational content, exercise, mindfulness, music, video, and psychological intervention (psychotherapy) via a user's information processing terminal.
(Claim 5)
4. The system of claim 3, wherein the treatment modules further include paramenstrual symptom-specific psychotherapy and cross-diagnostic psychotherapy.
(Claim 6)
6. The system of claims 1-5, wherein a psychotherapeutic-based treatment module and a drug are combined.

According to the treatment/prevention/self-care application (hereinafter referred to as the treatment application) of the present invention, without physical stimulation to the body and without oral administration, before menstruation and/or during menstruation, Physical and/or mental discomfort can be relieved easily and safely. In addition, it is possible to increase the efficacy of the drug and reduce the side effects of the drug by using it in combination with the drug.

1 is a conceptual diagram showing a system of the present invention; FIG. It is a figure which shows the example of the calculation method of basal body temperature of this invention. FIG. 10 is a diagram showing an example of an example method of inputting a symptom memory of the present invention; It is a figure which shows the 1st Example of this invention. FIG. 4 is a diagram showing a second embodiment of the present invention; FIG. 10 is a diagram showing a fourth embodiment of the present invention; FIG. 10 is a diagram showing a fifth embodiment of the present invention;

(System configuration including therapeutic application)
An embodiment of the present invention is a program installed in a network system installed on the Internet. The network system includes a server and a large-capacity storage device on the cloud, and is a server to which user terminals such as laptops, smartphones, and tablets are connected via the Internet. By executing, through data communication with the user terminal, information input from the user terminal and information stored in the storage device of the server are used to treat or alleviate the symptoms associated with menstruation to the user through the user terminal. It provides various information such as therapeutic apps that bring about menstrual symptoms and disease education related to menstrual symptoms. In addition, this system has been shown as an example in which the server and the user terminal work together to improve physical symptoms such as mental symptoms associated with menstrual symptoms and psychogenic pain of users and patients. The present invention also includes a system in which the user terminal is used only for information input/output and information display, or a system in which necessary data and programs are downloaded to the user terminal and all processing can be executed on the user terminal. included in the range of

FIG. 1 shows a schematic configuration of a network system 100 including a user terminal 101 and a server 106. As shown in FIG. The user terminal 101 includes a communication unit 102 for communicating with the user server 106 via the Internet 110, a storage device 104 for recording personal information, data, and programs, a display device 105, and an input device for receiving input from the user. 111, a control device 103 for performing these controls, and the like. The server 106 includes a communication unit 108 for communicating with the user terminal 101 via the Internet 110, a large-capacity storage device 109, a control device 107, and the like. The control device 107 is equipped with a communication control program for communicating with the user terminal 101 via the communication unit 108, a program for managing the database constructed in the storage device 109, and a user's current menstrual cycle. (hereinafter referred to as a basal body temperature calculation program), a server-side program for a treatment application, a work or a treatment module for a treatment application. Data such as disease education videos are implemented. The treatment program on the server side executes diagnosis and treatment in cooperation with the treatment application on the user side. provide to Diagnosis/treatment or self-care by the server 106 is thereby provided to the user. In this example, the treatment application is divided into a server side portion and a user terminal side portion, and an example in which diagnosis/treatment or self-care is performed is shown. 101 may be independently executed. Alternatively, user terminal 101 may function only as input means and display means, and server 106 may be configured to execute a program based on input from user terminal 101 .

(Calculation method of basal body temperature cycle)
As a method for calculating the basal body temperature cycle, for example, the method described in Patent Document 3 can be used. In Patent Literature 3, the relationship between the basal body temperature and the number of days elapsed from the menstruation start date T1 is represented by a line graph based on basal body temperature information periodically measured by the user. A Gaussian filter is applied to each element constituting this raw data to smooth so that the relationship between the number of days from the start of menstruation and the basal body temperature can be represented by a continuous function. As a result, the relational expression of the periodic change in basal body temperature is obtained as shown in FIG. In order to predict changes in basal body temperature, first, a large number of information representing time-series changes in basal body temperature for one cycle are prepared as a population, and users continuously measure basal body temperature. If there is information representing time-series changes in basal body temperature included in the population that approximates the fluctuation trend of the user's basal body temperature up to that point in the current menstrual cycle, the user's subsequent basal body temperature is that approximation. Assuming that the approximate time series of basal body temperature follows the calculated basal body temperature time series, it is also possible to present the approximated basal body temperature time series to the user as a prediction result.

(creation of symptom memory)
In order to understand the symptoms that appear periodically in the female body under the influence of biological rhythms, physical symptoms, mental symptoms, social symptoms, etc., basal body temperature, etc., or EMA (Ecological Momentary Assessment, empirical sampling method). FIG. 3 shows an example of PMS memory input via the user terminal 101 as an example of a symptom memory. In the PMS memory, the input items are displayed on the display device 105 of the user terminal 101, and the input device 111, which is a touch panel provided on the surface of the display device 105, uses the slider bar based on the presence or absence of symptoms for each item. An example of inputting by The display and input method are not limited to these, and free description or check boxes may be used. For example, at the same time as measuring the basal body temperature, this PMS memory is entered every day, and the basal body temperature and the day's physical symptoms, mental symptoms, social symptoms (these may not be all, but only the necessary ones), and in some cases Additional EMA input data (not only PMS memory data, but also other measurement results (physical activity using an accelerometer, heart rate variability using an electrocardiogram sensor, sleep time, meal records) may be used. ) are stored in memory 104 and/or memory 109 in association with the menstrual cycle. Examples of PMS memory include PMS memory (Kawase et al., "Journal of Japanese Society of Psychosomatic Women's Medicine", Vol. 5, No. 1, 31-37), MDQ (Menstrual Distress Questionnaire), polarizing plate MDQ (modified MDQ), PSST (The Premenstrual Symptoms Screening tool), DSM-IV diagnostic criteria for PMDD, COPE (Calendar of Premenstrual Experiences), PMSIS (Premenstrual Symptoms Impact Survey), Diagnostic Inventory of Health and Life Habit; DIHAL.2, junior high school students to adults), MAQ (Menstrual Attitude Questionnaire), VAS (menstrual pain level), etc. may be used. These indices can be used to diagnose menstrual symptoms. In addition, as the user's psychological and social background, we believe that psychosocial symptoms associated with menstruation will be affected by whether or not the user wants to become pregnant, menstruation view, menstrual image, maternal and gender role personality. , whether or not the user wishes to become pregnant, menstruation view/image of menstruation, and maternity/gender role personality are preferably recorded as basic information of the user.

(Example 1)
The present invention provides an example of the use of a PMS memory recording program (in the present invention, the PMS memory is intended to store daily symptoms of menstrual symptoms). FIG. 4(a) shows the flow of the program. (S401) Start the program. (S402) The program loops between S401 and S402 until a call is made. The call is triggered by pressing a PMS memory input button (not shown) displayed on the screen of the display device 105, or by calling from a linked program, for example, inputting basal body temperature in a basal body temperature input program, ( S403) The input screen of FIG. 3 is displayed. (S404) Using the touch panel 111 of the smartphone, the user selects the user's situation for each main symptom using the displayed slider, and presses the record button to record. For example, here the value input with the slider is converted to a numerical value from 0 to 4 and stored). It should be noted that the PMS memory can also record the date of taking medication and sexual activity, making it possible to manage medication intake and pregnancy.

The PMS memory is stored in storage device 109 (or storage device 104) as a daily symptom record for each menstrual cycle of the user, and is stored in storage device 109 (or storage device 104) of server 106 together with user information. For example, the period from the start date T1 of menstruation to the day before the start date T1 of the next menstruation is stored as a unit for each day. The data for each period is managed as a set together with the menstrual cycle). When called to display the PMS memory record (via a button not shown), it displays the average of past entries. An average of recent data may be used to reflect current conditions. FIG. 4(b) shows an example of the record display. In this case, the average of the most recent two times is taken. Here, since the date of the call was T15, the PMS memory data of the previous T15 and the average value of the PMS memory of T15 before the previous are displayed as the corresponding data. Data for one day is shown here, but data for one month may be displayed in a line graph, for example. For example, items with a high value of 3 or more are displayed in yellow, and those with a value of 4 or more are displayed in red. good too. Also, the date may be specified and displayed (for example, the next day, the day after next, the day before, etc.) by calling the user. If the PMS memory is recorded multiple times in a day, it may be stored as an average, or each time it is recorded and aggregated as a daily average or as a specific measurement (e.g., basal body temperature). It is also possible to aggregate using only time). Further, as a display method, it is also possible to display the previous applicable date of the applicable date, the applicable date of the time before the previous applicable date, and the designated number of times to display the applicable date in chronological order. The display unit may display not only the PMS memory but also the body temperature of the day, the number of days elapsed since the start of menstruation, and the like. In this way, the PMS memory can be recorded and managed by the user for self-monitoring. Self-monitoring can alleviate menstrual symptoms.

(Example 2)
The following are examples of interventions that relieve menstrual symptoms on specific days of the menstrual cycle. In this embodiment, the intervention is performed at a specific date and time of the menstrual cycle, eg, 3 to 10 days before the expected start of menstruation. In the system according to this embodiment, for example, intervention programs such as mindfulness "breathing concentration training", "breathing + observation training", "breathing meditation", "body scan method", "walking meditation technique", etc. are stored in the storage device 109. A video of the implementation method is stored.

First, the user activates the PMS treatment application installed in the user terminal 101, and the PMS treatment application acquires the user's menstrual cycle information from the storage device 109 (here, the treatment application is installed in the user terminal 101). It is intended to be executed and to exchange information with a server via the Internet or the like, but the program body is stored in the server and executed from there, and the user terminal 101 is a mere display and input device. ). Here, when the user's menstrual cycle is obtained by obtaining the period by a known method as described above, the next menstrual start date is determined on the calendar function included in the PMS treatment application. Here, if there is no previous data input by the user, the user is requested to input the expected date of the start of menstruation, and the start date of menstruation is determined according to the input. Next, the PMS treatment app looks back on the calendar to 10 days before the start of the next menstrual period, and determines from that day to the start of the menstrual period as the intervention date of the relief program.

The application for PMS treatment judges every day whether it is an intervention day, and intervenes via the user's smart phone 101 when it is the intervention day. Here, as the timing of the intervention, the intervention program is provided in accordance with the timing at which the user measures the basal body temperature every day, for example, in conjunction with the activation of the application for recording the basal body temperature. As an intervention program, one of the mindfulness programs stored in the storage device 109 is downloaded from the server 106 to the smartphone 101, provided on the smartphone, and the user attends the program. Here, the timing of intervention is not limited to this case, and may be a time appropriately set according to the time when the user is likely to complain of mental disorder, or the timing of calling by the user when he is in poor physical condition. This intervention can improve menstrual symptoms.

Also, when inputting the basal body temperature or when intervening in the mindfulness program, the input of the day's diet, sleep time, medication record, presence or absence of sexual activity, physical condition, etc. may be received and stored. Here, if you do not reach the target amount of calcium intake of 600-800 mg in your daily diet, 1 glass of calcium-rich food milk (200 g): 220 mg
Yogurt 1 pack (100g): 120mg
Komatsuna 1/4 bundle (70g): 119mg
One serving of boiled hijiki (10g): 140mg
1/2 piece firm tofu (150g): 180mg
may be proposed.

Also, avoid high GI sweets and meals. If there are many “carbohydrate foods with low dietary fiber” such as candies and sweet breads as representative examples of high GI sweets, try to give examples of low GI foods. ,
Fruits: apples, strawberries, kiwi Dairy products: milk, cheese, yogurt Nuts: almonds, cashews, walnuts may be suggested.

Furthermore, the physical condition and the provided mindfulness program are memorized, and programs that are thought to have been effective in improving the physical condition of the user (for example, the physical condition index (VAS shown in FIG. 5, etc.) are used. and store it using the program, and compare the programs before and after the provision of the program to determine which one has the greatest improvement effect) may be selectively provided to the user. Regarding this selection, after a certain period of time (for example, every six months), the program may be reset to reconfirm the improvement effect, and the program to be provided may be changed.

As a modified example of this embodiment, the timing of intervention may be set to the expected start date of menstruation, and intervention may be performed if menstruation does not start on that date. This intervention can ameliorate the anxiety-based disorder caused by the failure to start menstruation.

(Example 3)
In Example 2, the timing of intervention was 3 to 10 days after the menstruation start date, but in this example, intervention is performed based on the results of PMS memory. In this case, in the storage device 109 of the server, as exercises for reducing menstrual pain, monthly biceps, which is an aerobic exercise that moves the pelvis, other mindfulness stress reduction techniques (MBSR), and other cognitive behaviors Therapeutic intervention programs and other psychotherapeutic intervention programs are stored. The intervention program can be performed not only by the user viewing the video, but also by using a chatbot dialogue with the intervention program, dialogue with an AI counselor, etc., but not limited to this, psychotherapy well known by those skilled in the art and counseling methods are available. Furthermore, as for the dialogue, if it is possible to switch between speech and text dialogue, it is convenient because it can be used according to the user's situation at the time of intervention.

The PMS treatment application installed in the smart phone 101 is provided with a function linked with the PMS memory described above. Specifically, when the PMS therapy app is launched, the app recalls the user's menstrual cycle information and the patient's, eg, mental and physical discomfort symptoms stored in the PMS memory. Discomfort symptoms referred to here refer to those showing discomfort symptoms of 5 or more when the symptoms recorded in the PMS memory are evaluated on a 10-point scale (this threshold can be changed as appropriate).

Next, reference is made to a list of correspondences between symptoms and intervention programs stored in the storage device 109 of the server. The list includes targeted symptoms and corresponding intervention programs, such as mindfulness meditation for nausea and monthly pix for back pain. Based on this list, in the PMS memory, the timing at which various symptoms appeared (for example, the date when symptoms appeared in the previous menstrual cycle (the number of days counted backward from the start date of the next menstruation), or the symptoms in multiple past cycles. Various intervention programs are provided starting from the day when the average evaluation value is high (the number of days counted back from the start of the next menstruation). Here, the intervention program can be implemented in accordance with the subscription program, such as intervening only on that day according to the timing, or before or after the timing, or either. This intervention improves menstrual symptoms. Here, various intervention programs are provided to users by referring to a list of correspondences between symptoms and intervention programs. or AI to provide the user with an intervention program according to the symptoms.

The PMS therapeutic app continuously evaluates the outcome of the intervention by periodically referencing the PMS memory outcome trends. If the effect of intervention is not observed, the list of symptoms and intervention programs may be revised for each symptom and a new intervention program may be provided.

(Example 4)
In this embodiment, the intervention is based on variations or disturbances in the pattern of average basal body temperature in the two phases of the user's menstrual cycle. First, when the user activates the PMS treatment application, the PMS treatment application reads the transition data of the past average basal body temperature of the user from the storage device 104 (or the storage device 109). Next, according to the input x of the user's average basal body temperature, the input day t (that is, the day in the menstrual cycle) and the average basal body temperature of the corresponding day of the average basal body temperature pattern in which the basal body temperature is stored (See FIG. 6). If the temperature difference between the past average basal body temperature and the measured basal body temperature is 0.2℃ temperature difference exceeding the variation is set), or when excessive variation or obvious disturbance occurs in the period between the low temperature period and the high temperature period of the basal body temperature pattern in the menstrual cycle. such interventions. The basal body temperature is not limited to be input by the user, and body temperature automatically measured by a wearable device or the like may be automatically input. This intervention improves menstrual symptoms.

(Example 5)
This embodiment is characterized in that the user is assessed. The therapeutic app of the present embodiment keeps a record of symptoms over two or more phases of the user's menstrual cycle prior to treatment. In this example, for the purpose of quantifying menstrual cycle-dependent symptoms and paramenstrual symptoms in two cycles, questionnaires based on DSM-IV-TR and ACOG diagnostic criteria, "(A) sudden tears", " (B) Feeling suddenly sad, (C) Feeling worthless, (D) Feeling anxious, (E) Feeling hopeless, and (F) Feeling out of control "(G) Feeling depressed or depressed", "(H) Feeling tired", "(I) Feeling tired or lacking energy", "(J) Sleeping more than usual too much, I can't sleep more than usual", "(K) I have trouble concentrating", "(L) I lose interest (work, school, hobbies, etc.)", "(M) I feel tense or stressed", " (N) Controversy with others,” “(O) hypersensitivity,” “(P) irritable or irritable,” “(Q) sensitivity to rejection,” “(R) mammary Tenderness", "(S) Breast swelling", "(T) Breast sensitivity", "(U) Extremity swelling", "(V) Joint pain", "(W) Muscle pain", "(X) Headache"','(Y) Increased or decreased appetite', '(Z) Increased appetite or cravings for certain foods (e.g., sweets)', social symptoms based on diagnostic criteria by Mortola et al. ``Definite impairment in social or economic capacity''; Tardiness, absenteeism, worsening social isolation, legal troubles, death wish, and wanting treatment for physical symptoms ranged from 0 (not at all) to 4 (completely Applicability) Likert scale evaluation of points is input at a predetermined time every day, in the evening in this example, from a treatment application in an interactive form of a chatbot, and stored with the number of days from the start date of the user's menstrual cycle. stored in device 109 or 104; In this embodiment, questionnaires and psychological test inputs and memories are performed throughout the entire cycle, but may be performed only during the luteal phase. Next, the average score of each score is calculated, and cluster analysis is performed based on the classification of each score as a high group or a low group and the combination pattern. In the case of significant symptoms during the luteal phase such as PMS, the average score may be obtained only during the luteal phase, using data from the last 7 days before the onset of menstruation.

Furthermore, in addition to the above questionnaires and psychological tests, indicators for cross-diagnostic assessment (eg, combinations of GAD-7 and PHQ-9, PHQ-15, PFQ, etc.) may be added. This index is used to assess how adaptively or maladaptive the patient is in dealing with psychosocial problems, life adjustment, stress, etc. Conduct assessments using quantitative measures. For example, as adaptive behaviors, we do not avoid unpleasant thoughts and emotions and leave them as they are (acceptance); ``Contact with this moment'' to maintain awareness of reality, ``Self as a point of view'' to realize what you are aware of from a bird's-eye view, and ``How to live'' to clarify the way you want to live. Clarification of values", "commitment" to pursue the "way of life" that you want to live, etc. By assessing the above-mentioned adaptive behavior against psychosocial problems, life adjustment, stress, etc., we assess the psychological flexibility of the accessing user (patient: target person). The six adaptive behavioral assessments described above are based on Acceptant and Commitment Therapy (ACT), a so-called third-generation cognitive-behavioral therapy (CBT). Subjects who show the above-mentioned adaptive behavior to psychosocial problems, life adjustment, stress, etc. are healthy, have a high quality of life, have low stress, and are resistant to various diseases. It can be judged that the power is in a high state. Also, by increasing these psychological flexibility, the effectiveness of disease-specific interventions can be enhanced ("disease-specific" is a term used to contrast "diagnostic-diagnostic"). , disease, here it is a term aimed at specifically improving symptoms specific to menstrual symptoms), using known indicators used to evaluate these in cognitive-behavioral therapy For example, if there is a problem with defusion, it is preferable to add a treatment module to intervene there and perform treatment. Although the cognitive-behavioral therapy index is mentioned here as a good example, other cross-diagnostic indices can also be used. In other words, we perform disease-specific assessment and cross-diagnostic assessment. You may make it provide both the therapeutic module which carries out the cross-diagnostic treatment corresponding to the assessment.

Next, the control device 107 or the control device 103 classifies each user into clusters for each symptom using responses to questionnaires and psychological tests of each user, and using statistical processing or AI of each response result. As an example of processing, based on the average score for each item for two menstrual cycles, the symptoms of each user are classified into (1) emotional anxiety, (2) physical discomfort, (3) irritability, and (4) Classify into clusters of breast/body hypersensitivity, (5) pain, and (6) effects on eating behavior. Here, (A)-(G), (H)-(M), (N)-(Q), (R)-(U), (V)- Calculate the average value of each group of (X), (Y) to (Z), compare the average values of each group, and if the average value of (A) to (G) is high, go to (1), If the average of (H) to (M) is high, go to (2), if the average of (N) to (Q) is high, go to (3), and the average of (R) to (U) is high If the average value of (V) to (X) is high, it is classified into (5). If the average value of (Y) to (Z) is high, it is classified into cluster (6). Alternatively, (A) ~ (G), (H) ~ (M), (N) ~ (Q), (R) ~ (U), (V) ~ (X), (Y) ~ (Z) respectively Cluster analysis may be performed on the distinction between the high-score group and the low-score group in the group and the combination pattern between each group to classify them into each cluster (1) to (6).

Figure 7 shows the treatment flow of this treatment app. Let one time slot be the user's menstrual cycle (p). In this treatment app, symptoms and psychological assessment are performed by conducting the above-mentioned questionnaire and psychological examination during the two cycles of the menstrual cycle. Typically, index items for questionnaires and psychological tests are stored in the storage device 109 and downloaded to the terminal when the user uses the application. In accordance with the input as an examination, the user uses the input device 101 such as a touch panel to answer questionnaires and psychological examinations. The input answer results are transmitted to the storage device 109 via the communication unit 102, and the daily input results are stored in the storage device 109 together with the user information. In addition, the storage device 109 stores not only the therapeutic modules of the above-described embodiments, but also disease education (for example, causes of symptoms associated with menstruation such as PMS and menopausal disorder, treatment methods to be performed from now on, and other information) and psychoeducation ( For example, it includes video content for psychological flexibility, stress coping methods, future treatment methods, and other information), which is typically downloaded to the user terminal 101 at the time of assessment or after the end of the assessment, and is used for treatment. As part of this, it is provided to the user via the display device 105 . Subsequently, when two menstrual cycles are completed, the control device 107 statistically processes (AI) the user's questionnaires and psychological test results stored in the storage device 109, divides the users into clusters, and collects user information. together with the results of clustering are stored in the storage device 109 .

Subsequently, the user is provided treatment modules according to the user's classified cluster, typically over a period of eight weeks. That is, the storage device 109 stores a list showing the correspondence between clusters and therapy modules used for therapy, and the control device 107 divides the therapy modules to be transmitted to the user terminal 101 into user clusters according to this list. decision based on the results of Note that this list can be updated if no effect is found when the therapeutic effect is verified by re-assessment after the treatment application is implemented. This update can also be done automatically using AI. In addition, the answer results of questionnaires and psychological tests and the training data of the therapeutic effects of the treatment modules are stored in the storage device 109 in advance, and the treatment modules corresponding to the individual answers to the questionnaires and psychological tests are stored by AI at each treatment. It may be determined and transmitted to the user terminal 101 .

Next, the treatment application running on the user terminal 101 has a function of executing the received treatment module on the patient. The therapeutic application uses techniques appropriate for each cluster to perform psychological interventions aimed at learning/acquisition of healthy new behavioral patterns according to the disease, for scenes and situations specific to each disease. For example, if the patient is classified in cluster 1 (higher than average scores for "emotional anxiety") in the assessment, "attention training" is performed. "Attention training" is aimed at diversifying attention rather than giving too much attention to a problem. This attention training is provided to the patient via the user terminal 101, and typically includes a description of the attention training exercise item and a voice for attention training, a chatbot-type treatment application, or the like. Consists of interactions with the system. Also, in the therapy module, homework to be performed by the patient is prepared corresponding to the classified clusters. When homework is selected as a treatment module, homework stored in the storage device 109 and linked to each treatment module can be provided to the user terminal 101 . Such homework is compiled in advance so that improvement of symptoms can be expected when the patient performs the homework, and the patient's independence can be improved.

(Example 6)
In this embodiment, depending on whether or not the user wishes to become pregnant, intervention is performed until the expected date of ovulation and the start date of menstruation associated with the basal body temperature pattern. When the treatment application is started, the application asks the user whether or not the user wishes to become pregnant, and the result is stored in the storage device 109 . Based on the result of this response, the treatment application uses the control device to determine whether or not to perform the intervention of the present embodiment. In the case of a user who has been recorded as wishing to become pregnant, an intervention program for anticipatory anxiety is started from 3 to 7 days after the expected ovulation date when the basal body temperature pattern shifts from a low temperature period to a high temperature period, for example, to prevent excessive anxiety. For example, attention training is provided to the user via the user information terminal 101 . Alternatively, programs such as a program that experientially understands interaction with a partner or a mindful massage with a partner are provided. In addition, it is desirable to record the date of sexual activity in the PMS memory. If the basal body temperature stays high for more than two weeks after ovulation, it is highly likely that you are pregnant. In order to prevent this, programs such as defusion and mindfulness breathing techniques are provided to the user via the user information terminal 101 so as not to identify reality with thought. If menstruation does not start after the first day of menstruation, programs are provided to manage anxiety and stress during the period until pregnancy is confirmed or medically confirmed by visiting a medical institution. be. If pregnancy does not occur and the basal body temperature shifts to a low temperature period and menstruation begins, programs such as stress coping and life values and goals are provided. Even for users who do not wish to conceive, intervention programs are provided to reduce excessive anxiety and stress leading up to the day of ovulation and menstruation.

Additionally, the therapy app may be capable of managing a patient's medication schedule and may be configured to provide a therapy module to the user in conjunction with taking medication. You may cooperate with a medical institution, a doctor, and a pharmacist about the prescription for taking medicine. Concomitant use with low-dose estrogen/progestin combination drugs such as drospirenone/ethinyl estradiol tablets, herbal medicines, and selective serotonin reuptake inhibitors (SSRIs) is preferred, especially with low-dose estrogen/progestin combination drugs. preferable.

The treatment module of the present invention can also be provided to the user using techniques such as Metaverse, VR, and AR.

Examples have been shown and described in Examples 1 to 5, respectively, but it goes without saying that the elements used in each example can be added and used in the configuration of other examples. In addition, although the terms PMS treatment application and PMS memory are used in the description of this specification, the PMS treatment application can be used to treat menstrual symptoms, or the PMS memory is not limited to PMS. Needless to say, it is used for recording of menstrual symptoms.

101 User information terminal 102 Communication unit 103 Control device 104 Storage device 105 Display device 106 Server 107 Control device 108 Communication unit 109 Storage device 110 Internet 111 Input device

Claims (4)

a symptom memory that is a record containing information related to the user's menstrual cycle and a plurality of items including at least items related to mental symptoms used for diagnosing paramenstrual symptoms;
a storage device for storing treatment modules for implementing psychotherapy for treatment, prevention or self-care of paramenstrual symptoms;
a user terminal operated by a user; and a system for treating, preventing, or self-care of menstrual symptoms, comprising:
Statistical processing and AI processing are performed on a symptom memory, which is a record including a plurality of items used for diagnosing the aforementioned paramenstrual symptoms related to the menstrual cycle, and the user's paramenstrual symptoms are clustered, and the treatment modules according to the clusters. is provided. a symptom memory that is a record containing information related to the user's menstrual cycle and a plurality of items including at least items related to mental symptoms used for diagnosing paramenstrual symptoms;
a storage device for storing cognitive-behavioral therapy-based treatment modules for the treatment, prevention or self-care of menstrual symptoms;
a user terminal operated by a user; and a system for treating, preventing, or self-care of menstrual symptoms, comprising:
Statistical processing and AI processing are performed on a symptom memory, which is a record including a plurality of items used for diagnosing the aforementioned paramenstrual symptoms related to the menstrual cycle, and the user's paramenstrual symptoms are clustered, and the treatment modules according to the clusters. is provided . In the symptom memory, statistical processing and AI processing are performed based on indices corresponding to symptoms peculiar to menstrual symptoms, cross-diagnostic indices, questionnaires, and psychological test results. 3. The system of claim 1 or claim 2, further comprising: , clustering, and treatment modules, said treatment modules further comprising paramenstrual symptom-specific psychotherapy and cross-diagnostic psychotherapy. 3. The system of claim 1 or claim 2, wherein the psychotherapeutic or cognitive-behavioral therapy-based therapy module is combined with a drug.

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