Table 1 Strategies of the intervention for the online positive-oriented counseling, and online lifestyle modification training.

1

Looking for the positive side of life, explaining the positive psychology pyramid and its various domains in life

Positive subjective experiences (savoring, happiness, gratification, fulfillment, kindness, forgiveness, and flow) in daily life

Defining physical activity, regular physical activity, adapting the physical activity and exercise program with daily life, type of exercises, and exercise during menstruation

2

Training emotion regulation skills to move from negative emotions toward positive emotions daily

Explanation about energy balance, body mass index, calories needed, recommendations for proper weight gain, physical exercises during menstruation

3

Positive institutions (families, schools, businesses, and communities) by good social relationships in daily life

Definition of nutrition, food groups, the role of food in health, nutrition during menstruation, and consumption of foods that improve premenstrual syndrome

4

Training skills to pursue optimism, hope, satisfaction, and meaning in daily life

Explanation about menstruation, hormonal changes in menstruation, mood swings before menstruation and ways to deal with them, the importance of menstrual health and prevention of premenstrual symptoms by taking adequate rest, meditation, and stress management

5

Seeking for mental growth and positive development such as creativity

Education about effects of tobacco, and substance abuse, smoking and diseases, smoking and its effect on menstruation and premenstrual syndrome in women

6

Expressing the impact of positive thinking and optimism instead of negative thoughts and rumination on the women’s happiness and well-being especially due to premenstrual syndrome, and summing up the content of the sessions

Explanation about principles of self-care for early prevention and diagnosis, assessment of healthy lifestyle skills, and summing up the content of the sessions