2.5. Assessment Approach
THYROID DISEASE, PMS
At baseline, the sociodemographic questionnaire was administered to both study groups, which included basic sociodemographic features such as age, and chronic conditions such as thyroid disease, medication use, smoking, alcohol status and substance use. The dietitian evaluated the dietary habits of participants in both the control and intervention groups. The assessment covered the number of servings of milk and dairy products, meat, fish, legumes, vegetables, fruits, refined carbohydrate-rich foods, caffeine, and carbonated drinks, as well as fat-rich foods. In addition, at baseline, and by the end of the study, the DRSP (Arabic version) was disseminated to participants of the control and intervention groups. The DRSP tool is known for its high sensitivity, specificity, and validity in calculating PMS and PMDD incidence rates [Moreover, a PSS was filled out by the participants at baseline and by the end of the study. It is a self-reporting instrument that assesses the degree to which the individual perceives his/her situation as stressful [