Regular Yoga Modulates Attention Bias During the Luteal Phase in Women with Premenstrual Syndrome

<b>Objectives</b>: Women with Premenstrual Syndrome (PMS) tend to exhibit an excessive attention bias toward negative stimuli during the luteal phase. This study intends to investigate the effect of regular yoga on attention bias of women with PMS during the luteal phase and explore the mechanisms underlying such changes. <b>Methods:</b> Sixty-four women with PMS were recruited, coded and randomly assigned to either a 12-week yoga group (n = 32) or a control group (n = 32). The dot-probe task was used to assess attention bias at baseline and 12 weeks later. Data analysis was performed using SPSS 27.0 software, with analytical methods including descriptive statistics, repeated-measures analysis of variance (RM-ANOVA), simple effect analysis, cluster-based permutation test and Pearson correlation analysis. The Holm-Bonferroni method was used to correct for multiple comparison errors. <b>Results:</b> RM-ANOVA revealed significant time × group interaction effects for attention orientation, attention disengagement, P1 component, and P3 component. Simple effect analysis indicated that, compared with the control group, the yoga group exhibited significant modulations in attention orientation (t = -7.33, <i>p</i> < 0.001), P1 (t = 8.94, <i>p</i> < 0.001), attention disengagement (t = 6.89, <i>p</i> < 0.001), and P3 (t = 4.42, <i>p</i> = 0.002) after 12 weeks of intervention. Cluster-based permutation tests demonstrated that the yoga group showed significant reductions in P1 and P3 amplitudes after 12 weeks. Pearson correlation analysis indicated that attention orientation was significantly negatively correlated with P1 amplitude, while attention disengagement was significantly positively correlated with P3 amplitude. <b>Conclusion:</b> Regular yoga can regulate the behavioral indicators and electroencephalographic (EEG) indicators related to attention bias and exerts a positive effect on modulating attention bias toward negative stimuli in women with PMS during the luteal phase.