Changes in mood, cognitive performance and appetite in the late luteal and follicular phases of the menstrual cycle in women with and without PMDD (premenstrual dysphoric disorder)
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Although it's been reported that women with premenstrual dysphoric disorder (PMDD) have increased negative mood, appetite (food cravings and food intake), alcohol intake and cognitive deficits premenstrually, few studies have examined these changes concurrently within the same group of women or compared to women without PMDD. Thus, to date, there is not a clear understanding of the full range of PMDD symptoms. The present study concurrently assessed mood and performance tasks in 29 normally cycling women (14 women who met DSM-IV criteria for PMDD and 15 women without PMDD). Women had a total of ten sessions: two practice sessions, 4 sessions during the follicular phase and 4 sessions during the late luteal phase of the menstrual cycle. Each session, participants completed mood and food-related questionnaires, a motor coordination task, performed various cognitive tasks and ate lunch. There was a significant increase in dysphoric mood during the luteal phase in women with PMDD compared to their follicular phase and compared to Control women. Further, during the luteal phase, women with PMDD showed impaired performance on the Immediate and Delayed Word Recall Task, the Immediate and Delayed Digit Recall Task and the Digit Symbol Substitution Test compared to Control women. Women with PMDD, but not Control women, also showed increased desire for food items high in fat during the luteal phase compared to the follicular phase and correspondingly, women with PMDD consumed more calo…
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Menstrual-associated symptoms are more closely related to altered central nervous system sensitivity to hormonal fluctuations than to absolute hormone concentrations.
“This finding may be consistent with previous evidence suggesting that menstrual‐associated symptoms are more closely related to altered central nervous system sensitivity to hormonal fluctuations than to absolute hormone concentrations 20 , 21 , 22 , 23 , 24 .”
This finding may be consistent with previous evidence that menstrual-associated symptoms are more closely related to altered central nervous system sensitivity to hormonal fluctuations than to absolute hormone concentrations.
“This finding may be consistent with previous evidence suggesting that menstrual‐associated symptoms are more closely related to altered central nervous system sensitivity to hormonal fluctuations than to absolute hormone concentrations 20 , 21 , 22 , 23 , 24 .”
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- Authors
- Reed, S. C., Levin, F. R., & Evans, S. M.
- Affiliations
- New York State Psychiatric Institute (US)
- Venue
- Hormones and Behavior
- Publisher
- Elsevier BV
- Published
- 2008-06
- Volume
- 54
- Issue
- 1
- Pages
- 185-193
- ISSN
- 0018-506X (ISSN-L)
- PMC
- PMC2491904
- OpenAlex
- W2025188912
- Cited by
- 170
- References
- 82
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 11 · 2023: 10 · 2022: 10 · 2021: 9 · 2020: 10 · 2019: 9 · 2018: 9 · 2017: 13 · 2016: 7 · 2015: 7 · 2014: 9 · 2013: 15 · 2012: 13
- FWCI
- 7.95
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Hormones and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (K02DA00465, K02DA000465, R01DA009114)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Keywords
- premenstrual dysphoric disorder, menstrual cycle, luteal phase, follicular phase, mood, dysphoric mood, cognitive performance, memory impairment, food cravings, appetite, dietary fat intake, energy intake, serotonergic system, serotonin reuptake inhibitors
- MeSH terms
- Adult, Affect, Appetite, Cognition, Depressive Disorder, Estradiol, Female, Follicular Phase, Humans, Luteal Phase, Memory, Menstrual Cycle, Neuropsychological Tests, Premenstrual Syndrome, Surveys and Questionnaires, Task Performance and Analysis, Mood Disorders
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