High nocturnal body temperature in premenstrual syndrome and late luteal phase dysphoric disorder
Abstract
OBJECTIVE: Because women with late luteal phase dysphoric disorder (LLPDD) experience symptomatic affective states predictably, they can be studied to determine whether there are biological findings related solely to the clinically symptomatic state. The authors sought to answer the question, Does body temperature change with affective state? METHOD: The core body temperature and motor activity patterns of 10 women with premenstrual syndrome (PMS), six of whom also met criteria for LLPDD, and no other psychological or medical illness were compared to those of six women with chronic, noncyclic dysphoria and six asymptomatic comparison women at four phases of the menstrual cycle. RESULTS: The nocturnal temperatures of the women with PMS/LLPDD were significantly higher than those of the comparison subjects across the entire menstrual cycle, but there were no differences in nocturnal activity levels. The women with noncyclic dysphoria had a mean nocturnal temperature in the follicular phase as high as that of the women with PMS/LLPDD. The temperatures of all women were higher in the luteal phase than in the follicular phase. CONCLUSIONS: These findings suggest that in the future investigators should document menstrual cycle phase in all female subjects and, when studying body temperature, should carefully monitor symptomatic state in comparison subjects.
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PMDD women have reduced CBT amplitude compared to healthy controls during the luteal phase.
“An early study showed that, compared to healthy controls, PMDD women had significantly elevated nocturnal CBT and a reduced CBT amplitude during the LP [104].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [104]
PMDD women have significantly elevated nocturnal core body temperature (CBT) compared to healthy controls during the luteal phase.
“An early study showed that, compared to healthy controls, PMDD women had significantly elevated nocturnal CBT and a reduced CBT amplitude during the LP [104].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [104]
Some studies have reported further nocturnal increases and phase-advanced CBT rhythms in PMS/PMDD patients compared to healthy women.
“Some studies have reported further nocturnal increases and phase-advanced rhythms in PMS/PMDD patients compared to healthy women [45, 104].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [104]
Most studies that confirmed ovulatory cycles found that the nocturnal decline in core body temperature is blunted, reducing the amplitude of the daily temperature rhythm in the luteal phase compared with the follicular phase.
“the nocturnal decline in core body temperature is blunted, reducing the amplitude of the daily temperature rhythm in the luteal phase compared with the follicular phase (Figure 2; 35,65-75).”
From Temperature regulation in women: Effects of the menstrual cycle (2020) · cites this paper as [72]
Most studies that confirmed ovulatory cycles found that mean or mesor core body temperature is increased in the luteal phase compared with the follicular phase.
“Most studies that confirmed the presence of ovulatory cycles found that the mean or mesor core body temperature is increased”
From Temperature regulation in women: Effects of the menstrual cycle (2020) · cites this paper as [72]
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Dr. Severino and Colleagues Reply
Severino, S. K., Hurt, S. W., Pollak, C. P., Wagner, D. R., Moline, M. L., & Zendell, S. M. (1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.6.850-b
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- Authors
- Severino, S. K., Wagner, D., Moline, M. L., Hurt, S. W., Pollak, C. P., & Zendell, S. M.
- ORCID
- Margaret L. Moline
- Venue
- American Journal of Psychiatry
- Published
- 1991-10-01
- Volume
- 148
- Issue
- 10
- Pages
- 1329-1335
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W207135186
- Cited by
- 54
- References
- 34
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2016: 2 · 2015: 1 · 2013: 2 · 2012: 1
- FWCI
- 4.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh042194-02)
- National Institute of Mental Health (MH-42194)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- premenstrual syndrome, late luteal phase dysphoric disorder, core body temperature, menstrual cycle phases, luteal phase, follicular phase, affective states, motor activity
- MeSH terms
- Adult, Body Temperature, Body Temperature Regulation, Circadian Rhythm, Female, Follicular Phase, Humans, Luteal Phase, Menstrual Cycle, Monitoring, Physiologic, Motor Activity, Premenstrual Syndrome
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