---
title: Does a new questionnaire reliably measure both period and mood symptoms together?
description: Yes, the MAC-PMSS correlates well with standard mood and symptom measures in women with mood disorders, though the study was small.
url: https://niyora.com/research/papers/a-dsm-5-based-tool-to-monitor-concurrent-mood-and-premenstrual-symptoms-the-2022/
---

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- Does a new questionnaire reliably measure both period and mood symptoms together?

Cohort study, 2022

# Does a new questionnaire reliably measure both period and mood symptoms together?

Yes, the MAC-PMSS correlates well with standard mood and symptom measures in women with mood disorders, though the study was small.

 Early or limited evidence

52 women ages 16-45 with bipolar disorder or major depressive disorder

## What they did

Researchers created MAC-PMSS, a new questionnaire to track period and mood symptoms together. They enrolled 52 women ages 16-45 with bipolar disorder or major depression. Women tracked symptoms daily for 2 months using MAC-PMSS and compared results with standard mood rating scales.

## What they found

MAC-PMSS items matched the daily symptom tracker strongly (all p<0.001). The mood section correlated with depression measures (r=0.572, p<0.01), another depression scale (r=0.555, p<0.01), and mania measures (r=0.456, p<0.01).

## What it means for you

MAC-PMSS reliably tracks period and mood symptoms together for women with depression or bipolar disorder. Main limitation: small sample with no control group for comparison.

52

women in study

2 months

tracking period

r=0.572

depression scale correlation

## About the study

Original title A DSM-5-based tool to monitor concurrent mood and premenstrual symptoms: the McMaster Premenstrual and Mood Symptom Scale (MAC-PMSS) Authors Frey BN, Allega OR, Eltayebani M et al. Journal BMC women's health Year 2022 Study design Cohort study What was tested MAC-PMSS questionnaire for tracking symptoms Open access Yes Read the paper [doi.org/10.1186/s12905-022-01678-1](https://doi.org/10.1186/s12905-022-01678-1) Original abstract

Background: Despite high co-morbidity between premenstrual dysphoric disorder and mood disorders, there is a gap of research-based tools to monitor concurrent premenstrual and mood symptoms. In this study, we developed a new DSM-5-based questionnaire to prospectively monitor concurrent premenstrual and mood symptoms. Methods: Fifty-two females with bipolar or major depressive disorder, ages 16-45, were enrolled in the study. Participants completed two months of prospective symptom charting including the McMaster Premenstrual and Mood Symptom Scale (MAC-PMSS) and the Daily Record of Severity of Problems (DRSP). At the end of the prospective charting, participants also completed the Montgomery-Åsberg Depression Rating Scale (MADRS), Hamilton Depression Rating Scale (HDRS) and the Young Mania Rating Scale (YMRS). The MAC-PMSS was correlated with the DRSP, MADRS, HDRS and YMRS. Results: All individual items of the MAC-PMSS correlated strongly with the individual DRSP scores (all p < 0.001). The mood section of the MAC-PMSS also significantly correlated with MADRS (r = 0.572; p < 0.01), HDRS (r = 0.555; p < 0.01) and YMRS scores (r = 0.456; p < 0.01). Conclusions: The MAC-PMSS is a reliable to tool to measure concurrent mood and premenstrual symptoms in women with mood disorders.

Reproduced under CC-BY.

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Bipolar disorder](https://niyora.com/research/topics/comorbidity-bipolar/)[Major depressive disorder](https://niyora.com/research/topics/comorbidity-major-depression/)

Research tells you what helps on average. Niyora helps on the day it hits.

Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor.

## Related studies

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Do women with major depression or bipolar disorder experience more premenstrual symptoms than healthy women?

Case report, 2013

Can severe mood changes around a period be an early sign of bipolar disorder?

Study, 2010

Are women with PMDD more sensitive to how light affects sleep hormones?

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