---
title: Do women with PMDD who experienced abuse respond differently to stress?
description: Women with PMDD who had experienced sexual or physical abuse showed different stress hormone patterns when stressed, with lower resting stress hormones but st
url: https://niyora.com/research/papers/biological-correlates-of-abuse-in-women-with-premenstrual-dysphoric-disorder-and-2003/
---

- [Niyora](https://niyora.com/)
- [Research](https://niyora.com/research/)
- [Library](https://niyora.com/research/library/)
- Do women with PMDD who experienced abuse respond differently to stress?

Cohort study, 2003

# Do women with PMDD who experienced abuse respond differently to stress?

Women with PMDD who had experienced sexual or physical abuse showed different stress hormone patterns when stressed, with lower resting stress hormones but stronger adrenaline responses, different from non-PMDD women with abuse histories.

 Early or limited evidence

28 women with PMDD and 28 control women

## What they did

Twenty-eight women with confirmed PMDD were matched with 28 non-PMDD control women. All had their heart rate, blood pressure, and stress hormones measured at rest and during mental stress tests in both early and late phases of their cycle. All were interviewed about prior sexual and physical abuse experiences.

## What they found

Twenty PMDD women with prior abuse had lower resting norepinephrine, stronger adrenaline receptor responses, and greater norepinephrine reactivity to stress in the late cycle phase compared to 8 PMDD women without prior abuse. In non-PMDD controls, prior abuse was associated with blunted cortisol, heart rate, and cardiac output responses to stress.

## What it means for you

A history of abuse may affect how women's bodies respond to stress differently in PMDD compared to women without PMDD. This suggests PMDD and trauma history interact biologically, but the study was small, measured only two cycle phases, and examined associations rather than causes.

28

Women with PMDD studied

20

Women with PMDD who had prior abuse

10

Control women with prior abuse

## About the study

Original title Biological correlates of abuse in women with premenstrual dysphoric disorder and healthy controls Authors Girdler SS, Sherwood A, Hinderliter AL et al. Journal Psychosomatic medicine Year 2003 Study design Cohort study What was tested None (observational study examining prior abuse history) Read the paper [doi.org/10.1097/01.psy.0000088593.38201.cd](https://doi.org/10.1097/01.psy.0000088593.38201.cd)

## 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/)[Stress](https://niyora.com/research/topics/symptom-stress/)

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

Review, 2023

What treatments help mental and physical health problems linked to the menstrual cycle?

Randomised trial, 2019

Does online cognitive behavioral therapy help women with PMDD?

Case-control study, 2016

Is cortisol dysregulation a cause of PMS or PMDD?

Review, 2003

How do menstrual cycle hormones affect the brain and cause mood disorders like PMDD?

Survey study, 2026

How common is PMDD among female medical students and what triggers it?

Survey study, 2026

What hormonal and psychological factors affect PMS symptoms?

Ask AI about this page

Copy prompt

ChatGPT

↗

Claude

↗

Perplexity

↗

Google AI Mode

↗

Grok

↗
