What changes happen in the brains of people with PMS?

Background: Most studies on the mechanism behind premenstrual syndrome (PMS) have focused on fluctuating hormones, but little evidence exists regarding functional abnormalities in the affected brain regions of college students. Thus, the aim of this study is to localize PMS's abnormal brain regions by BOLD-fMRI in college students. Methods: : Thirteen PMS patients and fifteen healthy control (HC) subjects underwent a BOLD-fMRI scan during the luteal phase induced by depressive emotion pictures. The BOLD-fMRI data were processed by SPM 8 software and rest software based on MATLAB platform. Each cluster volume threshold (cluster) was greater than 389 continuous voxels, and the brain area with single voxel threshold P < 0.05 (after correction) was defined as the area with a significant difference. The emotion report form and the instruction implementation checklist were used to evaluate the emotion induced by picture. Results: : Compared to the HC, right inferior occipital gyrus, right middle occipital gyrus, right lingual gyrus, right fusiform gyrus, right inferior temporal gyrus, cerebelum_crus1_R，cerebelum_6_R, culmen, the cerebellum anterior lobe, tuber, cerebellar tonsil of PMS patients were enhanced activation. Sub-lobar，sub-gyral，extra-nuclear，right orbit part of superior frontal gyrus, right middle temporal gyrus, right Orbit part of inferior frontal gyrus, limbic lobe, right insula, bilateral anterior and adjacent cingulate gyrus, bilateral caudate, caudate head, bilateral putamen, left globus pallidus were decreased activation. Conclusion: Our findings may improve our understanding of the neural mechanisms involved in PMS.

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