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Cohort study, 2020

Do SSRIs help women with both PMS and depression?

Women with both PMS and depression who took SSRIs showed improvement over 6 months. However, the evidence is weak because this was a small study without a control group.

Early or limited evidence 31 women with both premenstrual syndrome and major depressive disorder

What they did

Observational longitudinal study of 31 women with both PMS and major depressive disorder. Women received SSRI antidepressant treatment for 6 months and were evaluated twice during treatment.

What they found

Before treatment, women reported moderate to severe mood swings, anxiety, fatigue, breast tenderness, palpitations, abdominal bloating and headache. After 6 months of SSRI treatment, these same symptoms were present but mildly expressed. Symptom improvement was greater at month 3 than at month 6. The conclusion notes that SSRIs alleviate both symptom types at month three and even further, although less pronouncedly at month six.

What it means for you

SSRIs may help reduce both mood and physical PMS symptoms in women who also have depression. The evidence is limited because this was a small observational study without a comparison group, and we do not know whether these results apply to women with PMS alone.

31

women in study

6

months of treatment

About the study

Original title
Clinical Characteristics of PMS Co-Morbid with MDD and Effectiveness of SSRIs in its Treatment
Authors
R. Yakimova, Maya Y. Stoimenova-Popova, Petranka G. Chumpalova et al.
Journal
Acta Medica Bulgarica
Year
2020
Study design
Cohort study
What was tested
SSRI antidepressant treatment for 6 months
Open access
Yes

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