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Randomised trial, 2023

Does taking sertraline when PMDD symptoms start improve how well women function?

Relationship functioning improved more with sertraline at symptom onset, mainly because it reduced anger and irritability. However, work productivity and social activities did not improve clearly.

Strong study design Women with PMDD at 3 university sites (90 in sertraline group, 94 in placebo)

What they did

A controlled trial at 3 sites where 90 women took sertraline (25-100 mg) and 94 took placebo, both starting when symptoms appeared. They measured how much their work, hobbies, social life, and relationships were affected over 2 cycles.

What they found

Relationship functioning improved by 1.39 points with sertraline compared to 0.76 points with placebo. Anger and irritability reduction appeared to explain why relationships improved with treatment.

What it means for you

Taking sertraline only when symptoms start may help with relationship problems in PMDD by reducing anger. However, this finding is from one trial and needs to be confirmed in other studies.

90

Women in sertraline group

94

Women in placebo group

1.39 vs 0.76

Relationship improvement in points

About the study

Original title
Does Symptom-Onset Treatment With Sertraline Improve Functional Impairment for Individuals With Premenstrual Dysphoric Disorder?: A Randomized Controlled Trial
Authors
Yonkers KA, Altemus M, Gilstad-Hayden K et al.
Journal
Journal of clinical psychopharmacology
Year
2023
Study design
Randomised trial
Participants
94
What was tested
Sertraline 25-100 mg started when symptoms appear vs placebo
Open access
Yes

Topics