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Cohort study, 2010

Does depression that worsens before the period differ from other depression?

No major differences in depression type or treatment response, but women with premenstrual worsening had more seasonal mood patterns and different personality traits (more self-control).

Moderate study design 74 women who achieved remission from major depression after 16 weeks of treatment (from initial 99 outpatients)

What they did

Longitudinal cohort study. 99 outpatients with major depression (not taking medication at baseline) were interviewed. After 16 weeks of treatment, 74 patients achieved remission (depression rating score of 7 or less). These 74 women then completed personality and cognitive tests.

What they found

No differences were found between women with and without premenstrual exacerbation of depression in depression type or how well treatment worked, except women with premenstrual exacerbation were more likely to have seasonal features. Women with premenstrual exacerbation scored higher on self-control personality trait and lower on a cognitive test (D48/Dominos test). Higher self-control scores increased the risk for premenstrual exacerbation by 51.3%, while higher cognitive test scores decreased the risk by 8.6%.

What it means for you

Women whose depression gets worse before their period do not have a fundamentally different type of depression or response to treatment. They may have different personality patterns (more self-control) and cognitive patterns. This study was limited to women whose depression responded well to treatment, so findings may not apply to all women.

74

Women who achieved remission

51.3%

Increased risk for PE with higher self-control

8.6%

Decreased risk for PE with higher cognitive scores

About the study

Original title
[Longitudinal study comparing depressive female patients with and without premenstrual exacerbation]
Authors
Benavente Martín JL, Olivares Diez JM, Calado Otero M et al.
Journal
Revista de psiquiatria y salud mental
Year
2010
Study design
Cohort study
Participants
74
What was tested
Standard depression treatment (specific medications not detailed)

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