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Survey study, 2004

How common is PMS and premenstrual worsening of psychiatric symptoms in women with mental health disorders?

Very common. Between 52% and 80% of women with anxiety, depression, or panic disorder reported PMS symptoms, and between 36% and 52% experienced worsening of their psychiatric symptoms before their period.

Early or limited evidence 200 Chinese outpatients (50 each with anxiety disorder, depression, panic disorder, or schizophrenia)

What they did

200 Chinese women outpatients (50 each with generalized anxiety disorder, depression, panic disorder, or schizophrenia) were assessed for PMS symptoms and for premenstrual exacerbation, meaning worsening of their existing psychiatric symptoms.

What they found

PMS symptoms were reported by 78% of women with anxiety disorder, 80% with depression, 68% with panic disorder, and 52% with schizophrenia. Premenstrual worsening of psychiatric symptoms occurred in 52% with anxiety, 52% with depression, 36% with panic disorder, and 20% with schizophrenia. More PMS symptoms were associated with more severe premenstrual worsening.

What it means for you

Women with anxiety and depression commonly experience PMS, and often their mental health symptoms get worse before their period, suggesting the menstrual cycle affects mental health. The main limitation is a small Chinese sample with no explanation of why this happens.

200

outpatients assessed

80%

of depression group reporting PMS

52%

of depression group with premenstrual exacerbation

About the study

Original title
Premenstrual symptoms and premenstrual exacerbation in patients with psychiatric disorders
Authors
Hsiao MC, Hsiao CC, Liu CY
Journal
Psychiatry and clinical neurosciences
Year
2004
Study design
Survey study
What was tested
None
Open access
Yes

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