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Case-control study, 2019

How do PMDD and depression affect pain sensitivity and stress response?

Women with PMDD felt pain sooner and more intensely from cold exposure, and had weaker stress responses. Women with a history of depression showed lasting changes in pain and stress response even after the depression ended.

Early or limited evidence 38 women, including 17 with PMDD and 21 without; 13 with history of depression and 25 never depressed

What they did

Case-control study with 38 women. Researchers tested pain sensitivity using cold water and tourniquet tasks, then measured blood pressure, heart rate, and stress hormones at rest and during mental stress tasks.

What they found

PMDD women had lower pain thresholds and tolerance to cold water (greater pain sensitivity) and blunted blood pressure responses to stress. Women with prior depression history showed persistent changes in pain processing and stress response, including different relationships between blood pressure and pain tolerance.

What it means for you

Pain and stress response mechanisms work differently in PMDD and depression. This is a very small study, so we cannot be sure these findings apply to all women with PMDD or depression. The findings suggest biological pathways underlying these conditions may be distinct.

38

women total

17

with PMDD

21

without PMDD

About the study

Original title
Prior depression, PMDD, and pain: biological mechanisms
Authors
Rebecca R. Klatzkin
Journal
Carolina Digital Repository (University of North Carolina at Chapel Hill)
Year
2019
Study design
Case-control study
Participants
38
What was tested
None; observational comparison
Open access
Yes

Topics