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Study, 2005

Do women with depression experience worsening of symptoms before their period?

Yes. 64% of women with depression reported worsening of symptoms in the 5 to 10 days before their period. This worsening appears linked to longer-lasting depression.

Moderate study design 433 premenopausal women with major depression (not using oral contraceptives)

What they did

Researchers asked 433 premenopausal women with major depression who were not taking oral contraceptives whether they experienced worsening of depressive symptoms in the 5 to 10 days before their period. They compared women who reported worsening with those who did not, looking at how long their current depression had lasted, physical health problems, and specific symptoms.

What they found

64% of the 433 women reported worsening before their period. Women reporting worsening had a longer current depression episode (30.7 months on average compared to 13.5 months) and more physical health problems. They reported more heaviness and body complaints, stomach problems, and slowness. They were less likely to report flat emotional responses.

What it means for you

Most women with depression experience worsening before their period, and this appears linked to how long their depression lasts. The main limit is that this was based on what women reported about their own experience, not measured in a controlled setting.

64%

women reporting premenstrual worsening

30.7 months

average depression duration with worsening

13.5 months

average depression duration without worsening

About the study

Original title
Self-reported premenstrual exacerbation of depressive symptoms in patients seeking treatment for major depression
Authors
Kornstein SG, Harvey AT, Rush AJ et al.
Journal
Psychological medicine
Year
2005
Study design
Study
Participants
1,500

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