Day-to-day co-variations of psychological and physical symptoms of the menstrual cycle: Insights to individual differences in steroid reactivity

Kiesner, Jeff; Pastore, Massimiliano

doi:10.1016/j.psyneuen.2009.07.011

Cited by 23 publications

(39 citation statements)

References 42 publications

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“…This is a key weakness, given that recent work revealed that nearly 30% of premenstrual psychological symptoms could be explained by increased physical symptoms (Kiesner, 2009; Kiesner & Pastore, 2010). Future work should track physical symptoms to determine whether greater cyclical physical symptoms are responsible for cyclical changes in psychological distress among women with high trait levels of BPD features.…”

Section: Discussionmentioning

confidence: 99%

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Eisenlohr‐Moul

DeWall

Girdler

et al. 2015

Biological Psychology

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Cyclical fluctuations in the ovarian hormones 17β-estradiol (E2; estrogen) and progesterone (P4) predict emotions, cognitive processes, and behaviors relevant to Borderline Personality Disorder (BPD); however, there are individual differences in sensitivity to normal hormone shifts. This study examined associations of naturally occurring hormonal changes with concurrent BPD feature expression. Forty women sampled for a flat distribution of the PAI-BOR (n=10 where T<50, n=10 where 5070) provided 4 weekly saliva samples and psychological assessments. Across most outcomes (e.g., BPD features, felt rejection, anger rumination, negative urgency) P4 deviation (from one’s person mean) moderated the effect of current E2 deviation (from one’s person mean) among women high (+1 SD) in trait BPD features such that E2 deviation was negatively associated with symptoms only when P4 was higher-than-usual. Cyclical hormone changes (e.g., higher P4 in the luteal phase; E2 fluctuations at ovulation and in the luteal phase) may impact BPD feature expression among at-risk women.

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Section: Discussionmentioning

confidence: 99%

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Eisenlohr‐Moul

DeWall

Girdler

et al. 2015

Biological Psychology

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“…A study that found women in the late luteal phase experienced reduced pain tolerance, using a cold pressor test, provides some evidence for somatic neural changes related to the timing within the cycle [18]. There has also been consideration of the effect of hormonal activity in local tissue, with a recent study suggesting that physical symptoms, including GI symptoms, may indicate sensitivity to reproductive steroids, and that concurrent psychological symptoms may reflect neurological sensitivity to these steroids, at a peak point in the menstrual cycle [19]. Prostaglandins may provide another pathophysiological link to understand the overlap between menstrual pain and gastrointestinal symptoms.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal symptoms before and during menses in healthy women

et al. 2014

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BackgroundLittle is known as to the extent gastrointestinal (GI) complaints are reported by women around menses. We aimed to describe GI symptoms that occurred premenstrually and during menses in healthy women, and to specifically assess the relationship of emotional symptoms to GI symptoms around menses.MethodsWe recruited healthy, premenopausal adult women with no indication of GI, gynecologic, or psychiatric disease who were attending an outpatient gynecology clinic for well-woman care. They completed a survey that queried menstrual histories and the presence of GI and emotional symptoms. We compared the prevalence of primary GI symptoms (abdominal pain, diarrhea, constipation, nausea, vomiting), as well as pelvic pain and bloating, in the 5 days preceding menses and during menses, and assessed whether emotional symptoms or other factors were associated with the occurrence of GI symptoms.ResultsOf 156 respondents, 73% experienced at least one of the primary GI symptoms either pre- or during menses, with abdominal pain (58% pre; 55% during) and diarrhea (24% pre; 28% during) being the most common. Those experiencing any emotional symptoms versus those without were more likely to report multiple (2 or more) primary GI symptoms, both premenstrually (depressed p = 0.006; anxiety p = 0.014) and during menses (depressed p < 0.001; anxiety p = 0.008). Fatigue was also very common (53% pre; 49% during), and was significantly associated with multiple GI symptoms in both menstrual cycle phases (pre p < 0.001; during p = 0.01).ConclusionsEmotional symptoms occurring in conjunction with GI symptoms are common perimenstrually, and as such may reflect shared underlying processes that intersect brain, gut, and hormonal pathways.

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“…First, many studies examining the associations between sleep and menstrual phase have either compared women with and without premenstrual dysphoric disorder (PMDD, DSM-V, American Psychiatric Association 2013;De Ronchi et al 2005;Freeman et al 1996;Steiner et al 2003), or have used statistical analyses that average across individuals (e.g., Laessle et al 1990;see Kiesner 2011;Kiesner and Pastore 2010; for studies focusing on individual differences in response to the menstrual cycle on non-sleep variables).…”

Section: Introductionmentioning

confidence: 99%

“…For example, headaches, back/joint pain, depression, and anxiety, to name a few, have all been shown to vary across the menstrual cycle (Mortola et al 1990;Kiesner and Pastore 2010) and are also associated with sleep difficulties. Past research has shown that both affective symptoms and pain conditions (e.g., headaches) are commonly associated with sleep problems (Finan et al 2013;Gruber and Cassoff 2014).…”

Section: Introductionmentioning

confidence: 99%

Individual differences in self-reported difficulty sleeping across the menstrual cycle

Reen

Kiesner

2016

Arch Womens Ment Health

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The effect of menstrual cycle phase on sleep has been studied for decades; however, individual differences in the associations between sleep and menstrual phase have not been well studied. In addition, the associations between changes in sleep and other physiological and psychological factors that vary as a function of menstrual phase have not been thoroughly assessed. This study explored individual differences in daily self-reports of difficulty sleeping across the menstrual cycle, as well as associations between daily changes in difficulty sleeping and psychological/vegetative and somatic symptoms. Participants (n = 213 females, mean age = 21.29 ± 4.01 years) completed daily online questionnaires assessing` sleep, psychological and physical symptoms for two menstrual cycles. Two patterns of menstrual cycle-related self-reported difficulty sleeping emerged in addition to women who showed no cyclical change in self-reported difficulty sleeping: a perimenstrual increase and a mid-cycle increase. All psychological/vegetative symptoms and some of the somatic symptoms showed significant associations with self-reported difficulty sleeping. These findings highlight the importance of examining individual differences in sleep across the menstrual cycle and the significant contribution of a wide range of menstrual cycle-related psychological/vegetative and somatic symptoms.

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Day-to-day co-variations of psychological and physical symptoms of the menstrual cycle: Insights to individual differences in steroid reactivity

Cited by 23 publications

References 42 publications

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Gastrointestinal symptoms before and during menses in healthy women

Individual differences in self-reported difficulty sleeping across the menstrual cycle

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