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BMC Public Health
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

The interrelation between premenstrual syndrome and major depression: Results from a population-based sample

Authors: Christine Forrester-Knauss, Elisabeth Zemp Stutz, Carine Weiss, Sibil Tschudin

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

Research about the relationship between premenstrual syndrome (PMS) and major depression is limited. This study examined the relationship between moderate to severe PMS and major depression in a population-based sample of women of reproductive age. The objectives of the study were to assess the association between premenstrual syndrome and major depression, to analyse how PMS and major depression differ and to characterise the group of women who report both PMS and major depression.

Methods

Data were obtained from the Swiss Health Survey 2007. Included in the analysis was data from women under the age of 55 without hysterectomy and who answered the questions on PMS symptoms. The population-based sample consisted of 3518 women. Weighted prevalence rates were calculated and relative risk ratios for PMS, major depression and women who reported both PMS and major depression, were calculated with logistic multinominal logit regression.

Results

The prevalence of major depression was 11.3% in women screening positive for moderate PMS and 24.6% in women screening positive for severe PMS. Compared to women without any of these conditions, women who reported moderate to severe alcohol consumption had a lower risk for PMS. Women reporting use of antidepressants, and use of oral contraceptives had a higher risk for major depression compared to women without any of these conditions. Women reporting work dissatisfaction had a higher risk for PMS. A higher relative risk to report both PMS and major depression compared to women without PMS or major depression was related to factors such as high psychological distress, low mastery, psychotropic drug consumption, and low self-rated health.

Conclusions

The results suggested that women who suffer from both PMS and major depression are more impaired compared to women with only one disorder. The results further indicated that PMS and major depression are different disorders that can, however, co-occur.
Literature
1.
Brown MA, Lewis LL: Cycle-phase changes in perceived stress in women with varying levels of premenstrual symptomatology. Research in Nursing & Health. 1993, 16 (6): 423-9.CrossRef
2.
Lustyk MK, Widman L, Paschane A, Ecker E: Stress, quality of life and physical activity in women with varying degrees of premenstrual symptomatology. Women Health. 2004, 39 (3): 35-44. 10.1300/J013v39n03_03.CrossRefPubMed
3.
Hourani LL, Yuan HX, Bray RM: Psychosocial and lifestyle correlates of premenstrual symptoms among military women. Journal of Womens Health. 2004, 13 (7): 812-821. 10.1089/jwh.2004.13.812.CrossRef
4.
Rosen LN, Moghadam LZ, Endicott J: Relationship between Premenstrual Symptoms and General Well-Being. Psychosomatics. 1990, 31 (1): 47-54.CrossRefPubMed
5.
Woods NF, Lentz MJ, Mitchell ES, Heitkemper M, Shaver J, Henker R: Perceived stress, physiologic stress arousal, and premenstrual symptoms: Group differences and intra-individual patterns. Research in Nursing & Health. 1998, 21 (6): 511-523. 10.1002/(SICI)1098-240X(199812)21:6<511::AID-NUR5>3.0.CO;2-W.CrossRef
6.
Tschudin S, Bertea PC, Zemp E: Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample. Arch Womens Ment Health. 2010, 13 (6): 485-494. 10.1007/s00737-010-0165-3.CrossRefPubMed
7.
Lane T, Francis A: Premenstrual symptomatology, locus of control, anxiety and depression in women with normal menstrual cycles. Arch Womens Ment Health. 2003, 6 (2): 127-38. 10.1007/s00737-003-0165-7.CrossRefPubMed
8.
Morse CA, Dennerstein L, Varnavides K, Burrows GD: Menstrual cycle symptoms: comparison of a non-clinical sample with a patient group. J Affect Disord. 1988, 14 (1): 41-50. 10.1016/0165-0327(88)90070-5.CrossRefPubMed
9.
Yonkers KA, Pearlstein T, Rosenheck RA: Premenstrual disorders: bridging research and clinical reality. Arch Womens Ment Health. 2003, 6 (4): 287-92. 10.1007/s00737-003-0026-4.CrossRefPubMed
10.
Bancroft J, Rennie D, Warner P: Vulnerability to Perimenstrual Mood Change - the Relevance of a Past History of Depressive Disorder. Psychosomatic Medicine. 1994, 56 (3): 225-231.CrossRefPubMed
11.
Cohen LS, Soares CN, Otto MW, Sweeney BH, Liberman RF, Harlow BL: Prevalence and predictors of premenstrual dysphoric disorder (PMDD) in older premenopausal women - The Harvard Study of Moods and Cycles. Journal of Affective Disorders. 2002, 70 (2): 125-132. 10.1016/S0165-0327(01)00458-X.CrossRefPubMed
12.
Angst J, Sellaro R, Stolar M, Merikangas KR, Endicott J: The epidemiology of perimenstrual psychological symptoms. Acta Psychiatrica Scandinavica. 2001, 104 (2): 110-116. 10.1034/j.1600-0447.2001.00412.x.CrossRefPubMed
13.
Warner P, Bancroft J, Dixson A, Hampson M: The Relationship between Perimenstrual Depressive Mood and Depressive-Illness. Journal of Affective Disorders. 1991, 23 (1): 9-23. 10.1016/0165-0327(91)90031-M.CrossRefPubMed
14.
Payne JL, Roy PS, Murphy-Eberenz K, Weismann MM, Swartz KL, McInnis MG, Nwulia E, Mondimore FM, MacKinnon DF, Miller EB, Nurnberger JI, Levinson DF, DePaulo JR, Potash JB: Reproductive cycle-associated mood symptoms in women with major depression and bipolar disorder. J Affect Disord. 2007, 99 (1-3): 221-9. 10.1016/j.jad.2006.08.013.CrossRefPubMed
15.
Endicott J: The Menstrual-Cycle and Mood Disorders. Journal of Affective Disorders. 1993, 29 (2-3): 193-200. 10.1016/0165-0327(93)90033-G.CrossRefPubMed
16.
Wittchen HU, Becker E, Lieb R, Krause P: Prevalence, incidence and stability of premenstrual dysphoric disorder in the community. Psychological Medicine. 2002, 32 (1): 119-132.CrossRef
17.
Strine TW, Chapman DP, Ahluwalia IB: Menstrual-related problems and psychological distress among women in the United States. Journal of Womens Health. 2005, 14 (4): 316-323. 10.1089/jwh.2005.14.316.CrossRef
18.
Critchlow DG, Bond AJ, Wingrove J: Mood disorder history and personality assessment in premenstrual dysphoric disorder. J Clin Psychiatry. 2001, 62 (9): 688-93. 10.4088/JCP.v62n0905.CrossRefPubMed
19.
Hurt SW, Schnurr PP, Severino SK, Freeman EW, Gise LH, Riveratovar A, Steege JF: Late Luteal Phase Dysphoric Disorder in 670 Women Evaluated for Premenstrual Complaints. American Journal of Psychiatry. 1992, 149 (4): 525-530.CrossRefPubMed
20.
Breaux C, Hartlage S, Gehlert S: Relationships of premenstrual dysphoric disorder to major depression and anxiety disorders: a re-examination. Journal of Psychosomatic Obstetrics and Gynecology. 2000, 21 (1): 17-24. 10.3109/01674820009075604.CrossRefPubMed
21.
Hartlage SA, Arduino KE, Gehlert S: Premenstrual dysphoric disorder and risk for major depressive disorder: A preliminary study. Journal of Clinical Psychology. 2001, 57 (12): 1571-1578. 10.1002/jclp.1119.CrossRefPubMed
22.
Steiner M, Macdougall M, Brown E: The premenstrual symptoms screening tool (PSST) for clinicians. Archives of Women's Mental Health. 2003, 6 (3): 203-209. 10.1007/s00737-003-0018-4.CrossRefPubMed
23.
Kessler RC, Andrews G, Mroczek D, Ustun B, Wittchen H-U: The World Health Organization Composite International Diagnostic Interview short-form (CIDI-SF). International Journal of Methods in Psychiatric Research. 1998, 7 (4): 171-185. 10.1002/mpr.47.CrossRef
24.
Soares CN, Cohen LS: Association between premenstrual syndrome and depression. Journal of Clinical Psychiatry. 2000, 61 (9): 677-677.CrossRefPubMed
25.
Landen M, Eriksson E: How does premenstrual dysphoric disorder relate to depression and anxiety disorders?. Depression and Anxiety. 2003, 17 (3): 122-129. 10.1002/da.10089.CrossRefPubMed
26.
Hartlage SA, Arduino KE: Toward the content validity of premenstrual dysphoric disorder: do anger and irritability more than depressed mood represent treatment-seekers' experiences?. Psychol Rep. 2002, 90 (1): 189-202.CrossRefPubMed
27.
Klatzkin RR, Lindgren ME, Forneris CA, Girdler SS: Histories of major depression and premenstrual dysphoric disorder: Evidence for phenotypic differences. Biol Psychol. 2010, 84 (2): 235-47. 10.1016/j.biopsycho.2010.01.018.CrossRefPubMedPubMedCentral
28.
Kendler KS, Karkowski LM, Corey LA, Neale MC: Longitudinal population-based twin study of retrospectively reported premenstrual symptoms and lifetime major depression. American Journal of Psychiatry. 1998, 155 (9): 1234-1240.CrossRefPubMed
29.
Soares CN, Cohen LS, Otto MW, Harlow BL: Characteristics of women with premenstrual dysphoric disorder (PMDD) who did or did not report history of depression: a preliminary report from the Harvard Study of Moods and Cycles. J Womens Health Gend Based Med. 2001, 10 (9): 873-8. 10.1089/152460901753285778.CrossRefPubMed
30.
Bentz D, Steiner M, Meinlschmidt G: SIPS - Screening-Instrument fur pramenstruelle Symptome*: Die deutsche Version des Premenstrual Symptoms Screening Tool zur Erfassung klinisch relevanter Beschwerden. SIPS - screening instrument for premenstrual symptoms*: The German version of Premenstrual Symptoms Screening Tool to assess clinically relevant disturbances.]. Nervenarzt. 2011
31.
Warner P, Bancroft J: Factors related to self-reporting of the pre-menstrual syndrome. Br J Psychiatry. 1990, 157: 249-60. 10.1192/bjp.157.2.249.CrossRefPubMed
32.
Oinonen KA, Mazmanian D: To what extent do oral contraceptives influence mood and affect?. J Affect Disord. 2002, 70 (3): 229-40. 10.1016/S0165-0327(01)00356-1.CrossRefPubMed
33.
Graham CA, Sherwin BB: The relationship between retrospective premenstrual symptom reporting and present oral contraceptive use. J Psychosom Res. 1987, 31 (1): 45-53. 10.1016/0022-3999(87)90097-3.CrossRefPubMed
34.
Andersch B, Hahn L: Premenstrual complaints II. Influence of oral contraceptives. Acta Obstet Gynecol Scand. 1981, 60 (6): 579-83. 10.3109/00016348109155490.CrossRefPubMed
35.
Bancroft J, Rennie D: The impact of oral contraceptives on the experience of perimenstrual mood, clumsiness, food craving and other symptoms. J Psychosom Res. 1993, 37 (2): 195-202. 10.1016/0022-3999(93)90086-U.CrossRefPubMed
36.
Lopez LM, Kaptein AA, Helmerhorst FM: Oral contraceptives containing drospirenone for premenstrual syndrome. Cochrane Database Syst Rev. 2009, CD006586-2
37.
Kuczmierczyk AR, Labrum AH, Johnson CC: Perception of family and work environments in women with premenstrual syndrome. Journal of Psychosomatic Research. 1992, 36 (8): 787-795. 10.1016/0022-3999(92)90137-Q.CrossRefPubMed
38.
Burt VK, Stein K: Epidemiology of depression throughout the female life cycle. J Clin Psychiatry. 2002, 63 (Suppl 7): 9-15.PubMed
Metadata
Title
The interrelation between premenstrual syndrome and major depression: Results from a population-based sample
Authors
Christine Forrester-Knauss
Elisabeth Zemp Stutz
Carine Weiss
Sibil Tschudin
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-795

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