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Case-control study, 2013

Does the prefrontal cortex function differently in women with PMDD?

Brain scans showed that women with PMDD have greater activity in a part of the brain called the dorsolateral prefrontal cortex during thinking tasks, regardless of hormone levels. Higher activity was linked with more severe symptoms.

Moderate study design 15 women with PMDD, 15 healthy controls

What they did

Case-control study where 15 women with PMDD and 15 control women performed a thinking task while being exposed to three different artificial hormone conditions (estrogen only, progesterone only, or neither). Brain activity was measured using PET and fMRI scans.

What they found

Women with PMDD showed greater activation of the dorsolateral prefrontal cortex than controls across all three hormone conditions. The degree of activation correlated with symptom severity and younger age of PMDD onset.

What it means for you

Brain function differences, not just hormone levels, may play a role in PMDD. The main limitations are the small sample size and use of artificial hormone conditions rather than natural menstrual cycles.

15

women with PMDD

15

control women

About the study

Original title
Brain Scans Reveal Changes Linked to PMDD
Authors
Joan Arehart-Treichel
Journal
Psychiatric News
Year
2013
Study design
Case-control study
Participants
15
What was tested
Artificial hormone conditions during cognitive tasks

Topics