---
title: Do women with PMS or menstrual migraine respond differently to stress?
description: Women with PMS or menstrual migraine responded normally to a stress test, but had higher baseline blood pressure and overall arousal before and after the test
url: https://niyora.com/research/papers/cardiovascular-response-to-cognitive-stress-in-subjects-with-menstrually-related-1997/
---

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- Do women with PMS or menstrual migraine respond differently to stress?

Survey study, 1997

# Do women with PMS or menstrual migraine respond differently to stress?

Women with PMS or menstrual migraine responded normally to a stress test, but had higher baseline blood pressure and overall arousal before and after the test.

 Early or limited evidence

19 women with menstrually related disorders (8 with PMS, 11 with menstrual migraine) and 11 healthy controls

## What they did

Comparison of 19 women with menstrually related disorders (8 with PMS, 11 with menstrual migraine) and 11 healthy controls. During the luteal phase of their menstrual cycle, all participants completed a cognitive stress test (Stroop Color Word test) while researchers measured heart rate and blood pressure.

## What they found

Both groups showed increased blood pressure and heart rate during the stress test. Women with menstrually related disorders had higher baseline diastolic blood pressure before testing and higher blood pressure during testing compared to controls. The magnitude of the blood pressure and heart rate increase during stress was similar between the two groups.

## What it means for you

Women with PMS or menstrual migraine may experience higher baseline stress arousal but respond to acute stress normally. They may have more difficulty handling new situations. The study was small and only measured during one phase of the cycle.

19

women with menstrually related disorders

8

with PMS

11

healthy controls

## About the study

Original title Cardiovascular response to cognitive stress in subjects with menstrually related disorders Authors Tarabusi M, Caputo AS, Volpe A et al. Journal Cephalalgia : an international journal of headache Year 1997 Study design Survey study Participants 19 What was tested Cognitive stress test (Stroop Color Word test) during the luteal phase Open access Yes Read the paper [doi.org/10.1177/0333102497017s2001](https://doi.org/10.1177/0333102497017s2001) Original abstract

We measured reactivity to a stress paradigm during the premenstrual period in 19 women affected by Menstrually Related Disorders (MRD) and in 11 normal controls. Eight had premenstrual syndrome diagnosed by the Menstrual Distress Questionnaire and 11 suffered menstrual migraine, diagnosed according to International Headache Society criteria. Subjects were observed during two menstrual cycles and submitted to a psychocognitive test (Stroop Color Word) during the luteal phase. In both groups the stimulation by Stroop C-W was present for systolic blood pressure (SBP) (F = 18.14, p = 0.000), diastolic blood pressure (DBP) (F = 9.56, p = 0.000), and heart rate (F = 12.80, p = 0.000). Moreover, an interaction of response by group was present for DBP (2.58, p = 0.04); DBP values were higher in MRD subjects. Also baseline DBP values were higher in MRD with respect to controls. Area under the curve (AUC) subtracted from baseline for the SBP, DBP and heart rate did not differ between groups. In conclusion, MRD subjects facing a cognitive stress had normal cardiovascular response. However, patients had increased arousal of cardiovascular measures before and after testing. The significant differences during stress of testing were dissociated from those of experimental stress stimulation. MRD subjects may have less ability to cope with novelty than healthy volunteers.

Reproduced under CC-BY.

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Cognition, concentration and memory](https://niyora.com/research/topics/symptom-cognition/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Migraine](https://niyora.com/research/topics/comorbidity-migraine/)

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