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Case-control study, 2010

Do women with severe PMS sleep worse and have trouble staying alert?

Women with severe PMS report more sleepiness and fatigue and perform worse on attention tasks during the premenstrual phase. However, their ability to stay awake under drowsy conditions is normal.

Early or limited evidence 9 women with severe PMS and 8 healthy women aged 18-40

What they did

Researchers tested 9 women with severe PMS and 8 healthy controls in the lab during two menstrual cycle phases (mid-follicular and late-luteal). They measured sleepiness using formal tests and machines, tracked attention performance, brain activity, and mood.

What they found

During the late-luteal phase, women with severe PMS reported more sleepiness, fatigue, and other PMS symptoms. Their attention performance was worse, with more lapses and slower reaction times compared to their follicular phase and compared to controls. However, they could stay awake under drowsy conditions as well as controls. Brain activity patterns were similar between groups.

What it means for you

Women with severe PMS do experience real sleepiness and do worse on attention tasks during the premenstrual phase. However, the brain's ability to stay awake is not impaired, so the problem may be more about subjective feeling than physiological sleep changes. This is a very small study.

9

women with severe PMS

8

healthy controls

About the study

Original title
Daytime sleepiness, psychomotor performance, waking EEG spectra and evoked potentials in women with severe premenstrual syndrome
Authors
Baker FC, Colrain IM
Journal
Journal of sleep research
Year
2010
Study design
Case-control study
What was tested
objective and subjective testing of sleepiness and attention
Open access
Yes

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