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Randomised trial, 1995

Does partial sleep deprivation help PMDD symptoms?

Not directly. Women with PMDD improved after recovery sleep (getting normal sleep) but not from the sleep deprivation itself, and placebo effects cannot be ruled out.

Moderate study design 23 women with PMDD and 18 healthy control women

What they did

Randomized crossover trial in 23 women with PMDD and 18 healthy controls during the premenstrual phase. Participants tried two types of partial sleep deprivation: early-night (sleep 3 to 7 a.m.) and late-night (sleep 9 p.m. to 1 a.m.), each followed by full recovery sleep.

What they found

Women with PMDD showed significantly lower depression ratings after recovery sleep compared to baseline in both conditions. Ratings on the day after deprivation (before recovery) tended to be lower but were not significantly different. Healthy women showed no mood changes. Depressive retardation (slowed thinking and movement) was the most responsive symptom.

What it means for you

Unlike in major depression, sleep deprivation itself did not help PMDD. Improvement came only after recovery sleep, suggesting placebo effects may be involved. The clinical significance is unclear, and this treatment is not established for PMDD.

23

Women with PMDD

18

Healthy control women

About the study

Original title
Early versus late partial sleep deprivation in patients with premenstrual dysphoric disorder and normal comparison subjects
Authors
Parry BL, Cover H, Mostofi N et al.
Journal
The American journal of psychiatry
Year
1995
Study design
Randomised trial
Participants
23
What was tested
Early-night sleep deprivation, late-night sleep deprivation, and recovery sleep

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