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Survey study, 1994

Do women with PMDD use more cigarettes, alcohol, or drugs at certain times in their cycle?

Yes. Women with PMDD increased smoking, alcohol, and other drug use during menstruation. However, the peak use did not match their worst mood symptoms, suggesting it is not simply using these substances to feel better.

Early or limited evidence 9 female smokers with PMDD (late luteal phase dysphoric disorder)

What they did

Nine female smokers who met criteria for PMDD kept daily diaries for one menstrual cycle, rating their symptoms and their use of cigarettes, alcohol, nonprescription drugs, and caffeine.

What they found

Smoking, alcohol, and nonprescription drug intake increased during menses. Caffeine intake was unaffected by menstrual phase. Menstrual symptomatology peaked during the premenstrual phase. No systematic within-person correlation between symptomatology and smoking was detected. Peak intake did not coincide with peak symptomatology.

What it means for you

Substance use does vary with the menstrual cycle in women with PMDD, but women are not simply using these substances to cope with their worst symptoms. The mechanism is unclear. This is a very small study with no control group for comparison.

9

female smokers with PMDD

increased

smoking, alcohol, drugs during menses

stable

caffeine intake across cycle

About the study

Original title
Effects of menstrual phase on intake of nicotine, caffeine, and alcohol and nonprescribed drugs in women with late luteal phase dysphoric disorder
Authors
Marks JL, Hair CS, Klock SC et al.
Journal
Journal of substance abuse
Year
1994
Study design
Survey study
What was tested
Daily tracking of symptoms and substance use
Open access
Yes

Topics