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Review, 1999

Is premenstrual dysphoric disorder a distinct clinical disorder?

Yes, according to expert consensus. PMDD has distinct characteristics, clear symptoms linked to the menstrual cycle, and responds differently to treatment than other mood disorders.

Moderate study design Women with premenstrual dysphoric disorder

What they did

Roundtable discussion where expert panel reviewed evidence about PMDD and compared it to known mood and anxiety disorders.

What they found

At least 60 percent of PMDD patients respond to selective serotonin reuptake inhibitors. PMDD has clear onset and offset of symptoms closely tied to the menstrual cycle with prominent anger, irritability, and internal tension. Symptoms remain stable cycle to cycle. PMDD differs from mood disorders in how the body handles serotonin and has genetic factors not found in major depression.

What it means for you

PMDD is a separate condition from depression and anxiety, which matters for correct diagnosis and treatment. This is a discussion of expert opinion, not original research data, which is a limitation.

60%

PMDD patients responding to SSRIs

About the study

Original title
Is premenstrual dysphoric disorder a distinct clinical entity?
Authors
Endicott J, Amsterdam J, Eriksson E et al.
Journal
Journal of women's health & gender-based medicine
Year
1999
Study design
Review
What was tested
Selective serotonin reuptake inhibitors

Topics