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Survey study, 2006

Is low brain serotonin linked to mood problems in premenstrual dysphoric disorder?

In women with premenstrual dysphoria, mood symptoms like irritability and depression worsen when brain serotonin levels drop before their period, suggesting serotonin plays a role in PMDD. This supports why serotonin-boosting drugs help these symptoms.

Early or limited evidence 8 women with premenstrual dysphoria

What they did

A study of 8 women with premenstrual dysphoria who had positron emission tomography brain scans during the follicular phase (early cycle) and premenstrual phase to measure serotonin levels. Participants also rated their mood and physical symptoms daily.

What they found

Worsening of irritability and depressed mood showed strong inverse associations with lower brain serotonin levels (irritability r = -0.83, depressed mood r = -0.81). Positive mood improved with higher serotonin. Physical symptoms showed weak or no association with serotonin changes.

What it means for you

The link between low serotonin and worse mood in PMDD is supported by these findings, which helps explain why serotonin-boosting medications work. However, this is a very small study, so results are preliminary and need confirmation in larger groups.

8

women with premenstrual dysphoria

-0.83

correlation between lower serotonin and irritability

-0.81

correlation between lower serotonin and depressed mood

About the study

Original title
Mood changes correlate to changes in brain serotonin precursor trapping in women with premenstrual dysphoria
Authors
Eriksson O, Wall A, Marteinsdottir I et al.
Journal
Psychiatry research
Year
2006
Study design
Survey study
What was tested
None

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