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Survey study, 1992

Do premenstrual symptoms improve when depression is treated with antidepressants?

Overall symptom severity decreased after antidepressant treatment, but improvement was only significant for mood-related symptoms. In 2 women, other PMS symptoms became more noticeable after treatment, possibly because depression lifting allowed them to recognize the pattern.

Early or limited evidence 5 women with both premenstrual syndrome and major depression

What they did

Researchers reviewed medical literature on the link between depression and PMS, then described symptoms in 5 women who had both PMS and major depression. They tracked how symptoms changed before, during, and after antidepressant treatment.

What they found

After antidepressant treatment, overall symptom severity decreased, but only the mood-related symptoms showed significant improvement. In 2 women, other cyclical symptoms consistent with PMS became more apparent after depression improved, possibly because background depression symptoms had improved.

What it means for you

Treating depression with antidepressants may help with mood-related PMS symptoms but may not help with all PMS symptoms. Some cyclical symptoms might even become more noticeable as depression improves. This study is very limited because it involved only 5 women and is not a formal trial.

5

women in the case series

About the study

Original title
Premenstrual exacerbation of depression: one process or two?
Authors
Yonkers KA, White K
Journal
The Journal of clinical psychiatry
Year
1992
Study design
Survey study
Participants
5
What was tested
antidepressant treatment

Topics