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Interview study, 1997

Is PMDD different from PMS, and what causes it?

PMDD is a more specific diagnosis than PMS. It involves low serotonin and melatonin in the brain, and antidepressant SSRIs reduce symptoms according to rigorous studies.

Early or limited evidence Literature review (not a primary study of people)

What they did

This was a review of research on PMDD, examining how it is defined, how it develops, and how it responds to treatment with SSRIs.

What they found

Studies showed that people with PMDD have lower serotonin and melatonin metabolism compared to healthy women. Multiple rigorous studies reported that SSRIs reduced PMDD symptoms.

What it means for you

PMDD has a biological basis in brain chemistry, not just a label or psychological issue. This supports using SSRI medication as a treatment. The main limit is this is a review of other studies, not new research.

Low serotonin

Brain chemistry finding in PMDD

Low melatonin

Another brain chemistry difference

About the study

Original title
Psychobiology of premenstrual dysphoric disorder
Authors
Parry BL
Journal
Seminars in reproductive endocrinology
Year
1997
Study design
Interview study
What was tested
SSRIs (antidepressant medications)

Topics