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Lab study, 2008

How does the brain respond to emotions differently in women with PMDD?

Women with PMDD show different brain activity during the premenstrual phase: they react more strongly to negative emotions and less to positive ones, and brain regions that normally control emotions don't work as well.

Early or limited evidence Women with PMDD and healthy women (specific numbers not reported)

What they did

Used brain imaging to study how women with PMDD and healthy women responded to emotional words during the premenstrual and postmenstrual phases, while they performed a control task.

What they found

In the premenstrual phase compared to postmenstrual phase, women with PMDD showed increased amygdala response to negative words, decreased striatum response to positive words, and abnormal orbitofrontal cortex activity. Healthy women showed normal patterns.

What it means for you

Women with PMDD may process emotions through different brain pathways, particularly showing excessive response to negative stimuli and reduced response to positive stimuli during the luteal phase, with weaker emotional control. Main limit: sample size not stated.

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Menstrual cycle phases compared

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Brain regions studied (amygdala, striatum, OFC)

About the study

Original title
Toward a functional neuroanatomy of premenstrual dysphoric disorder
Authors
Protopopescu X, Tuescher O, Pan H et al.
Journal
Journal of affective disorders
Year
2008
Study design
Lab study
What was tested
No intervention - observational comparison across menstrual cycle phases

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