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Review, 1993

What mood disorders affect women and how should they be treated?

Yes. Premenstrual depression is strongly linked to major depression and responds well to serotonin-boosting antidepressants. SSRIs are especially useful because they have few side effects and are safe even in overdose.

Early or limited evidence Review of women with mood disorders from puberty to menopause

What they did

This is a clinical review of mood disorders in women from puberty to menopause. The authors discuss connections between the menstrual cycle and mood, postpartum mood episodes, bipolar disorder in women, and the importance of early treatment.

What they found

Premenstrual depression is very strongly linked to major depression and other mood disorders and likely to benefit from antidepressant therapy. SSRIs have low side effect profiles including low weight gain and are safe in overdoses. Women develop rapid-cycling bipolar disorder (frequent mood swings) more often than men. Women with a history of bipolar disorder are at high risk for postpartum mood episodes.

What it means for you

Premenstrual depression is a serious condition that should be treated early with appropriate medication. SSRIs are a good choice because they are effective and well-tolerated. The main limit is that this is a clinical review, not a research study with control groups testing specific treatments.

About the study

Original title
Women and mood disorders. Menarche to menopause
Authors
Pariser SF
Journal
Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
Year
1993
Study design
Review
What was tested
Antidepressant treatment (SSRIs and anticonvulsants)

Topics