Affect and the menstrual cycle

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Abstract

Evidence from both retrospective and prospective studies suggests that many women do show cyclical changes in affect. Negative changes such as irritability, headache, tension, anxiety, sleep disturbance and depression are more frequent in the premenstrual and menstrual phases. Positive changes, pleasantness, increased vigour and elation are reported more often in the follicular or mid-cycle phases.

Various theories have been suggested to explain these changes. These include psychodynamic, sociological and biological explanations. Although there is some evidence to support each theory no definite conclusions can be reached about the aetiological basis of most affective changes. Interpretation of studies attempting to link hormonal and affective fluctuations is limited by the many methodological problems outlined. Only one study appeared able to conclusively demonstrate a hormonal basis for a cyclical symptom. Suggestions are made for further research in this area.

References (66)

  • R.R. May

    Mood shifts and the menstrual cycle

    J. psychosom. Res.

    (1976)
  • R.H. Moos et al.

    Fluctuations in symptoms and moods during the menstrual cycle

    J. psychosom. Res.

    (1969)
  • M.J. Paulson

    Psychological concomitants of premenstrual tension

    Amer. J. Obstet. Gynecol.

    (1961)
  • N. Shainess

    A re-evaluation of some aspects of feminity through a study of menstruation — A preliminary report

    Compr. Psychiat.

    (1961)
  • A.L. Southam et al.

    Systematic changes during the menstrual cycle

    Amer. J. Obstet. Gynecol.

    (1965)
  • H. Sutherland et al.

    A critical analysis of the premenstrual syndrome

    Lancet

    (1965)
  • T. Benedek et al.

    The correlations between ovarian activity and psychodynamic processes, Part 1 (The ovulative phase)

    Psychosom. Med.

    (1939)
  • T. Benedek et al.

    The correlations between ovarian activity and psychodynamic processes, Part2 (The menstrual phase)

    Psychosom. Med.

    (1939)
  • P.J.V. Beumont et al.

    A study of minor psychiatric and physical symptoms during the menstrual cycle

    Brit. J. Psychiat.

    (1975)
  • J.J. Blackett-Smith

    The Menstrual Cycle — Interactions Between Social Factors, Mood, Hormones and Task Performance

  • R.C. Buckle et al.

    Attempted suicide presenting at the Alfred Hospital, Melbourne

    Med. J. Aust.

    (1965)
  • A. Coppen et al.

    Menstruation and personality

    Brit. J. Psychiat.

    (1963)
  • K. Dalton

    Menstruation and acute psychiatric illnesses

    Brit. med. J.

    (1959)
  • K. Dalton

    The Premenstrual Syndrome

    (1964)
  • H. Deutsch

    The Psychology of Women

    (1944)
  • R.T. Frank

    The hormonal causes of premenstrual tension

    Arch. Neurol. Psychiat.

    (1931)
  • L.A. Gottschalk et al.

    Variations in magnitude of emotion — A method applied to anxiety and hostility during phases of the menstrual cycle

    Psychosom. Med.

    (1962)
  • J.J. Graham et al.

    Prolactin suppression in the treatment of premenstrual syndrome

    Med. J. Aust.

    (1979)
  • G.H. Gruba et al.

    MMPI correlates of menstrual distress

    Psychosom. Med.

    (1975)
  • F.H. Healey

    Menstruation in relation to mental disorders

    J. ment. Sci.

    (1928)
  • O. Ihalainen

    Psychosomatic aspects of amenorrhoea

    Acta psychiat. scand.

    (1975)
  • S.L. Israel

    Premenstrual tension

    J. Amer. med. Ass.

    (1938)
  • M.E. Ivery et al.

    Patterns of affective fluctuation in the menstrual cycle

    Psychosom. Med.

    (1968)
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