[net-gold] MEDICAL: CONDITIONS: PREMENSTRUAL : MEDICAL: RESEARCH: Prior Stress Could Worsen Premenstrual Symptoms, NIH Study Finds
- From: "David P. Dillard" <jwne@xxxxxxxxxx>
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- Date: Fri, 24 Dec 2010 15:00:27 -0500 (EST)
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MEDICAL: CONDITIONS: PREMENSTRUAL :
MEDICAL: RESEARCH:
Prior Stress Could Worsen Premenstrual Symptoms, NIH Study Finds
Date: Mon, 23 Aug 2010 11:13:57 -0400
From: "NIH OLIB (NIH/OD)" <olib@xxxxxxxxxx>
To: NIHPRESS@xxxxxxxxxxxx
Subject: Prior Stress Could Worsen Premenstrual Symptoms, NIH Study Finds
U.S. Department of Health and Human Services
NATIONAL INSTITUTES OF HEALTH NIH News
Eunice Kennedy Shriver
National Institute of Child Health and Human Development
(NICHD)
http://www.nichd.nih.gov/
For Immediate Release: Monday, August 23, 2010
CONTACT:
Robert Bock
or
Marianne Glass Miller
301-496-5133
e-mail:
bockr@xxxxxxxxxxxx
PRIOR STRESS COULD WORSEN PREMENSTRUAL SYMPTOMS, NIH STUDY FINDS
Study finds association between stress level in early cycle, severity of
symptoms
Women who report feeling stressed early in their monthly cycle were more
likely than those who were less stressed to report more pronounced
symptoms before and during menstruation, according to a study by
researchers at the National Institutes of Health and other institutions.
The association raises the possibility that feeling stressed in the weeks
before menstruation could worsen the symptoms typically associated with
premenstrual syndrome and menstruation.
Women who reported feeling stressed two weeks before the beginning of
menstruation were two to four times more likely to report moderate to
severe symptoms than were women who did not feel stressed.
Premenstrual syndrome
http://www.nichd.nih.gov/health/topics/menstruation_and_the_menstrual_cycle.cfm
is a group of physical and psychological symptoms occurring around the
time of ovulation, which may extend into the early days of menstruation.
Symptoms include feelings of anger, anxiety, mood swings, depression,
fatigue, decreased concentration, breast swelling and tenderness, general
aches, and abdominal bloating.
The study was conducted by researchers in the NIH's , the University of
Massachusetts-Amherst, and the State University of New York, Buffalo.
The study was published online in the Journal of Women's Health.
"We were interested in identifying factors that might predict who might be
most at risk for having more severe symptoms," said Audra Gollenberg,
Ph.D., a postdoctoral fellow in NICHD's Division of Epidemiology,
Statistics and Prevention Research. "It may be possible to lessen or
prevent the severity of these symptoms with techniques that help women to
cope more effectively with stress, such as biofeedback, exercise, or
relaxation techniques."
The current analysis was part of the NICHD's BioCycle Study, directed by
Enrique Schisterman, Ph.D., also an author of the current article. The
BioCycle Study seeks to examine ovarian functioning during the course of
the menstrual cycle in healthy women. The researchers administered
questionnaires to 259 women ages 18-44 who did not have any long-term
health conditions, and who were not using oral contraceptives or taking
any other hormonal formulations.
Each woman was provided with an at-home fertility monitor to follow the
phases of her monthly cycle. The women completed questionnaires about
their stress levels for each of the four weeks of their cycle. Items on
the survey included:
-- How often have you felt unable to control the important things in your
life?
-- How often have you felt nervous or stressed recently?
-- How often have you been able to control interruptions in your life?
Women ranked their responses according to a scale, ranging from never to
fairly often. In addition to the weekly questionnaires about stress, the
women also responded to questionnaires about their symptoms, in the week
coinciding with ovulation, and the following week, during menstruation.
Most of the women (250) took part in the study for two menstrual cycles.
The remaining nine women participated for only one cycle.
Women whose responses indicated they felt stressed were more likely to
report moderate or severe levels of psychological symptoms, such as
depression or sadness, crying spells, anger, irritability, and anxiety
associated with menstruation. Similarly, women who felt stressed were
also more likely to report moderate or severe levels of physical symptoms
such as body aches, abdominal bloating, lower back pain, fatigue,
abdominal cramping, headache, and cravings for sweet or salty foods.
Overall, women reporting high stress levels were two to four times more
likely to report moderate to severe psychological and physical symptoms
during menstruation than were women who did not report high stress levels.
For the women who took part in the study for more than one cycle, symptoms
corresponded with changes in their stress level. For example, women who
felt stressed in the weeks preceding one cycle but didn't feel stressed
during the other cycle, tended to have more pronounced premenstrual
symptoms after the cycle in which they reported stress. Women with high
stress preceding both cycles were 25 times more likely to report moderate
to severe symptoms than were women with low stress preceding both cycles.
The researchers couldn't rule out that anticipation of pain and other
symptoms might add to a woman's stress level and result in more severe
symptoms. However, they sought to compensate for this possibility by
administering the questionnaires on stress early, during the symptom-free
parts of the women's cycles, when they were less likely to be anticipating
severe symptoms.
A number of medications are used to treat the symptoms of premenstrual
syndrome, said study author Mary Hediger, Ph.D, also of the Division of
Epidemiology, Statistics and Prevention research. These include diuretics,
pain killers, oral contraceptive pills, drugs that suppress ovarian
function, and antidepressants.
"Each woman is an individual, and some women may experience severe
symptoms that require medications," Dr. Hediger said. "However, future
studies may show that stress reduction techniques can prevent or reduce
the severity of premenstrual syndrome, which might provide a cost
effective alternative to medications for some women."
The NICHD sponsors research on development, before and after birth;
maternal, child, and family health; reproductive biology and population
issues; and medical rehabilitation. For more information, visit the
Institute's Web site at
http://www.nichd.nih.gov/
The National Institutes of Health (NIH) -- The Nation's Medical Research
Agency -- includes 27 Institutes and Centers and is a component of the
U.S. Department of Health and Human Services. It is the primary federal
agency for conducting and supporting basic, clinical and translational
medical research, and it investigates the causes, treatments, and cures
for both common and rare diseases. For more information about NIH and its
programs, visit
http://www.nih.gov
##
This NIH News Release is available online at:
http://www.nih.gov/news/health/aug2010/nichd-23.htm
Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
http://daviddillard.businesscard2.com
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