Are There Temporal Subtypes of Premenstrual Dysphoric Disorder? Using Group-Based Trajectory Modeling to Identify Individual Differences in Symptom Change

    April 2020 in “ Psychological Medicine
    Tory A. Eisenlohr-Moul, Gudrun Kaiser, Cornelia Weise, Katja M. Schmalenberger, Jeff Kiesner, Beate Ditzen, Maria Kleinstäuber
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    Studysummary This study identified three symptom trajectory groups in individuals with PMDD, highlighting variations in symptom severity and duration across the luteal and follicular phases. Our plain-language summary of this paper — not a Tressless recommendation.
    The study investigated premenstrual dysphoric disorder (PMDD) in 74 women, using group-based trajectory modeling to identify different patterns of symptom change over time. It found three distinct subtypes: one with moderate symptoms only in the premenstrual week (65% of the sample), another with severe symptoms throughout the luteal phase (17.5%), and a third with severe premenstrual symptoms that resolved slowly post-menses (17.5%). These findings suggest that PMDD has temporal subtypes, which could lead to more personalized treatment approaches. The study also noted that the early-onset PMDD group might be overrepresented in research due to their positive response to certain treatments. The research was funded by the National Institute of Mental Health and a Brain and Behavior Research Foundation Young Investigator Grant, and ethical standards for human experimentation were followed.
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