Symptom Attributions Across the Menstrual Cycle in Women with Panic Disorder

Haigh, Emily A. P.; Craner, Julia R.; Sigmon, Sandra T.; Yoon, K. Lira; Thorpe, Geoffrey L.

doi:10.1007/s10942-018-0288-4

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…Of the studies that have directly compared menstrual effects in anxious versus non-anxious people, some have reported no evidence for menstrual changes in self-reported anxiety symptoms, or panic symptoms, in non-anxious people [13,18,42], despite these studies finding some evidence for cyclic changes in anxiety symptoms in people with panic disorder. Likewise, a more recent study [48] reported no menstrual changes in panic symptoms in people without panic disorder, despite finding a premenstrual increase in panic symptoms in people with panic disorder and a menses-related increase in physical symptoms (e.g. bloating, headache) in both groups.…”

Section: Menstrual Fluctuations In Anxiety In Healthy (Non-anxious) H...mentioning

confidence: 90%

“…Several studies did not assess hormonal contraceptive use (e.g. [48]), which significantly compromises the internal validity of the study because changes in anxiety symptoms observed over a monthly timeframe in people taking hormonal contraceptives cannot be attributed to the impact of the menstrual cycle. Moreover, an underutilised but possibly useful approach is to compare changes in anxiety symptoms between cycling people and those taking the oral contraceptive pill.…”

Section: Methodological Considerations In Studies Of Menstrual-relate...mentioning

confidence: 99%

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What Pre-clinical Rat Models Can Tell Us About Anxiety Across the Menstrual Cycle in Healthy and Clinically Anxious Humans

Pestana

Islam

Eyk

et al. 2022

Curr Psychiatry Rep

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Purpose of Review Anxiety symptoms increase during the peri-menstrual phase of the menstrual cycle in people with anxiety disorders. Whether this reflects a heightened variant of normal menstrual-related changes in psychological states experienced by healthy (i.e. non-anxious) people is unknown. Moreover, menstrual-related change in anxiety symptoms is a poorly understood phenomenon, highlighting a need for pre-clinical models to aid mechanistic discovery. Here, we review recent evidence for menstrual effects on anxiety-like features in healthy humans as a counterpart to recent reviews that have focused on clinically anxious populations. We appraise the utility of rodent models to identify mechanisms of menstrual effects on anxiety and offer suggestions to harmonise methodological practices across species to advance knowledge in this field. Recent Findings Consistent with reports in clinical populations, some evidence indicates anxiety symptoms increase during the peri-menstrual period in healthy people, although null results have been reported, and these effects are heterogeneous across studies and individuals. Studies in rats show robust increases in anxiety during analogous phases of the oestrous cycle. Summary Studies in female rats are useful to identify the evolutionarily conserved biological mechanisms of menstrual-related changes in anxiety. Future experimental approaches in rats should model the heterogeneity observed in human studies to increase alignment across species and advance understanding of the individual factors that increase the propensity to experience menstrual-related changes in anxiety.

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Section: Menstrual Fluctuations In Anxiety In Healthy (Non-anxious) H...mentioning

confidence: 90%

Section: Methodological Considerations In Studies Of Menstrual-relate...mentioning

confidence: 99%

What Pre-clinical Rat Models Can Tell Us About Anxiety Across the Menstrual Cycle in Healthy and Clinically Anxious Humans

Pestana

Islam

Eyk

et al. 2022

Curr Psychiatry Rep

View full text Add to dashboard Cite

show abstract

“…Given the distinct hormonal variations across the menstrual cycle, future research would benefit from examination of AS across all menstrual cycle phases, particularly the late luteal phase when naturally occurring physiological symptoms occur for a majority of women (Halbreich et al, 2003). For example, previous work has found that women with panic disorder, which is a population with high levels of AS, prospectively reported more anxiety and panic symptoms in the premenstrual phase as compared to other menstrual cycle phases (Haigh, Craner, Sigmon, Yoon, & Thorpe, 2018). The current study, therefore, presents the first step in understanding how AS may fluctuate as a function of menstrual cycle phase.…”

Section: Discussionmentioning

confidence: 99%

Examination of the stability of the anxiety sensitivity index across the menstrual cycle in trauma-exposed women with and without PTSD

Nillni

Hall

Langdon

et al. 2019

Anxiety, Stress, & Coping

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Background and Objectives: Anxiety sensitivity (AS), as measured by the Anxiety Sensitivity Index (ASI), has consistently been studied as a trait-level predictor of a variety of emotional and physical health conditions, including premenstrual symptoms. The menstrual cycle influences symptom expression and stress reactivity among anxiety and stress-related disorders. However, research has yet to directly evaluate the stability of AS across the various phases of the menstrual cycle, particularly in clinical populations with high levels of AS and with documented menstrual cycle differences in symptoms such as women with posttraumatic stress disorder (PTSD). Design and Methods:The current study examined whether AS fluctuates as a function of menstrual cycle phase among a community sample of trauma-exposed women (N = 48) with and without PTSD. Participants completed the ASI, including subscales assessing sensitivity to physical, cognitive, and social symptoms of anxiety, during early follicular and midluteal menstrual cycle phases.Results: Results revealed that ASI scores remained relatively stable across the different phases of the menstrual cycle assessed; evidence for stability was particularly strong for the subscale assessing sensitivity to physical symptoms of anxiety. Conclusion:This study provides additional support for the conceptualization of AS as a stable, trait-like, cognitive risk factor.

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Symptom fluctuation over the menstrual cycle in anxiety disorders, PTSD, and OCD: a systematic review

Green

Graham

2021

Arch Womens Ment Health

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Symptom Attributions Across the Menstrual Cycle in Women with Panic Disorder

Cited by 5 publications

References 22 publications

What Pre-clinical Rat Models Can Tell Us About Anxiety Across the Menstrual Cycle in Healthy and Clinically Anxious Humans

What Pre-clinical Rat Models Can Tell Us About Anxiety Across the Menstrual Cycle in Healthy and Clinically Anxious Humans

Examination of the stability of the anxiety sensitivity index across the menstrual cycle in trauma-exposed women with and without PTSD

Symptom fluctuation over the menstrual cycle in anxiety disorders, PTSD, and OCD: a systematic review

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