Evidence map›Paper›PMID 17314917›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2007

Luteal-phase accentuation of acoustic startle response in women with premenstrual dysphoric disorder.

Cynthia Neill Epperson, Brian Pittman, Kathryn Ann Czarkowski, Stephanie Stiklus, John Harrison Krystal, Christian Grillon

Registry-linked trialAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02777372 (Psychophysiology, Neurosteroids, and Stress in Premenstrual Dysphoric Disorder), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02777372 phase4completednot on this mapstarted 2016, after this paper: background citation

Psychophysiology, Neurosteroids, and Stress in Premenstrual Dysphoric Disorder

TypeinterventionalSponsorJohns Hopkins UniversityRan2016 to 2021Enrolled84ConditionsPMDD, Stress, MoodArmsSertraline
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Estradiol, stress reactivity, and daily affective experiences in trauma-exposed women.Psychological trauma : theory, research, practice and policy · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Sex as a Biological Variable: Who, What, When, Why, and How.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Review
  18. Stress reactivity and emotion in premenstrual syndrome.Neuropsychiatric disease and treatment · 2017
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cynthia Neill EppersonDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA. neill.epperson@yale.edu
Brian Pittman
Kathryn Ann Czarkowski
Stephanie Stiklus
John Harrison Krystal
Christian Grillon

Funding

The Psychophysiology Of Fear And AnxietyZ01MH002798 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI GRILLON, CHRISTIAN · 2002 to 2008
$3.8M
SSRI-INDUCED CHANGES IN CORTICAL GABA IN WOMEN WITH PMDDR01MH064845 · NIMH · YALE UNIVERSITY · PI EPPERSON, C. NEILL NEILL · 2004 to 2007
$1.1M
NEURONAL DYSFUNCTION IN PREMENSTRUAL DYSPHORIC DISORDERK23MH001830 · NIMH · YALE UNIVERSITY · PI EPPERSON, C NEILL · 2000 to 2004
$729k
Neuroactive Steroids, GABA &Glutamate in PMDDK02MH073090 · NIMH · YALE UNIVERSITY · PI EPPERSON, C. NEILL · 2005 to 2009
$614k
Intramural NIH HHS Z01 MH002798NIMH NIH HHS K02 MH073090NIMH NIH HHS (K23) MH1830NIMH NIH HHS (KO2) MH73090NIMH NIH HHS R01 MH064845NIMH NIH HHS R01 MH64845
6 · The paper itself

Abstract

Alterations in central nervous system response to menstrual cycle-related fluctuations in neuroactive steroids are thought to underlie the emergence of negative affect in the luteal phase of the menstrual cycle in women with premenstrual dysphoric disorder (PMDD). Such changes in the neuroendocrine milieu may lead to heightened arousal and response to stress in women with PMDD. Using the acoustic startle paradigm, we sought to determine whether women with PMDD have an accentuated physiologic response to a mildly aversive stimulus during the luteal compared to follicular phase. Further, we also examined the impact of visual affective stimuli on acoustic startle response (ASR) magnitude. During the follicular and luteal phases of the menstrual cycle, acoustic stimuli (103 dB) were delivered to 15 women with PMDD and 14 healthy menstruating women of similar age. After obtaining baseline ASR, the procedure was repeated when subjects viewed pleasant, neutral and unpleasant pictures. There was a significant group by menstrual cycle phase interaction for baseline ASR magnitude, which can be attributed to the heightened startle magnitude in women with PMDD compared to healthy women during the luteal relative to the follicular phase. The direction and degree to which picture viewing modulated the startle magnitude did not vary by group or menstrual cycle phase. These data suggest that menstrual cycle phase has a powerful modulatory effect on physiologic reactivity in women with PMDD but not in healthy women. Physiologic response to affective stimuli appears to be intact in women with PMDD across the menstrual cycle.

Indexed as

Luteal PhaseReflex, StartleAcoustic StimulationAdultAnxietyArousalBrain ChemistryFemaleGonadal Steroid HormonesHumansMood DisordersNeuropsychological TestsPhotic StimulationPremenstrual SyndromeGonadal Steroid Hormones

Identifiers

PMID17314917
PMCPMC2713599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.