Evidence map›Paper›PMID 33404701›Full record

SynthesisArchives of women's mental health2021

Addictive behaviors across the menstrual cycle: a systematic review.

Kayla M Joyce, Kimberley P Good, Philip Tibbo, Jocelyn Brown, Sherry H Stewart

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of women's mental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 57 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Influence of Perimenstrual Daily Ovarian Hormones on Anxiety and Cigarette Craving.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  7. Review
  8. Difficulties with emotion regulation amplify perimenstrual emotional distress and cigarette craving.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Human CYP2D6 varies across the estrous cycle in brains of transgenic mice altering drug response.Progress in neuro-psychopharmacology & biological psychiatry · 2024
    Article
  14. The impact of family systems and social networks on substance use initiation and recovery among women with substance use disorders.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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

5 authors at 1 institution in 1 country.

Kayla M JoyceDepartment of Psychiatry, Dalhousie University, Room 8204, Abbie J. Lane Building, 5909 Veterans' Memorial Lane, Halifax, NS, B3H 2E2, Canada. joycek1@myumanitoba.ca.
Kimberley P GoodDepartment of Psychiatry, Dalhousie University, Room 8204, Abbie J. Lane Building, 5909 Veterans' Memorial Lane, Halifax, NS, B3H 2E2, Canada.
Philip TibboDepartment of Psychiatry, Dalhousie University, Room 8204, Abbie J. Lane Building, 5909 Veterans' Memorial Lane, Halifax, NS, B3H 2E2, Canada.
Jocelyn BrownDepartment of Psychology and Neuroscience, Dalhousie University, Life Sciences Centre, 1355 Oxford Street, PO Box 15000, Halifax, NS, B3H 4R2, Canada.
Sherry H StewartDepartment of Psychiatry, Dalhousie University, Room 8204, Abbie J. Lane Building, 5909 Veterans' Memorial Lane, Halifax, NS, B3H 2E2, Canada.
Dalhousie University · CA

Funding

CIHR
6 · The paper itself

Abstract

Research examining relations between menstrual cycle phase and female addictive behaviors is accumulating. Theories suggest addictive behaviors may increase during specific phases of the menstrual cycle resulting from cyclical fluctuations in hormones and affect. In line with self-medication theory, we predicted that addictive behaviors would increase premenstrually and menstrually, phases marked by elevations in negative affect, relative to the follicular and luteal phases. We also hypothesized, coinciding with reward-sensitivity theory, that addictive behaviors may increase during ovulation, a phase characterized by increased positive affect, compared to the same phases. This systematic review summarizes extant literature examining the menstrual cycle phase-addictive behavior relationship and underlying motivations. Articles pertaining to menstrual cycle phase and addictive behaviors within the PsycINFO, CINAL, and PubMED databases were screened to determine eligibility following PRISMA guidelines (n = 1568). Thirty-four articles examining alcohol use, cannabis use, nicotine use, caffeine use, and gambling behavior across menstrual cycle phase met inclusion criteria. Consistent with self-medication theory, strong evidence indicated that nicotine use increased premenstrually and menstrually. Other factors increasing both nicotine and alcohol use premenstrually and menstrually include having a premenstrual dysphoric disorder diagnosis or having premenstrual syndrome. Motivations for using alcohol and nicotine may too vary by menstrual cycle phase. Results were less consistent or understudied for other addictive behaviors and thus conclusions cannot be drawn. Menstrual cycle phase appears to be a female-specific factor affecting some addictive behaviors, particularly nicotine use, and should be considered when conducting addictive behavior research or clinical interventions for reproductive-aged females with addictive disorders.

Indexed as

Behavior, AddictivePremenstrual SyndromeAdultAlcohol DrinkingFemaleHumansLuteal PhaseMenstrual CycleAddictive behaviorsBehavioral addictionFemalesMenstrual cycleMotivationSubstance use

Identifiers

PMID33404701
OpenAlexW3119637052

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.