Evidence map›Paper›PMID 33404887›Full record

ReviewCurrent psychiatry reports2021

The Impact of the Menstrual Cycle and Underlying Hormones in Anxiety and PTSD: What Do We Know and Where Do We Go From Here?

Yael I Nillni, Ann M Rasmusson, Emilie L Paul, Suzanne L Pineles

Open access · greenAbstract readReview
In one paragraph

Review in Current psychiatry reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  9. Estrous cycle stage gates the effect of stress on reward learning.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  12. 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
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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

4 authors at 4 institutions in 1 country.

Yael I NillniNational Center for PTSD, Women's Health Sciences Division at VA Boston Healthcare System, 150 South Huntington Ave. (116B-3), Boston, MA, 02130, USA. ynillni@bu.edu.
Ann M RasmussonNational Center for PTSD, Women's Health Sciences Division at VA Boston Healthcare System, 150 South Huntington Ave. (116B-3), Boston, MA, 02130, USA.
Emilie L PaulDepartment of Psychiatry, Boston Medical Center, Boston, MA, USA.
Suzanne L PinelesNational Center for PTSD, Women's Health Sciences Division at VA Boston Healthcare System, 150 South Huntington Ave. (116B-3), Boston, MA, 02130, USA.
Boston Medical Center · USBoston University · USNational Center for PTSD · USVA Boston Healthcare System · US

Funding

PTSD-Related Neurobiological Mediators of Negative Pregnancy OutcomesK23HD087428 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NILLNI, YAEL I · 2017 to 2020
$616k
Eunice Kennedy Shriver National Institute of Child Health and Human Development 1K23HD087428NICHD NIH HHS K23 HD087428
6 · The paper itself

Abstract

purpose of reviewThis paper reviews the recent literature on menstrual cycle phase effects on outcomes relevant to anxiety and PTSD, discusses potential neurobiological mechanisms underlying these effects, and highlights methodological limitations impeding scientific advancement. RECENT

findingsThe menstrual cycle and its underlying hormones impact symptom expression among women with anxiety and PTSD, as well as psychophysiological and biological processes relevant to anxiety and PTSD. The most consistent findings are retrospective self-report of premenstrual exacerbation of anxiety symptoms and the protective effect of estradiol on recall of extinction learning among healthy women. Lack of rigorous methodology for assessing menstrual cycle phase and inconsistent menstrual cycle phase definitions likely contribute to other conflicting results. Further investigations that address these limitations and integrate complex interactions between menstrual cycle phase-related hormones, genetics, and psychological vulnerabilities are needed to inform personalized prevention and intervention efforts for women.

Indexed as

Stress Disorders, Post-TraumaticAnxietyFearFemaleHumansMenstrual CycleRetrospective StudiesAnxiety disorderCO2 challengeExtinction recallMenstrual cyclePost-traumatic stress disorderPremenstrual exacerbation

Identifiers

PMID33404887
PMCPMC8819663
OpenAlexW3120749004

What OpenQuestion holds

Textmetadata
LicenceTDM
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.