Evidence map›Paper›PMID 35184745›Full record

ArticleBMC medicine2022

Association between adverse childhood experiences and premenstrual disorders: a cross-sectional analysis of 11,973 women.

Qian Yang, Edda Björk Þórðardóttir, Arna Hauksdóttir, Thor Aspelund, Jóhanna Jakobsdóttir, Thorhildur Halldorsdottir, Gunnar Tomasson, Harpa Rúnarsdóttir, Hilda Björk Danielsdottir, Elizabeth R Bertone-Johnson and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05849337 (The Lóa Study), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
7.0field-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.

NCT05849337 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

The Lóa Study: A Randomised Control Trial of a Brief Digital Intervention to Support Women Experiencing Intrusive Memories of Traumatic Events During Their Lifespan From the SAGA Cohort

TypeinterventionalSponsorUniversity of IcelandRan2023 to 2026Enrolled380ConditionsIntrusive Memories of Traumatic Event(s)ArmsBrief imagery-competing task, Brief psychoeducation and signposting task, Treatment as usual (TAU)
3 · Its place in the literature

Who cites it

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

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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

14 authors at 5 institutions in 3 countries.

Qian YangDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, SE-171 77, Stockholm, Sweden. qian.yang.1@ki.se.
Edda Björk ÞórðardóttirCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, IS-101, Reykjavík, Iceland.
Arna HauksdóttirCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, IS-101, Reykjavík, Iceland.
Thor AspelundCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, IS-101, Reykjavík, Iceland.
Jóhanna JakobsdóttirCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, IS-101, Reykjavík, Iceland.
Thorhildur HalldorsdottirCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, IS-101, Reykjavík, Iceland.
Gunnar TomassonCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, IS-101, Reykjavík, Iceland.
Harpa RúnarsdóttirCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, IS-101, Reykjavík, Iceland.
Hilda Björk DanielsdottirDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, SE-171 77, Stockholm, Sweden.
Elizabeth R Bertone-JohnsonDepartment of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA-01003, USA.
Arvid SjölanderDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, SE-171 77, Stockholm, Sweden.
Fang FangInstitute of Environmental Medicine, Karolinska Institutet, SE-171 77, Stockholm, Sweden.
Donghao Lu *Institute of Environmental Medicine, Karolinska Institutet, SE-171 77, Stockholm, Sweden. donghao.lu@ki.se.
Unnur Anna Valdimarsdóttir *Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, SE-171 77, Stockholm, Sweden.
University of Iceland · ISKarolinska Institutet · SEHarvard University · USReykjavík University · ISUniversity of Massachusetts Amherst · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood abuse and neglect have been associated with premenstrual disorders (PMDs), including premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). However, the associations of other adverse childhood experiences (ACEs) and the cumulative number of ACEs with PMDs remain to be explored.

methodsTo evaluate the associations of the cumulative number and types of ACEs with PMDs, we conducted a cross-sectional analysis with a subsample of menstruating women within the Stress-And-Gene-Analysis (SAGA) cohort, assessed for PMDs and ACEs (N=11,973). The cumulative and individual exposure of 13 types of ACEs was evaluated by a modified ACE-International Questionnaire. A modified version of the Premenstrual Symptom Screening Tool was used to identify probable cases of PMDs, further sub-grouped into PMS and PMDD. Prevalence ratios (PRs) of PMDs in relation to varying ACEs were estimated using Poisson regression.

resultsAt a mean age of 34.0 years (standard deviation (SD) 9.1), 3235 (27%) met the criteria of probable PMDs, including 2501 (21%) for PMS and 734 (6%) for PMDD. The number of ACEs was linearly associated with PMDs (fully-adjusted PR 1.12 per ACE, 95% CI 1.11-1.13). Specifically, the PR for PMDs was 2.46 (95% CI 2.21-2.74) for women with 4 or more ACEs compared with women with no ACEs. A stronger association was observed for probable PMDD compared to PMS (p for difference <0.001). The associations between ACEs and PMDs were stronger among women without PTSD, anxiety, or depression, and without childhood deprivation and were stronger among women a lower level of social support (p for interaction<0.001). All types of ACEs were positively associated with PMDs (PRs ranged from 1.11 to 1.51); the associations of sexual abuse, emotional neglect, family violence, mental illness of a household member, and peer and collective violence were independent of other ACEs.

conclusionsOur findings suggest that childhood adverse experiences are associated with PMDs in a dose-dependent manner. If confirmed by prospective data, our findings support the importance of early intervention for girls exposed to ACEs to minimize risks of PMDs and other morbidities in adulthood.

Indexed as

Adverse Childhood ExperiencesChild AbuseAdultAnxiety DisordersChildCross-Sectional StudiesFemaleHumansProspective StudiesAdverse childhood experiencesChildhood maltreatmentHousehold dysfunctionPMDDPMSPremenstrual disordersViolence

Identifiers

PMID35184745
PMCPMC8859885
OpenAlexW4213290256

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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.