Evidence map›Paper›PMID 41782163›Full record

ArticleBiology of sex differences2026

Motivation and reward processing across sex/gender and the menstrual cycle: a biopsychosocial perspective.

Melina Grahlow, Anne Kühnel, Kristin Kaduk, Sophie Mathis, Andreas Frick, Nils B Kroemer, Birgit Derntl

Abstract read
In one paragraph

Article in Biology of sex differences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Melina GrahlowDepartment of Psychiatry and Psychotherapy, Tübingen Center for Mental Health (TüCMH), Medical Faculty, University of Tübingen, Calwerstraße 14, Tübingen, 72076, Germany. melina.grahlow@med.uni-tuebingen.de.ORCID 0000-0001-8271-475X
Anne KühnelSection of Medical Psychology, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Bonn, Bonn, Germany.ORCID 0000-0003-3066-3801
Kristin KadukDepartment of Psychiatry and Psychotherapy, Tübingen Center for Mental Health (TüCMH), Medical Faculty, University of Tübingen, Calwerstraße 14, Tübingen, 72076, Germany.ORCID 0000-0003-2322-1204
Sophie MathisDepartment of Psychiatry and Psychotherapy, Tübingen Center for Mental Health (TüCMH), Medical Faculty, University of Tübingen, Calwerstraße 14, Tübingen, 72076, Germany.
Andreas FrickDepartment of Medical Sciences, Experimental Cognitive and Affective Neuroscience Lab, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2516-9075
Nils B KroemerDepartment of Psychiatry and Psychotherapy, Tübingen Center for Mental Health (TüCMH), Medical Faculty, University of Tübingen, Calwerstraße 14, Tübingen, 72076, Germany.ORCID 0000-0002-9552-3781
Birgit DerntlDepartment of Psychiatry and Psychotherapy, Tübingen Center for Mental Health (TüCMH), Medical Faculty, University of Tübingen, Calwerstraße 14, Tübingen, 72076, Germany. birgit.derntl@med.uni-tuebingen.de.ORCID 0000-0003-0133-4486

Funding

Deutsche Forschungsgemeinschaft DE 2319/22-1Deutsche Forschungsgemeinschaft KR 4555/7-1, KR 4555/9-1, KR 4555/10-1
6 · The paper itself

Abstract

backgroundFemales undergo hormonal fluctuations throughout every menstrual cycle and numerously report corresponding symptoms of negative mood or decreased motivation, indicating an increased risk for affective disorders associated with altered motivational behaviour. Understanding whether sex hormones modulate sex/gender-specific behavioural variability in motivation could inform personalised interventions.

methodsTo assess whether steroid hormone fluctuations and menstrual cycle phase modulate sex/gender-specific motivation, we examined 48 naturally cycling cisgender females and 46 cisgender males, aged 18-34, who performed a physical effort task while fasted (part 1, T0) and across four weeks (part 2, T1-T4). We obtained objective (invigoration and effort maintenance) and subjective (wanting and exertion) measures of motivation in response to food and monetary rewards. Menstrual cycle phases were determined based on cycle-day counting methods alongside plasma levels of estradiol, progesterone, and testosterone. We tested whether females show higher effort maintenance, males exhibit greater reward sensitivity, and explored whether motivational behaviour differs by sex/gender, cycle phase and hormonal variation.

resultsCross-sectionally, we replicated sex/gender specific reward sensitivity and valuation: Females showed more sustained effort, especially for small rewards, while males displayed more opportunistic approaches seeking monetary rewards. Longitudinally, motivation decreased during periovulatory and luteal phases, whereas levels of endogenous hormones explained little variance in instrumental effort beyond task incentives and sex/gender associations.

conclusionsMotivational behaviour in effort-based decision-making is more related to dynamic sex/gender-related factors and menstrual cycle phases overall than to short-term steroid hormone fluctuations. Our findings emphasise the importance of integrating biological, psychosocial, and physiological factors when investigating motivation. Our research has potential implications for personalised interventions and treatment of motivational deficits.

Indexed as

Menstrual CycleMotivationRewardSex CharacteristicsAdolescentAdultEstradiolFemaleHumansMaleProgesteroneYoung AdultEstradiolProgesteroneEstradiolMenstrual cycleMotivationReward sensitivitySex/gender characteristicsSteroid hormones

Identifiers

PMID41782163
PMCPMC13063530

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Registered trials

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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.