J Korean Neuropsychiatr Assoc.  2016 Feb;55(1):60-66. 10.4306/jknpa.2016.55.1.60.

Correlation between Luteal Eating Behavior Symptom and Trait Anxiety in Premenstrual Dysphoric Disorder : A Preliminary Study

Affiliations
  • 1Yonsei Forest Mental Health Clinic, Seoul, Korea.
  • 2Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. kbsmcpsy@naver.com
  • 3Department of Psychiatry, Gangnam CHA Medical Center, School of Medicine, CHA University, Seoul, Korea.
  • 4Department of Psychiatry, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVES
The aim of this study was to examine the correlation between anxiety and premenstrual eating symptoms in premenstrual dysphoric disorder (PMDD).
METHODS
A total of 49 women in the late luteal phase participated in this study. The psychiatric symptoms were assessed by Hamilton Rating Scale for Depression, State Trait Anxiety Inventory, and Menstrual Distress Questionnaire. Eating symptoms were assessed using the Dutch Eating Behavior Questionnaire and cocoa intake experiment. Estradiol, progesterone, and leptin were collected through venous blood.
RESULTS
Participants with PMDD (n=25) showed a higher level of depression (p<0.001), trait anxiety (p=0.012), restrained eating symptoms (p=0.039), and leptin (p=0.015). Among PMDD patients in the luteal phase, trait anxiety showed correlation with emotional eating (p=0.023), alcohol (p=0.022), and unrestricted intake of cocoa (p=0.001).
CONCLUSION
Our data suggest that PMDD subjects showed higher trait anxiety, depression, and difficulty in eating behavior control. Trait anxiety plays an important role in increased and uncontrolled eating symptoms during the premenstrual period and chronic course of PMDD.

Keyword

Premenstrual dysphoric disorder; Trait anxiety; Eating behavior; Leptin; Premenstrual syndrome

MeSH Terms

Anxiety*
Cacao
Depression
Eating*
Estradiol
Feeding Behavior*
Female
Humans
Leptin
Luteal Phase
Premenstrual Syndrome
Progesterone
Estradiol
Leptin
Progesterone

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