Open Access, Peer-reviewed
pISSN 1015-4817
eISSN 2289-0963
    J Korean Neuropsychiatr Assoc. 2016 Feb;55(1):60-66. Korean.
    Published online Feb 29, 2016.
    https://doi.org/10.4306/jknpa.2016.55.1.60
    Copyright © 2016 Korean Neuropsychiatric Association
    Original Article

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

    Juwon Ha, MD, Msc,1 Eun-Jin Kim, MD,2 Ho-Suk Suh, MD, PhD,3 Chan-Hyung Kim, MD, PhD,4 and Kang-Seob Oh, MD, PhD2
      • 1Yonsei Forest Mental Health Clinic, Seoul, Korea.
      • 2Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
      • 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.
    • Address for correspondence: Kang-Seob Oh, MD, PhD. Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul 03181, Korea. Tel +82-2-2001-2214, Fax +82-2-2001-2211, Email: kbsmcpsy@naver.com
    Received January 04, 2016; Revised January 22, 2016; Accepted February 04, 2016.

    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.

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

    Tables

    Table 1
    Demographic and menstrual characteristics

    Table 2
    Physiological and psychological characteristics on the luteal phase

    Table 3
    Correlation between trait anxiety symptom and eating related variables on the luteal phase

    Notes

    Conflicts of Interest:The authors have no financial conflicts of interest.

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