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Published on: January 9, 2015
Female hormones affect symptom severity in obsessive-compulsive disorder
Nienke C C Vulink1, Damiaan Denys, Léonie Bus
1The Rudolf Magnus Institute of Neuroscience, Department of Psychiatry, University Medical Center Utrecht, Utrecht, The Netherlands. n.c.vulink@azu.nl
Reproductive events like the premenstrual period can worsen obsessive-compulsive disorder (OCD) symptoms in women. Healthcare providers should consider the menstrual cycle when assessing OCD severity, especially during treatment.
Area of Science:
- Neuroscience
- Psychiatry
- Reproductive Endocrinology
Background:
- Reproductive events are anecdotally linked to obsessive-compulsive disorder (OCD) symptom fluctuations.
- Understanding these links is crucial for effective OCD management in women.
Purpose of the Study:
- To investigate the relationship between various reproductive events and OCD symptom severity.
- To determine if the menstrual cycle influences OCD symptom severity.
Main Methods:
- Self-report questionnaires were distributed to 350 female outpatients diagnosed with OCD.
- Yale-Brown Obsessive-Compulsive Scale scores were collected at three menstrual cycle time points.
- Data analyzed from 101 returned questionnaires.
Main Results:
- Nearly half (49/101) of patients reported increased OCD symptoms premenstrually.
- 17 patients reported symptom exacerbation during pregnancy; 11 reported improvement.
- Nine patients noted symptom changes during menopause.
Conclusions:
- Reproductive cycle events, particularly the premenstruum, significantly impact OCD symptom severity in a notable number of patients.
- The menstrual cycle is a relevant factor in assessing OCD symptom severity and should be considered in clinical evaluations and research, including pharmacological studies.
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