TY - JOUR
T1 - Luteal Phase Ovarian Steroids, Stress Arousal, Premenses Perceived Stress, and Premenstrual Symptoms
AU - Woods, Nancy Fugate
AU - Lentz, Martha Jane
AU - Mitchell, Ellen Sullivan
AU - Shaver, Joan
AU - Heitkemper, Margaret
PY - 1998/4
Y1 - 1998/4
N2 - The purpose of this study was to examine the relationships among perceived stress, ovarian steroids (estradiol and pregnanediol), stress arousal indicators (cortisol, catecholamines) and premenstrual symptoms (turmoil, fluid retention). Women (N = 74) with low symptom severity (LS), premenstrual syndrome (PMS), or premenstrual magnification (PMM) symptom patterns provided daily urine samples over one cycle and recorded their symptoms and perceived stress levels in a health diary. Multiple regression analysis was used to test models of premenstrual symptoms in separate analyses for women with the LS and PMS symptom patterns and the LS and PMM symptom patterns. Data from the LS and PMS groups revealed that greater stress ratings accounted for turmoil symptoms and higher luteal phase cortisol levels for fluid retention symptoms. For LS and PMM groups, lower luteal phase norepinephrine levels, higher global stress ratings, and a more gradual drop in estradiol premenses accounted for turmoil symptoms. Premenses norepinephrine and epinephrine levels and premenses stress ratings accounted for fluid retention. These findings support an important relationship among perceived stress, stress arousal indicators, and premenstrual symptoms that differs for women with a PMS and PMM symptom pattern.
AB - The purpose of this study was to examine the relationships among perceived stress, ovarian steroids (estradiol and pregnanediol), stress arousal indicators (cortisol, catecholamines) and premenstrual symptoms (turmoil, fluid retention). Women (N = 74) with low symptom severity (LS), premenstrual syndrome (PMS), or premenstrual magnification (PMM) symptom patterns provided daily urine samples over one cycle and recorded their symptoms and perceived stress levels in a health diary. Multiple regression analysis was used to test models of premenstrual symptoms in separate analyses for women with the LS and PMS symptom patterns and the LS and PMM symptom patterns. Data from the LS and PMS groups revealed that greater stress ratings accounted for turmoil symptoms and higher luteal phase cortisol levels for fluid retention symptoms. For LS and PMM groups, lower luteal phase norepinephrine levels, higher global stress ratings, and a more gradual drop in estradiol premenses accounted for turmoil symptoms. Premenses norepinephrine and epinephrine levels and premenses stress ratings accounted for fluid retention. These findings support an important relationship among perceived stress, stress arousal indicators, and premenstrual symptoms that differs for women with a PMS and PMM symptom pattern.
KW - Ovarian steroids
KW - Premenstrual magnification
KW - Premenstrual syndrome
KW - Stress
KW - Stress arousal
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U2 - 10.1002/(SICI)1098-240X(199804)21:2<129::AID-NUR4>3.0.CO;2-L
DO - 10.1002/(SICI)1098-240X(199804)21:2<129::AID-NUR4>3.0.CO;2-L
M3 - Article
C2 - 9535405
AN - SCOPUS:0032038770
SN - 0160-6891
VL - 21
SP - 129
EP - 142
JO - Research in Nursing and Health
JF - Research in Nursing and Health
IS - 2
ER -