The proposed project involves continuation of a collaborative effort aimed at determining: (1) the relationship between specific types of premenstrual change and changes in a multivariate field including gonadal hormones, pituitary hormones, and neurotransmitters; (2) the relationship between specific types of premenstrual changes and the occurrence of effective or other mental disorders in index subjects and their sisters. The studies will involve two main groups of women: those with marked premenstrual depressive features and those with no significant changes in mood or behavior. The women with premenstrual depression are further subdivided into those with prominent atypical (hypersomnic) features, anxious-agitated features, and hostile features. Premenstrual Changes will be evaluated with the Premenstrual Assessment Form (PAF) and a Daily Rating Form. Diagnoses will be made with the Research Diagnostic Criteria (RDC), based upon interviews with the Schedule for Affective Disorders and Schizophrenia (SADS). The diagnostic studies will also serve as screening for the biological studies. The biological system in focus will be evaluated by determination of their basal endogenous activity and by determination of responses to specific pharmacological probes using behavioral neuroendocrine techniques. The project should lead to better understanding of premenstrual changes, their relationship to similar changes at other times, and ultimately to better understanding of the etiology and treatment when such is warranted.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH036186-08
Application #
3375809
Study Section
Psychopathology and Clinical Biology Research Review Committee (PCB)
Project Start
1981-09-15
Project End
1991-08-31
Budget Start
1989-09-01
Budget End
1991-08-31
Support Year
8
Fiscal Year
1989
Total Cost
Indirect Cost
Name
New York State Psychiatric Institute
Department
Type
DUNS #
167204994
City
New York
State
NY
Country
United States
Zip Code
10032
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Halbreich, U; Lumley, L A (1993) The multiple interactional biological processes that might lead to depression and gender differences in its appearance. J Affect Disord 29:159-73
Graze, K K; Nee, J; Endicott, J (1990) Premenstrual depression predicts future major depressive disorder. Acta Psychiatr Scand 81:201-5
Endicott, J; Nee, J; Cohen, J et al. (1986) Premenstrual changes: patterns and correlates of daily ratings. J Affect Disord 10:127-35
Halbreich, U; Endicott, J; Goldstein, S et al. (1986) Premenstrual changes and changes in gonadal hormones. Acta Psychiatr Scand 74:576-86
Halbreich, U; Endicott, J; Lesser, J (1985) The clinical diagnosis and classification of premenstrual changes. Can J Psychiatry 30:489-97