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Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis

Results of basic science studies demonstrate shared actions of endogenous neuroactive steroid hormones and drugs of abuse on neurotransmission. As such, premenstrual syndrome (PMS) may be associated with smoking, however, results from studies examining this relationship have been mixed. Following PR...

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Autores principales: Choi, So Hee, Hamidovic, Ajna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725748/
https://www.ncbi.nlm.nih.gov/pubmed/33324253
http://dx.doi.org/10.3389/fpsyt.2020.575526
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author Choi, So Hee
Hamidovic, Ajna
author_facet Choi, So Hee
Hamidovic, Ajna
author_sort Choi, So Hee
collection PubMed
description Results of basic science studies demonstrate shared actions of endogenous neuroactive steroid hormones and drugs of abuse on neurotransmission. As such, premenstrual syndrome (PMS) may be associated with smoking, however, results from studies examining this relationship have been mixed. Following PRISMA guidelines, we extracted unique studies examining the relationship between smoking and PMS. We used the escalc () function in R to compute the log odds ratios and corresponding sampling variance for each study. We based quality assessment on the nature of PMS diagnosis and smoking estimation, confounding adjustment, participation rate, and a priori specification of target population. Our final sample included 13 studies, involving 25,828 study participants. Smoking was associated with an increased risk for PMS [OR = 1.56 (95% CI: 1.25–1.93), p < 0.0001]. Stratified by diagnosis, the effect size estimate was higher for Premenstrual Dysphoric Disorder (PMDD) [OR = 3.15 (95% CI: 2.20–4.52), p < 0.0001] than for PMS [OR = 1.27 (95% CI: 1.16–1.39), p < 0.0001]. We review some of the basic mechanisms for the observed association between smoking and PMS. Given nicotine's rewarding effects, increased smoking behavior may be a mechanism to alleviate affective symptoms of PMS. However, smoking may lead to worsening of PMS symptoms because nicotine has effects on neurocircuitry that increases susceptibility to environmental stressors. Indeed, prior evidence shows that the hypothalamic-pituitary-adrenal (HPA) axis is already sub-optimal in PMS, hence, smoking likely further deteriorates it. Combined, this complicates the clinical course for the treatment of both PMS and Tobacco Use Disorder in this population.
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spelling pubmed-77257482020-12-14 Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis Choi, So Hee Hamidovic, Ajna Front Psychiatry Psychiatry Results of basic science studies demonstrate shared actions of endogenous neuroactive steroid hormones and drugs of abuse on neurotransmission. As such, premenstrual syndrome (PMS) may be associated with smoking, however, results from studies examining this relationship have been mixed. Following PRISMA guidelines, we extracted unique studies examining the relationship between smoking and PMS. We used the escalc () function in R to compute the log odds ratios and corresponding sampling variance for each study. We based quality assessment on the nature of PMS diagnosis and smoking estimation, confounding adjustment, participation rate, and a priori specification of target population. Our final sample included 13 studies, involving 25,828 study participants. Smoking was associated with an increased risk for PMS [OR = 1.56 (95% CI: 1.25–1.93), p < 0.0001]. Stratified by diagnosis, the effect size estimate was higher for Premenstrual Dysphoric Disorder (PMDD) [OR = 3.15 (95% CI: 2.20–4.52), p < 0.0001] than for PMS [OR = 1.27 (95% CI: 1.16–1.39), p < 0.0001]. We review some of the basic mechanisms for the observed association between smoking and PMS. Given nicotine's rewarding effects, increased smoking behavior may be a mechanism to alleviate affective symptoms of PMS. However, smoking may lead to worsening of PMS symptoms because nicotine has effects on neurocircuitry that increases susceptibility to environmental stressors. Indeed, prior evidence shows that the hypothalamic-pituitary-adrenal (HPA) axis is already sub-optimal in PMS, hence, smoking likely further deteriorates it. Combined, this complicates the clinical course for the treatment of both PMS and Tobacco Use Disorder in this population. Frontiers Media S.A. 2020-11-26 /pmc/articles/PMC7725748/ /pubmed/33324253 http://dx.doi.org/10.3389/fpsyt.2020.575526 Text en Copyright © 2020 Choi and Hamidovic. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Choi, So Hee
Hamidovic, Ajna
Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis
title Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis
title_full Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis
title_fullStr Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis
title_full_unstemmed Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis
title_short Association Between Smoking and Premenstrual Syndrome: A Meta-Analysis
title_sort association between smoking and premenstrual syndrome: a meta-analysis
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725748/
https://www.ncbi.nlm.nih.gov/pubmed/33324253
http://dx.doi.org/10.3389/fpsyt.2020.575526
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