Psychophysiology. 2018;55:e13268. wileyonlinelibrary.com/journal/psyp | 1 of 10
https://doi.org/10.1111/psyp.13268
© 2018 Society for Psychophysiological Research
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INTRODUCTION
The menstrual cycle has long been associated with psycho-
logical changes: mood and neurocognitive processes are
impacted, and females often experience increases in psychi-
atric symptoms that include depression and anxiety (Farage,
Osborn, & Maclean, 2008; Kiesner, 2009). Specific hor-
mones that vary across the menstrual cycle, including pro-
gesterone and estradiol, have been shown to impact emotion
and cognition (Andreano & Cahill, 2010; Sakaki & Mather,
2012), and could therefore play a role in mood and cogni-
tive variability across the menstrual cycle. Progesterone and
estradiol have also been shown to impact neural and sub-
jective measures of responsivity to reward (Dreher et al.,
2007; Evans & Foltin, 2006; Evans, Haney, & Foltin, 2002;
Ossewaarde et al., 2010; Sakaki & Mather, 2012), a construct
that plays a central role in depression and risk for depression
(Bress, Foti, Kotov, Klein, & Hajcak, 2013; Nelson, Perlman,
Klein, Kotov, & Hajcak, 2016). Given these links, it stands to
reason that reward function could be a mechanism by which
ovarian hormones influence mood. Therefore, the current
study utilized a within‐subject design to examine the asso-
ciation between ovarian hormones, neural indices of reward
sensitivity, and depressive symptoms at multiple points in the
menstrual cycle.
The menstrual cycle is a biological phenomenon that can
be divided into three phases that are characterized by distinct
fluctuations in endogenous hormones (Farage et al., 2008).
Received: 29 January 2018
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Revised: 1 June 2018
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Accepted: 13 June 2018
DOI: 10.1111/psyp.13268
ORIGINAL ARTICLE
Effects of menstrual cycle phase on electrocortical response to
reward and depressive symptoms in women
Elizabeth M. Mulligan
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Brady D. Nelson
2
|
Zachary P. Infantolino
2
|
Katherine R.
Luking
1
|
Radhika Sharma
2
|
Greg Hajcak
1,3
1
Department of Psychology, Florida State
University, Tallahassee, Florida
2
Department of Psychology, Stony Brook
University, Stony Brook, New York
3
Department of Biomedical
Sciences, Florida State University,
Tallahassee, Florida
Correspondence
Elizabeth Mulligan, Department of
Psychology, Florida State University, 1107
West Call Street, Tallahassee, FL 32304.
Email: Mulligan@psy.fsu.edu
Abstract
The menstrual cycle impacts mood and neural response to reward—phenomena that
may be related to natural fluctuations in ovarian hormones. Using a within‐subject
design, the present study examined ovarian hormones (i.e., estradiol and progester-
one) and ERPs in response to feedback indicating gains and losses in both the follicu-
lar and luteal phases of the menstrual cycle. We examined whether hormone levels
and variation in neural response to reward and loss across menstrual cycle phases
were associated with depressive symptoms. Participants high in depressive symp-
toms showed a reduced reward positivity (RewP) to monetary gains during the luteal
phase of the menstrual cycle as compared to the follicular phase, while those low in
depressive symptoms showed no change in the RewP to monetary gains between
phases. Thus, increased fluctuation in the neural response to gains (but not losses)
across menstrual cycle phases was associated with greater depression symptoms.
Overall, findings indicate that hormonal fluctuations associated with the menstrual
cycle may relate to depressive symptoms by altering reward sensitivity. Furthermore,
fluctuation in the neural response to rewards over the menstrual cycle may play an
important role in the expression of depressive symptoms.
KEYWORDS
depression, ERPs, estradiol, menstrual cycle, progesterone, reward positivity