Anxiety is a frequent mood disorder that occurs in females during the menstrual cycle. Little is known on a relation among anxiety, sex hormones and electroencephalographic signals in females. Although a relation between anxiety and EEG signals has been suggested, it is not known when anxiety starts to rise and when it falls and which is its relation with the rise and fall of the EEG and sex hormone signals. This investigation proposes a procedure to calculate the rise and fall of their signals and their frequencies using a short-time Fourier transform for a long-time period on anteriorly described dataset of absolute power of brain signals delta, theta, alpha1, alpha2, beta1 and beta2, estrogen, progesterone and anxiety scores along 28 days of the menstrual cycle. The comparison of each brain signal with sex hormones and anxiety signals, revealed that anxiety frequency 3 (every ten days), rose on day 8 and fell on day 18, a pattern which coincided with estrogen, progesterone and alpha1 frequencies. The estrogens rose on day 1 and fell on day 13, which coincided with delta, alpha1 and alpha2 frequencies, while the progesterone rose on day 11 and fell on day 25, which coincided with theta, alpha2, beta1 and beta2 frequencies, extending until the end of the menstrual cycle. When the anxiety frequency began its fall, the frequencies of alpha2, beta1 and beta2 began to rise between days 15 and 21. The proposed method allowed understanding that the anxiety associated with the menstrual cycle coincides with the rise and fall of frequencies of sex hormones and EEG signals. This procedure can be applied to analyze severe anxiety disorders and conduct to the provision of the appropriate treatment.
Albert, K., Pruessner, J., & Newhouse, P. (2015). Estradiol Levels Modulate Brain Activity and Negative Responses to Psychosocial Stress across the Menstrual Cycle. Psychoneuroendocrinology, 59, 14-24. https://doi.org/10.1016/j.psyneuen.2015.04.022
American EEG Society (1987). Statement on the Clinical Use of Quantitative EEG Analysis. Journal Clinical Neurophysiology, 4, 75. https://doi.org/10.1097/00004691-198701000-00005
Bäckström, T., Andersson, A., Andreé, L., Birzniece, V., Bixo, M., Björn, I., Haage, D., Isaksson, M., Johansson, I. M., Lindblad, C., Lundgren, P., Nyberg, S., Odmark, I. S., Strömberg, J., Sundström-Poromaa, I., Turkmen, S., Wahlström, G., Wang, M., Wihlbäck, A. C., Zhu, D., & Zingmark, E. (2003). Pathogenesis in Menstrual Cycle-Linked CNS Disorders. Annals New York Academic Sciences, 1007, 42-53. https://doi.org/10.1196/annals.1286.005
Bäckström, T., Bixo, M., Johansson, M., Nyberg, S., Ossewaarde, L., Ragagnin, G., Savic, I., Strömberg, J., Timby, E., van Broekhoven, F., & van Wingen, G. (2014). Allopregnanolone and Mood Disorders. Progress Neurobiology, 113, 88-94. https://doi.org/10.1016/j.pneurobio.2013.07.005
Bäckström, T., Haage, D., Löfgren, M., Johansson, I. M., Strömberg, J., Nyberg, S., Andréen, L., Ossewaarde, L., van Wingen, G. A., Turkmen, S., & Bengtsson, S. K. (2011). Paradoxical Effects of GABA-A Modulators May Explain Sex Steroid Induced Negative Mood Symptoms in Some Persons. Neuroscience, 191, 46-54. https://doi.org/10.1016/j.neuroscience.2011.03.061
Baehr, E., Rosenfeld, P., Miller, L., & Baehr, R. (2004). Premenstrual Dysphoric Disorder and Changes in Frontal Alpha Asymmetry. International Journal Psychophysiology, 52, 159-167. https://doi.org/10.1016/j.ijpsycho.2003.06.002
Basar, E., & Güntekin, B. (2008). A Review of Brain Oscillations in Cognitive Disorders and the Role of Neurotransmitters. Brain Research, 1235, 172-193. https://doi.org/10.1016/j.brainres.2008.06.103
Bayer, J., Schultz, H., Gamer, M., & Sommer, T. (2014). Menstrual-Cycle Dependent Fluctuations in Ovarian Hormones Affect Emotional Memory. Neurobiology of Learning Memory, 110, 55-63. https://doi.org/10.1016/j.nlm.2014.01.017
Becker, D., Creutzfeldt, O. D., Schwibbe, M., & Wuttke, W. (1982). Changes in Physiological, EEG and Psychological Parameters in Women during the Spontaneous Menstrual Cycle and Following Oral Contraceptives. Psychoneuroendocrinology, 7, 75-90. https://doi.org/10.1016/0306-4530(82)90057-9
Birzniece, V., Türkmen, S., Lindblad, C., Zhu, D., Johansson, I. M., Bäckström, T., & Wahlström, G. (2006). GABA(A) Receptor Changes in Acute Allopregnanolone Tolerance. European Journal Pharmacology, 535, 125-134. https://doi.org/10.1016/j.ejphar.2006.01.059
Bitran, D., Purdy, R. H., & Kellogg, C. K. (1993). Anxiolytic Effect of Progesterone Is Associated with Increases in Cortical Allopregnanolone and GABAA Receptor Function. Pharmacology Biochemistry Behavior, 45, 423-428. https://doi.org/10.1016/0091-3057(93)90260-Z
Blum, I., Lerman, M., Misrachi, I., Nordenberg, Y., Grosskopf, I., Weizman, A., Levy-Schiff, R., Sulkes, J., & Vered, Y. (2004). Lack of Plasma Norepinephrine Cyclicity, Increased Estradiol during the Follicular Phase, and of Progesterone and Gonadotrophins at Ovulation in Women with Premenstrual Syndrome. Neuropsychobiology, 50, 10-15. https://doi.org/10.1159/000077935
Bracewell, R. (1986). The Fourier Transform and Its Applications. New York: McGraw Hill.
Buzsáki, B. (2006). Rhythms of the Brain. New York: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780195301069.001.0001
Campos, R. G., & Figueroa, J. (2011). A Fast Algorithm for the Linear Canonical Transform. Signal Process, 9, 1444-1447. https://doi.org/10.1016/j.sigpro.2010.07.007
Campos, R. G., Rico-Melgoza, J., & Chavez, E. (2012). A New Formulation of the Fast Fractional Fourier Transform. SIAM Journal Science Computational, 34, A1110-1125. https://doi.org/10.1137/100812677
Cornelius, J. R., Schultz, S., Brenner, R. P., Soloff, P. H., & Ulrich, R. H. (1988). Changes in EEG Mean Frequency Associated with Anxiety and with Amphetamine Challenge in BPD. Biological Psychiatry, 24, 587-594. https://doi.org/10.1016/0006-3223(88)90169-2
Cornwell, B. R., Arkin, N., Overstreet, C., Carver, F. W., & Grillon, C. (2012). Distinct Contributions of Human Hippocampal Theta to Spatial Cognition and Anxiety. Hippocampus, 22, 1848-1859. https://doi.org/10.1002/hipo.22019
Davidson, R. J., Jackson, D. C., & Larson, C. L. (2000). Human Electroencephalography. In: J. T. Cacioppo, L. G. Tassinary, & G. G. Bernston (Eds.), Handbook of Psychophysiology (pp. 27-52). New York: Cambridge University Press.
Dennerstein, L., Lehert, P., & Heinemann, K. (2012). Epidemiology of Premenstrual Symptoms and Disorders. Menopause International, 18, 48-51. https://doi.org/10.1258/mi.2012.012013
Dueñas, J. L., Lete, I., Bermejo, R., Arbat, A., Pérez-Campos, E., Martínez-Salmeán, J., Serrano, I., Doval, J. L., & Coll, C. (2011). Prevalence of Premenstrual Syndrome and Premenstrual Dysphoric Disorder in a Representative Cohort of Spanish Women of Fertile Age. European Journal of Obstetrics Gynecology and Reproductive Biology, 156, 72-77. https://doi.org/10.1016/j.ejogrb.2010.12.013
Eser, D., Baghai, T. C., Schüle, C., Nothdurfter, C., & Rupprecht, R. (2008). Neuroactive Steroids as Endogenous Modulators of Anxiety. Current Pharmaceutical Design, 14, 3525-3533. https://doi.org/10.2174/138161208786848838
Fisch, B. J. (1999). Special Methods of Analysis and Recording. In B. J. Fisch, & S. Spehlmann's (Eds.), EEG Primer. Basic Principles of Digital and Analog EEG (pp. 124-134). Amsterdam: Elsevier Science.
Ford, O., Lethaby, A., Roberts, H., & Mol, B. W. (2012). Progesterone for Premenstrual Syndrome. Cochrane Database System Review, No. 3, CD003415. https://doi.org/10.1002/14651858.CD003415.pub4
Gingnell, M., Morell, A., Bannbers, E., Wikström, J., & Sundström-Poromaa, I. (2012). Menstrual Cycle Effects on Amygdala Reactivity to Emotional Stimulation in Premenstrual Dysphoric Disorder. Hormonal Behavioral, 62, 400-406. https://doi.org/10.1016/j.yhbeh.2012.07.005
Girdler, S. S., Straneva, P. A., Light, K. C., Pedersen, C. A., & Morrow, A. L. (2001). Allopregnanolone Levels and Reactivity to Mental Stress in Premenstrual Dysphoric Disorder. Biological Psychiatry, 49, 788-797. https://doi.org/10.1016/S0006-3223(00)01044-1
Goldstein, J. M., Jerram, M., Poldrack, R., Ahern, T., Kennedy, D. N., Seidman, L. J., & Makris, N. (2005). Hormonal Cycle Modulates Arousal Circuitry in Women Using Functional Magnetic Resonance Imaging. Journal of Neuroscience, 25, 9309-9316. https://doi.org/10.1523/JNEUROSCI.2239-05.2005
Gonda, X., Telek, T., Juhász, G., Lazary, J., Vargha, A., & Bagdy, G. (2008). Patterns of Mood Changes throughout the Reproductive Cycle in Healthy Women without Premenstrual Dysphoric Disorders. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 32, 1782-1788. https://doi.org/10.1016/j.pnpbp.2008.07.016
Hadjidimitriou, S. K., & Hadjileontiadis, L. J. (2012). Toward an EEG-Based Recognition of Music Liking Using Time-Frequency Analysis. IEEE Transactions on Biomedical Engineering, 59, 3498-3510. https://doi.org/10.1109/TBME.2012.2217495
Hantsoo, L., & Epperson, C. N. (2015). Premenstrual Dysphoric Disorder: Epidemiology and Treatment. Current Psychiatry Reports, 17, 87. https://doi.org/10.1007/s11920-015-0628-3
Hausmann, M., & Güntürkün, O. (2008). Steroid Fluctuations Modify Functional Cerebral Asymmetries: The Hypothesis of Progesterone-Mediated Interhemispheric Decoupling. Neuropsychologia, 38, 1362-1374. https://doi.org/10.1016/S0028-3932(00)00045-2
Hausmann, M., Hamm, J. P., Waldie, K. E., & Kirk, I. J. (2013). Sex Hormonal Modulation of Interhemispheric Transfer Time. Neuropsychologia, 51, 1734-7141. https://doi.org/10.1016/j.neuropsychologia.2013.05.017
Holmes, G., & R. Khazipov, R. (2007). Basic Neurophysiology and the Cortical Basic of EEG. In A. S. Blum, & S. B. Rutkove (Eds.), The Clinical Neurophysiology Primer (pp. 19-33). Totowa, NJ: Humana Press Inc. https://doi.org/10.1007/978-1-59745-271-7_2
Jackson, A. F., & Bolger, D. J. (2014). The Neurophysiological Base of EEG and EEG Measurement: A Review for the Rest of Us. Psychophysiology, 51, 1061-1071. https://doi.org/10.1111/psyp.12283
Katzenellenbogen, B. S., Choi, I., Delage-Mourroux, R., Ediger, T. R., Martini, P. G., Montano, M., Sun, J., & Weis, K. (2000). Molecular Mechanisms of Estrogen Action: Selective Ligands and Receptor Pharmacology. Journal Steroid Biochemistry and Molecular Biology, 74, 279-285. https://doi.org/10.1016/S0960-0760(00)00104-7
Knyazev, G. G. (2007). Motivation, Emotion, and Their Inhibitory Control Mirrored in Brain Oscillations. Neuroscience Biobehavioral Review, 31, 377-395. https://doi.org/10.1016/j.neubiorev.2006.10.004
Knyazev, G. G. (2011). Cross-Frequency Coupling of Brain Oscillations: An Impact of State Anxiety. International Journal Psychophysiology, 80, 236-245. https://doi.org/10.1016/j.ijpsycho.2011.03.013
Le Mellédo, J. M., & Baker, G. (2004). Role of Progesterone and Other Neuroactive Steroids in Anxiety Disorders. Expert Review Neurotherapeutics, 4, 851-860. https://doi.org/10.1586/14737175.4.5.851
Löfgren, M., Johansson, I. M., Meyerson, B., Turkmen, S., & Bäckström, T. (2009). Withdrawal Effects from Progesterone and Estradiol Relate to Individual Risk-Taking and Explorative Behavior in Female Rats. Physiology Behavioral, 96, 91-97. https://doi.org/10.1016/j.physbeh.2008.08.015
Lopes da Silva, F. (2010). EEG: Origin and Measurement. In C. Mulert, & L. Lemieux (Eds.), EEG-fMRI: Physiological Basic, Technique, and Applications (pp. 19-38). New York: Springer. https://doi.org/10.1007/978-3-540-87919-0_2
Majewska, M. D., & Schwartz, R. D. (1987). Pregnenolone-Sulfate: An Endogenous Antagonist of the Gamma-Aminobutyric Acid Receptor Complex in Brain? Brain Research, 404, 355-360. https://doi.org/10.1016/0006-8993(87)91394-1
Möcks, J., & Gasser, T. (1984). How to Select Epochs of the EEG for Quantitative Analysis. Electroencephalography Clinical Neurophysiology, 58, 89-92. https://doi.org/10.1016/0013-4694(84)90205-0
Motoyama, S., Saito, R., Maruyama, K., Okuyama, M., Sasaki, K., Wako, M., Kitamura, A., & Ogawa, J. (2007). Sound Spectrogram Analysis in Patients Receiving Kawahara’s Surgical Voice Restoration for Advanced Carcinoma of the Hypopharynx and Cervical Esophagus. Disease Esophagus, 20, 42-46. https://doi.org/10.1111/j.1442-2050.2006.00625.x
Niedermeyer, E. (2004). The Normal EEG of the Waking Adult. In E. Niedermeyer, & L. F. H. Da Silva (Eds.), Electroencephalography: Basic Principles, Clinical Applications, and Related Fields (pp. 131-152). Baltimore, MD: Williams & Wilkins.
Nillni, Y. I., Toufexis, D. J., & Rohan, K. J. (2011). Anxiety Sensitivity, the Menstrual Cycle, and Panic Disorder: A Putative Neuroendocrine and Psychological Interaction. Clinical Psychological Review, 31, 1183-1191. https://doi.org/10.1016/j.cpr.2011.07.006
Ossewaarde, L., Hermans, E. J., van Wingen, G. A., Kooijman, S. C., Johansson, I. M., Bäckström, T., & Fernández, G. (2010). Neural Mechanisms Underlying Changes in Stress-Sensitivity across the Menstrual Cycle. Psychoneuroendocrinology, 35, 47-55. https://doi.org/10.1016/j.psyneuen.2009.08.011
Ossewaarde, L., van Wingen, G. A., Rijpkema, M., Bäckström, T., Hermans, E. J., & Fernández, G. (2013). Menstrual Cycle-Related Changes in Amygdala Morphology Are Associated with Changes in Stress Sensitivity. Human Brain Mapping, 34, 1187-1193. https://doi.org/10.1002/hbm.21502
Ostlund, H., Keller, E., & Hurd, Y. L. (2003). Estrogen Receptor Gene Expression in Relation to Neuropsychiatric Disorders. Annals New York Academic Science, 1007, 54-63. https://doi.org/10.1196/annals.1286.006
Pfaff, D. W., Vasudevan, N., Kia, H. K., Zhu, Y. S., Chan, J., Garey, J., Morgan, M., & Ogawa, S. (2000). Estrogens, Brain and Behavior: Studies in Fundamental Neurobiology and Observations Related to Women’s Health. Journal Steroid Biochemistry and Molecular Biology, 74, 365-373. https://doi.org/10.1016/S0960-0760(00)00114-X
Putman, P. (2011). Resting State EEG Delta-Beta Coherence in Relation to Anxiety, Behavioral Inhibition, and Selective Attentional Processing of Threatening Stimuli. International Journal Psychophysiology, 80, 63-68. https://doi.org/10.1016/j.ijpsycho.2011.01.011
Redei, E., & Freeman, E. W. (1995). Daily Plasma Estradiol and Progesterone Levels over the Menstrual Cycle and Their Relation to Premenstrual Symptoms. Psychoneuroendocrinology, 20, 259-267. https://doi.org/10.1016/0306-4530(94)00057-H
Reed, S. C., Levin, F. R., & Evans, S. M. (2008). Changes in Mood, Cognitive Performance and Appetite in the Late Luteal and Follicular Phases of the Menstrual Cycle in Women with and without PMDD (Premenstrual Dysphoric Disorder). Hormonal Behavioral, 54, 185-193. https://doi.org/10.1016/j.yhbeh.2008.02.018
Romans, S., Clarkson, R., Einstein, G., Petrovic, M., & Stewart, D. (2012). Mood and the Menstrual Cycle: A Review of Prospective Data Studies. Gender Medicine, 9, 361-384. https://doi.org/10.1016/j.genm.2012.07.003
Roy, E., Montrsor, S., Abraham, P., & Saumet, J. L. (1999). Spectrogram Analysis of Arterial Doppler Signals for On-Line Automated Hits Detection. Ultrasound Medicine Biology, 25, 349-359. https://doi.org/10.1016/S0301-5629(98)00173-2
Schmidt, P. J., Purdy, R. H., Moore, P. H., Jr. Paul, S. M., & Rubinow, D. R. (1994). Circulating Levels of Anxiolytic Steroids in the Luteal Phase in Women with Premenstrual Syndrome and in Control Subjects. Journal Clinical Endocrinology Metabolism, 79, 1256-1260. https://doi.org/10.1210/jcem.79.5.7962316
Sigmon, S. T., Whitcomb-Smith, S. R., Rohan, K. J., & Kendrew, J. J. (2004). The Role of Anxiety Level, Coping Styles, and Cycle Phase in Menstrual Distress. Journal Anxiety Disorder, 18, 177-191. https://doi.org/10.1016/S0887-6185(02)00243-8
Solís-Ortiz, S., & Corsi-Cabrera, M. (2002). EEG Pattern of Anxiety along the Menstrual Cycle. Revista Mexicana Psicología, 19, 187-195.
Solís-Ortiz, S., Campos, R. G., Felix, J., & Obregón, O. (2009). Coincident Frequencies and Relative Phases among Brain Activity and Hormonal Signals. Behavioral Brain Function, 5, 18. https://doi.org/10.1186/1744-9081-5-18
Solís-Ortiz, S., Guevara, M. A., & Corsi-Cabrera, M. (2004). Performance in a Test Demanding Prefrontal Functions Is Favored by Early Luteal Phase Progesterone: An Electroencephalographic Study. Psychoneuroendocrinology, 29, 1047-1057. https://doi.org/10.1016/j.psyneuen.2003.10.007
Solís-Ortiz, S., Pérez-Luque, E., & Gutiérrez-Muñoz, M. (2012). EEG Oscillations at Rest and during Performance of a Prefrontal Task Associated with the COMT Gene Polymorphism in Healthy Postmenopausal Women. In A. Costa, & E. Villalba (Eds.), Horizons in Neuroscience Research (pp. 147-167). Hauppauge, NY: Nova Science Publishers Inc.
Solís-Ortiz, S., Pérez-Luque, E., & Pacheco-Zavala, P. (2012). Resting EEG Activity and Ovarian Hormones as Predictors of Depressive Symptoms in Postmenopausal Women without a Diagnosis of Major Depression. Psychology, 3, 834-840. https://doi.org/10.4236/psych.2012.329126
Solís-Ortiz, S., Ramos, J., Arce, C., Guevara, M. A., & Corsi-Cabrera, M. (1994). EEG Oscillations during Menstrual Cycle. International Journal Neuroscience, 76, 279-292. https://doi.org/10.3109/00207459408986010
Speilberg, C. D., Gorsush, R. L., & Lushene, R. E. (1970). The State-Trait Anxiety Inventory Manual (STAI). Palo Alto: Consulting Psychologists Press.
Speilberg, C. D., Martínez-Urrutia, A., González-Reigosa, F., Nalacio, L., & Díaz-Guerrero, R. (1980). Inventario de Autoevaluación (IDARE). México: El Manual Moderno.
Steriade, M. (2004). Cellular Substrates of Brain Rhythms. In E. Niedermeyer, & F. H. Lopes Da Silva (Eds.), Electroencephalography: Basic Principles, Clinical Applications, and Related Fields (pp. 27-62). Baltimore, MD: Williams & Wilkins.
Sussillo, D., Kundaje, A., & Anastassiou, D. (2004). Spectrogram Analysis of Genomes, EURASIP. Journal Apply Signal Processing, 1, 29-42. https://doi.org/10.1155/S1110865704310048
Ter Horst, G. J. (2010). Estrogen in the Limbic System. Vitamin Hormone, 82, 319-338. https://doi.org/10.1016/S0083-6729(10)82017-5
Toffoletto, S., Lanzenberger, R., Gingnell, M., Sundstrom-Poromaa, I., & Comasco, E. (2014). Emotional and Cognitive Functional Imaging of Estrogen and Progesterone Effects in the Female Human Brain: A Systematic Review. Psychoneuroendocrinology, 50, 28-52. https://doi.org/10.1016/j.psyneuen.2014.07.025
Tumyalis, A. V., & Aftanas, L. I. (2014). Contribution of Neurophysiological Endophenotype, Individual Frequency of EEG Alpha Oscillations to Mechanisms of Emotional Reactivity. Bulletin Experimental Biology Medicine, 156, 711-716. https://doi.org/10.1007/s10517-014-2431-2
van Broekhoven, F., Bäckström, T., van Luijtelaar, G., Buitelaar, J. K., Smits, P., & Verkes, R. J. (2007). Effects of Allopregnanolone on Sedation in Men, and in Women on Oral Contraceptives. Psychoneuroendocrinology, 32, 555-564. https://doi.org/10.1016/j.psyneuen.2007.03.009
van Wingen, G. A., Ossewaarde, L., Bäckström, T., Hermans, E. J., & Fernández, G. (2011). Gonadal Hormone Regulation of the Emotion Circuitry in Humans. Neuroscience, 191, 38-45. https://doi.org/10.1016/j.neuroscience.2011.04.042
van Wingen, G. A., van Broekhoven, F., Verkes, R. J., Petersson, K. M., Bäckström, T., Buitelaar, J. K., & Fernández, G. (2008). Progesterone Selectively Increases Amygdala Reactivity in Women. Molecular Psychiatry, 13, 325-333. https://doi.org/10.1038/sj.mp.4002030
Vasil’eva, V. V. (2005). Spectral and Coherent Characteristics of EEG in Women during Various Phases of Menstrual Cycle. Bulletin Experimental Biology Medicine, 140, 383-384. https://doi.org/10.1007/s10517-005-0496-7
Wang, M. (2011). Neurosteroids and GABA-A Receptor Functions. Frontiers Endocrinology, 2, 44. https://doi.org/10.3389/fendo.2011.00044
Weis, S., Hausmann, M., Stoffers, B., Vohn, R., Kellermann, T., & Sturm, W. (2008). Estradiol Modulates Functional Brain Organization during the Menstrual Cycle: An Analysis of Interhemispheric Inhibition. Journal Neuroscience, 28, 13401-13410. https://doi.org/10.1523/JNEUROSCI.4392-08.2008
Wise, P. M. (2002). Estrogens and Neuroprotection. Trends in Endocrinology and Metabolism, 13, 229-230. https://doi.org/10.1016/S1043-2760(02)00611-2
Wollemann, M., & Olaszy, G. (1977). Spectrogram Analysis of Different Alarm Calls in Gulls and Waders. Agressology, 18, 97-102.
Woods, N. F., Lentz, M. J., Mitchell, E. S., Heitkemper, M., Shaver, J., & Henker, R. (1998). Perceived Stress, Physiologic Stress Arousal, and Premenstrual Symptoms: Group Differences and Intra-Individual Patterns. Research Nursing Health, 21, 511-523. https://doi.org/10.1002/(SICI)1098-240X(199812)21:6 3.0.CO;2-W