Associations of menstrual cycle and progesterone-to-estradiol ratio with alcohol consumption in alcohol use disorder: a sex-separated multicenter longitudinal study
Objective: - Alcohol use disorder (AUD) constitutes a critical public health issue and has sex-specific characteristics. Initial evidence suggests that progesterone and estradiol might reduce or increase alcohol intake, respectively. However, there is a need for a better understanding of how the men...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
May 01, 2024
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| In: |
The American journal of psychiatry
Year: 2024, Volume: 181, Issue: 5, Pages: 445-456 |
| ISSN: | 1535-7228 |
| DOI: | 10.1176/appi.ajp.20230027 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1176/appi.ajp.20230027 Verlag, lizenzpflichtig, Volltext: https://psychiatryonline.org/doi/10.1176/appi.ajp.20230027 
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| Author Notes: | Sabine Hoffmann, M.A., Sarah Gerhardt, M.Sc., Christiane Mühle, Ph.D., Iris Reinhard, Ph.D., Dominic Reichert, M.Sc., Patrick Bach, M.D., Ph.D., Rafat Boroumand-Jazi, M.Sc., Christine Kuehner, Ph.D., Alvaro Aguilera, Dipl.Inf., Acelya Aslan, M.A., Nadja S. Bahr, M.Sc., Matthew Belanger, M.Sc., Friederike Deeken, Ph.D., Claudia Ebrahimi, Dr.rer.nat., Pascale C. Fischbach, M.Sc., Marvin Ganz, M.Sc., Maria Garbusow, Dr.rer.nat., Charlotte M. Großkopf, M.D., Marie Heigert, M.Sc., Angela Hentschel, M.Sc., Damian Karl, M.Sc., Shuyan Liu, Ph.D., Massimiliano Mazza, M.D., Patricia Pelz, Dr.rer.medic., Mathieu Pinger, M.Sc., Matthias Reichl, M.D., Carlotta Riemerschmid, M.Sc., Annika Rosenthal, M.Sc., Johannes Steffen, M.Sc., Jens Strehle, Dipl.Math., Friederike Wedemeyer, M.D., Franziska Weiss, Ph.D., Julia Wenzel, Dipl.Psych., Gesine Wieder, Dr.rer.nat., Alfred Wieland, M.Sc., Judith Zaiser, M.Sc., Hilmar G. Zech, M.Sc., Sina Zimmermann, M.Sc., Johannes Kornhuber, M.D., Christian P. Müller, Ph.D., Wolfgang H. Sommer, M.D., Ph.D., Rainer Spanagel, Ph.D., Tobias Banaschewski, M.D., Ph.D., Lorenz Deserno, M.D., Ulrich W. Ebner-Priemer, Ph.D., Herta Flor, Ph.D., Peter Kirsch, Ph.D., Marcella Rietschel, M.D., Sabine Vollstädt-Klein, Ph.D., Henrik Walter, M.D., Ph.D., Andreas Meyer-Lindenberg, M.D., Ph.D., Michael A. Rapp, M.D., Ph.D., Stephanie Witt, Ph.D., Michael N. Smolka, M.D., Andreas Heinz, M.D., Ph.D., Heike Tost, M.D., Ph.D., Falk Kiefer, M.D., Markus Reichert, Ph.D., Bernd Lenz, M.D., ReCoDe Consortium |
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| 245 | 1 | 0 | |a Associations of menstrual cycle and progesterone-to-estradiol ratio with alcohol consumption in alcohol use disorder |b a sex-separated multicenter longitudinal study |c Sabine Hoffmann, M.A., Sarah Gerhardt, M.Sc., Christiane Mühle, Ph.D., Iris Reinhard, Ph.D., Dominic Reichert, M.Sc., Patrick Bach, M.D., Ph.D., Rafat Boroumand-Jazi, M.Sc., Christine Kuehner, Ph.D., Alvaro Aguilera, Dipl.Inf., Acelya Aslan, M.A., Nadja S. Bahr, M.Sc., Matthew Belanger, M.Sc., Friederike Deeken, Ph.D., Claudia Ebrahimi, Dr.rer.nat., Pascale C. Fischbach, M.Sc., Marvin Ganz, M.Sc., Maria Garbusow, Dr.rer.nat., Charlotte M. Großkopf, M.D., Marie Heigert, M.Sc., Angela Hentschel, M.Sc., Damian Karl, M.Sc., Shuyan Liu, Ph.D., Massimiliano Mazza, M.D., Patricia Pelz, Dr.rer.medic., Mathieu Pinger, M.Sc., Matthias Reichl, M.D., Carlotta Riemerschmid, M.Sc., Annika Rosenthal, M.Sc., Johannes Steffen, M.Sc., Jens Strehle, Dipl.Math., Friederike Wedemeyer, M.D., Franziska Weiss, Ph.D., Julia Wenzel, Dipl.Psych., Gesine Wieder, Dr.rer.nat., Alfred Wieland, M.Sc., Judith Zaiser, M.Sc., Hilmar G. Zech, M.Sc., Sina Zimmermann, M.Sc., Johannes Kornhuber, M.D., Christian P. Müller, Ph.D., Wolfgang H. Sommer, M.D., Ph.D., Rainer Spanagel, Ph.D., Tobias Banaschewski, M.D., Ph.D., Lorenz Deserno, M.D., Ulrich W. Ebner-Priemer, Ph.D., Herta Flor, Ph.D., Peter Kirsch, Ph.D., Marcella Rietschel, M.D., Sabine Vollstädt-Klein, Ph.D., Henrik Walter, M.D., Ph.D., Andreas Meyer-Lindenberg, M.D., Ph.D., Michael A. Rapp, M.D., Ph.D., Stephanie Witt, Ph.D., Michael N. Smolka, M.D., Andreas Heinz, M.D., Ph.D., Heike Tost, M.D., Ph.D., Falk Kiefer, M.D., Markus Reichert, Ph.D., Bernd Lenz, M.D., ReCoDe Consortium |
| 264 | 1 | |c May 01, 2024 | |
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| 500 | |a Online veröffentlicht: 10. Januar 2024 | ||
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| 520 | |a Objective: - Alcohol use disorder (AUD) constitutes a critical public health issue and has sex-specific characteristics. Initial evidence suggests that progesterone and estradiol might reduce or increase alcohol intake, respectively. However, there is a need for a better understanding of how the menstrual cycle in females and the ratio of progesterone to estradiol in females and males influence alcohol use patterns in individuals with AUD. - Methods: - In this sex-separated multicenter longitudinal study, the authors analyzed 12-month data on real-life alcohol use (from 21,460 smartphone entries), menstrual cycle, and serum progesterone-to-estradiol ratios (from 667 blood samples at four individual study visits) in 74 naturally cycling females and 278 males with AUD between 2020 and 2022, using generalized and general linear mixed modeling. - Results: - Menstrual cycle phases were significantly associated with binge drinking and progesterone-to-estradiol ratio. During the late luteal phase, females showed a lower predicted binge drinking probability of 13% and a higher predicted marginal mean of progesterone-to-estradiol ratio of 95 compared with during the menstrual, follicular, and ovulatory phases (binge drinking probability and odds ratios vs. late luteal phase, respectively: 17%, odds ratio=1.340, 95% CI=1.031, 1.742; 19%, odds ratio=1.523, 95% CI=1.190, 1.949; and 20%, odds ratio=1.683, 95% CI=1.285, 2.206; difference in progesterone-to-estradiol ratios, respectively: −61, 95% CI=−105.492, −16.095; −78, 95% CI=−119.322, −37.039; and −71, 95% CI=−114.568, −27.534). In males, a higher progesterone-to-estradiol ratio was related to lower probabilities of binge drinking and of any alcohol use, with a 10-unit increase in the hormone ratio resulting in odds ratios of 0.918 (95% CI=0.843, 0.999) and 0.914 (95% CI=0.845, 0.988), respectively. - Conclusions: - These ecologically valid findings suggest that high progesterone-to-estradiol ratios can have a protective effect against problematic alcohol use in females and males with AUD, highlighting the progesterone-to-estradiol ratio as a promising treatment target. Moreover, the results indicate that females with AUD may benefit from menstrual cycle phase-tailored treatments. | ||
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