Cochrane · systematic review · CD001396

Selective serotonin reuptake inhibitors for premenstrual syndrome

Marjoribanks, J, Brown, J, O'Brien, PMS, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

Gynaecology and FertilityAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 5 · 71.4%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

SSRIs for premenstrual syndrome: all symptoms (end scores)

Population: women with premenstrual syndrome
3 questions
OutcomeEffectEvidenceStatus / GRADE
Moderate dose SSRI versus placebo Luteal or continuous administration
no estimate extracted9 studies · 1276 participantsLow
Downgraded: risk of bias, inconsistency
Moderate dose SSRI versus placebo Luteal administration
no estimate extracted4 studies · 457 participantsModerate
Downgraded: inconsistency
Moderate dose SSRI versus placebo Continuous administration
no estimate extracted7 studies · 843 participantsLow
Downgraded: risk of bias, inconsistency

SSRIs for premenstrual syndrome: all symptoms (change scores)

Population: women with premenstrual syndrome
1 question
OutcomeEffectEvidenceStatus / GRADE
Moderate dose SSRI versus placebo Luteal administration2
no estimate extracted4 studies · 657 participantsModerate
Downgraded: risk of bias

SSRIs for premenstrual syndrome: withdrawal due to adverse effects

Population: women with premenstrual syndrome
3 questions
OutcomeEffectEvidenceStatus / GRADE
Low dose SSRI versus placebo Luteal or continuous administration
OR 1.76 [1.13, 2.75]7 studies · 1301 participantsModerate
Downgraded: risk of bias
Mod dose SSRI versus placebo Luteal or continuous administration
OR 2.55 [1.84, 3.53]15 studies · 2447 participantsModerate
Downgraded: risk of bias, imprecision
High dose SSRIs versus placebo Continuous administration
RR 6.35 [2.88, 14]1 study · 231 participantsModerate
Downgraded: risk of bias, imprecision