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如何研究月经周期:实用工具和建议。

How to study the menstrual cycle: Practical tools and recommendations.

机构信息

Institute of Medical Psychology, Center for Psychosocial Medicine, Heidelberg University Hospital, Heidelberg University, Heidelberg, Germany.

Women's Mental Health Research Program, Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.

出版信息

Psychoneuroendocrinology. 2021 Jan;123:104895. doi: 10.1016/j.psyneuen.2020.104895. Epub 2020 Oct 13.

Abstract

Despite decades of research on the physiological and psychological effects of the menstrual cycle, studies have not sufficiently adopted consistent methods for operationalizing the menstrual cycle. This has resulted in substantial confusion in the literature and limited possibilities to conduct systematic reviews and meta-analyses. In order to facilitate more rapid accumulation of knowledge on cycle effects, the present paper offers a set of integrative guidelines and standardized tools for studying the menstrual cycle as an independent variable. We begin with (1) an overview of the menstrual cycle and (2) premenstrual disorders, followed by (3) recommendations and tools regarding data collection in cycle studies. These recommendations address selecting the appropriate study design and sampling strategy, managing demand characteristics, identifying a sample of naturally-cycling individuals, and measuring menstrual bleeding dates, ovarian hormones, and ovulation. We proceed with suggestions for (4) data preparation and coding of cycle day and phases, as well as (5) data visualization, statistical modeling, and interpretation of menstrual cycle associations. We also provide (6) recommendations for using menses start day and ovulation testing to schedule visits in laboratory studies and end with a (7) comprehensive summary and conclusion. Regardless of whether the influence of the menstrual cycle is of central interest in a study or should be controlled to accurately assess the effects of another variable, the use of these recommendations and tools will help make study results more meaningful and replicable.

摘要

尽管数十年来人们一直在研究月经周期的生理和心理影响,但研究并未充分采用一致的方法来操作月经周期。这导致文献中存在大量混淆,也限制了进行系统评价和荟萃分析的可能性。为了促进更快地积累关于周期影响的知识,本文提供了一套综合指南和标准化工具,用于将月经周期作为一个独立变量进行研究。我们首先介绍(1)月经周期和(2)经前障碍,然后介绍(3)关于周期研究中数据收集的建议和工具。这些建议涉及选择适当的研究设计和抽样策略、管理需求特征、确定自然周期个体的样本以及测量月经出血日期、卵巢激素和排卵。我们接着提出了(4)用于准备和编码周期天数和阶段的数据的建议,以及(5)数据可视化、统计建模和解释月经周期关联的建议。我们还提供了(6)使用月经开始日期和排卵测试来安排实验室研究中的访问的建议,最后(7)全面总结和结论。无论月经周期的影响是否是研究的核心关注点,或者是否应该加以控制以准确评估另一个变量的影响,使用这些建议和工具将有助于使研究结果更有意义和可复制。

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