Research shows fluctuations in drinking across the menstrual cycle among women with alcohol use disorder (AUD), but little work has investigated moderators of these fluctuations. This study examined drinking and craving intensity across the menstrual cycle, and the moderating effect of baseline depression and emotional distress during the midlate luteal phase and/or menses, among women receiving AUD treatment. Fifty-nine regularly cycling women reported menstrual history and baseline depression. Over 3 months of treatment, they kept daily logs of drinks, alcohol cravings, and menstruation (yes/no). Emotional distress during the midlate luteal phase and/or menses of their most recent menstrual cycle was also assessed during treatment. Menstrual cycle phase was estimated for each within-treatment day. Mixed model analyses tested main and interactive effects of menstrual cycle phase, baseline depression, and emotional distress during the midlate luteal phase and/or menses on daily drinks and craving intensity. Women drank most during the midlate luteal phase and menses compared with other phases. Among women with lower baseline depression, those with lower distress during the midlate luteal phase and/or menses reported more intense cravings during the midlate luteal phase (ΔM = .77, p = .000) and menses (ΔM = .51, p = .012); those with higher distress reported more intense cravings during menses, compared with all other phases (p < .01). Among women with higher baseline depression, craving intensity remained consistently high. Results document more drinking during the midlate luteal phase and menses and suggest that cycle-related distress and depression moderate the alcohol-menstrual association among women in AUD treatment. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

接受酒精使用障碍门诊治疗的女性的月经周期阶段、饮酒量、酒精渴望和情绪。

研究表明，酒精使用障碍 (AUD) 女性在整个月经周期中饮酒量会出现波动，但很少有研究调查这些波动的调节因素。这项研究检查了整个月经周期的饮酒和渴望强度，以及接受 AUD 治疗的女性在黄体中期和/或月经期间基线抑郁和情绪困扰的调节作用。59 名定期骑自行车的女性报告了月经史和基线抑郁症。在 3 个月的治疗中，他们每天记录饮酒、饮酒和月经的记录（是/否）。在治疗期间还评估了黄体中期和/或最近月经周期的情绪困扰。估计每个治疗内日的月经周期阶段。混合模型分析测试了月经周期阶段、基线抑郁和黄体中期和/或月经期间的情绪困扰对每日饮酒和渴望强度的主要和交互影响。与其他阶段相比，女性在黄体中期和月经期间饮酒最多。在基线抑郁程度较低的女性中，在黄体中期和/或月经期痛苦较低的女性报告说，在黄体中期（ΔM = .77，p = .000）和月经期（ΔM = .51，p = .012); 与所有其他阶段相比，那些痛苦程度更高的人在月经期间报告更强烈的渴望（p < .01）。在基线抑郁程度较高的女性中，渴望强度一直很高。结果记录了在黄体中期和月经期间更多的饮酒，并表明与周期相关的痛苦和抑郁缓和了接受 AUD 治疗的女性的酒精-月经关联。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。