Robinson R L, Swindle R W
Global Economic Affairs, Eli Lilly and Company, Indianapolis, Indiana 46285, USA.
J Womens Health Gend Based Med. 2000 Sep;9(7):757-68. doi: 10.1089/15246090050147736.
Our purpose was to understand premenstrual symptomatology and treatment-seeking behaviors by examining three subjective measurement approaches for premenstrual syndrome (PMS), their relationship to social functioning interference, and the role of symptom severity in a broader model of help seeking for PMS. Cross-sectional data were obtained from 1022 mail survey respondents who were derived from a nationally representative random sample of women, aged 18-49, experiencing regular menstrual cycles. Statistical analyses included Pearson correlations, chi-square tests, t tests, and logistic regression. The three symptom severity measures (a global self-appraisal, summative symptom counting, and categorical-configural) were strongly intercorrelated, ranging from. 60 to.78 (p < 0.001), and were correlated with interference in social and occupational functioning domains, ranging from.44 to.77 (all p < 0.001). A global self-report measure identified 4.9% of women with severe symptoms, whereas a DSM-IV-adapted approach identified 11.3% with premenstrual dysphoric disorder (PMDD) symptoms (of whom 92% also reported social interference). PMS treatment seeking was predicted by older age, PMS symptoms experienced in most cycles, greater self-reported symptom severity, greater overall use of healthcare services, and less negative attitudes toward PMS (all p < 0.05). These findings support the feasibility of clinician's use of brief screening approaches for PMDD, especially using short summative symptom rating scales. Women underidentify the severity of their PMS difficulties despite the reported difficulties associated with consistent social and occupational interference in most life domains. They are also reluctant to seek help for treatable PMS symptoms because of attitudinal barriers regardless of the severity of their PMS symptoms.
我们的目的是通过研究三种经前综合征（PMS）的主观测量方法、它们与社会功能干扰的关系以及症状严重程度在更广泛的PMS求助模型中的作用，来了解经前症状及寻求治疗行为。横断面数据来自1022名通过邮件调查的受访者，这些受访者是从年龄在18 - 49岁、月经周期规律的全国代表性女性随机样本中选取的。统计分析包括Pearson相关性分析、卡方检验、t检验和逻辑回归。三种症状严重程度测量方法（整体自我评估、症状总计和分类构型法）之间高度相关，相关系数范围为0.60至0.78（p < 0.001），并且与社会和职业功能领域的干扰相关，相关系数范围为0.44至0.77（所有p < 0.001）。一项整体自我报告测量方法识别出4.9%有严重症状的女性，而一种改编自《精神疾病诊断与统计手册》第四版（DSM - IV）的方法识别出11.3%有经前烦躁障碍（PMDD）症状的女性（其中92%也报告了社会干扰）。年龄较大、在大多数周期出现PMS症状、自我报告的症状严重程度较高、医疗服务总体使用频率较高以及对PMS的负面态度较少，这些因素都预测了PMS治疗寻求行为（所有p < 0.05）。这些发现支持临床医生使用简短筛查方法诊断PMDD的可行性，尤其是使用简短的症状总计评分量表。尽管在大多数生活领域报告了与持续的社会和职业干扰相关的困难，但女性对其PMS困难的严重程度认识不足。她们也因态度障碍而不愿为可治疗的PMS症状寻求帮助，无论其PMS症状的严重程度如何。
