Taffe J, Dennerstein L
Office for Gender and Health, Department of Psychiatry, University of Melbourne, Parkville 3010, Australia.
Climacteric. 2000 Sep;3(3):183-91. doi: 10.1080/13697130008500099.
To investigate the reliability of self-report of menstrual frequency and flow changes in the context of determining menopausal status categories, using data from the longitudinal phase of the Melbourne Women's Midlife Health Project (MWMHP).
Women reporting at interview at least one menstrual period during the previous 3 months are assigned pre- or perimenopausal status according to their responses to questions about changes in menstrual frequency and flow. For a sample of 72 such women, menstrual diary information was converted into standardized scores measuring change in frequency and flow of menses during the 2 years prior to interview. These scores, coded into categories, were used to derive measures of the sensitivity, specificity and predictive values of the interview responses.
Self-report of change in menstrual frequency and flow have low sensitivity to measures based on prospectively kept menstrual diaries.
Retrospective self-report at interview of changes in menstrual frequency and flow should not be regarded as reliable measures of actual changes in cycle parameters.
利用墨尔本女性中年健康项目（MWMHP）纵向阶段的数据，在确定绝经状态分类的背景下，研究月经频率和经量变化自我报告的可靠性。
在访谈中报告在前3个月至少有一次月经的女性，根据她们对月经频率和经量变化问题的回答，被归类为绝经前或围绝经期状态。对于72名此类女性的样本，月经日记信息被转换为标准化分数，用以衡量访谈前2年月经频率和经量的变化。这些分数被编码成类别，用于得出访谈回答的敏感性、特异性和预测值的测量结果。
月经频率和经量变化的自我报告对基于前瞻性记录的月经日记的测量方法敏感性较低。
访谈时对月经频率和经量变化的回顾性自我报告不应被视为周期参数实际变化的可靠测量方法。
