Keenan P A, Lindamer L A, Jong S K
Department of Psychiatry, Harper Hospital, Wayne State University, Detroit, Michigan 48201.
Psychoneuroendocrinology. 1992 May-Jul;17(2-3):189-94. doi: 10.1016/0306-4530(92)90057-e.
Depressed mood is a salient feature of Premenstrual Syndrome (PMS). Fourteen women with prospectively documented PMS and ten without PMS completed the short form of the Beck Depression Inventory (BDI) and the Zung Self-Rating Scale for Depression (Zung-D) during the follicular and late luteal phases of two consecutive menstrual cycles. The short form of the BDI assesses the more cognitive symptoms of depression, while the Zung-D identifies primarily vegetative symptoms. The short form of the BDI was sensitive to cyclic changes in the PMS women, while the Zung-D was not. The BDI items uniquely endorsed by the PMS women during the late luteal phase were pessimism, sense of failure, dissatisfaction, guilt, self-dislike, and indecision. The premenstrual dysphoria experienced by PMS women thus appears to be more cognitive than vegetative in nature. Finally, differential utility of standardized mood measures to detect premenstrual depression is suggested. The BDI proved to be the more sensitive measure.
情绪低落是经前综合征（PMS）的一个显著特征。14名经前瞻性记录确诊为PMS的女性和10名无PMS的女性在连续两个月经周期的卵泡期和黄体后期完成了贝克抑郁量表简版（BDI）和zung抑郁自评量表（Zung-D）。BDI简版评估抑郁的更多认知症状，而Zung-D主要识别躯体症状。BDI简版对PMS女性的周期性变化敏感，而Zung-D则不然。PMS女性在黄体后期独特认可的BDI项目有悲观、失败感、不满、内疚、自我厌恶和犹豫不决。因此，PMS女性经历的经前烦躁在本质上似乎更多是认知性的，而非躯体性的。最后，提示标准化情绪测量在检测经前抑郁方面具有不同的效用。事实证明，BDI是更敏感的测量方法。
