Takeda T, Tasaka K, Sakata M, Murata Y
Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Japan.
Arch Womens Ment Health. 2006 Jul;9(4):209-12. doi: 10.1007/s00737-006-0137-9. Epub 2006 Jun 9.
To investigate the prevalence and impact of premenstrual symptoms in Japanese women, we developed the PSQ "The Premenstrual Symptoms Questionnaire" for the screening of premenstrual symptoms. The PSQ translates DSM-IV criteria into a rating scale with degrees of severity. One thousand one hundred and eighty-seven Japanese women between the ages of 20 and 49 yrs, who were seen at a clinic for uterine cancer screening, were assessed regarding their premenstrual symptoms using the PSQ. As many as 95% of these women were found to suffer from premenstrual symptoms. The rates of prevalence of moderate to severe PMS and PMDD in Japanese women were 5.3 and 1.2%, respectively, which are lower than those in Western women. Only 5.3% of women with moderate to severe PMS and PMDD were treated. The results of this study suggest that race and ethnicity influence the expression of premenstrual symptoms and that the current state of medical care for Japanese women with moderate to severe PMS and PMDD is not satisfactory.
为了调查日本女性经前症状的患病率及其影响，我们开发了“经前症状问卷（PSQ）”用于经前症状的筛查。PSQ将《精神疾病诊断与统计手册》第四版（DSM-IV）的标准转化为一个具有严重程度等级的评定量表。对1187名年龄在20至49岁之间、因子宫癌筛查而到诊所就诊的日本女性，使用PSQ对她们的经前症状进行了评估。结果发现，多达95%的这些女性患有经前症状。日本女性中重度经前综合征（PMS）和经前烦躁障碍（PMDD）的患病率分别为5.3%和1.2%，低于西方女性。只有5.3%的中重度PMS和PMDD女性接受了治疗。这项研究的结果表明，种族和民族会影响经前症状的表现，并且日本中重度PMS和PMDD女性的医疗现状并不令人满意。
