经前期症状对韩国女性日常生活活动的影响。

The impact of premenstrual symptoms on activities of daily life in Korean women.

机构信息

Department of Obstetrics & Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

J Psychosom Obstet Gynaecol. 2010 Mar;31(1):10-5. doi: 10.3109/01674820903573920.

DOI:10.3109/01674820903573920

PMID:20146640

Abstract

OBJECTIVE

To evaluate the impact of premenstrual symptoms on activities of daily life (ADL) of Korean women, and their knowledge and treatment seeking regarding premenstrual syndromes (PMSs).

METHODS

A population-based online survey regarding premenstrual symptoms was conducted in 1000 Korean women aged 15-49 years. Symptoms were classified according to their intensity, persistence each cycle, and impairment of ADL. Women's knowledge of PMSs and physician consultations were assessed.

RESULTS

The approximate prevalence of PMS/premenstrual dysphoric disorder (PMDD) by the WHO's International Classification of Disease (ICD-10), American College of Obstetrics and Gynecology (ACOG), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV[4th edition]) criteria was 98.6, 32.1, and 2.8%, respectively. Among 23 documented symptoms, the most predominant symptoms were joint-muscle-back pain, abdominal pain, and irritability. Physical symptoms were more prevalent than mental symptoms. There was a high correlation between the duration and severity of symptoms. The impact of PMS on ADL and the proportion of women with impaired ADL were significantly associated with the severity of PMS. The proportion of women consulting physicians increased with severity of PMS from 2%, 2.3%, for ICD-10, ACOG PMS to 10.7% for DSM-IV PMDD, respectively. Most of the women (91.5%) had no knowledge regarding terminology pertaining to PMS and PMDD.

CONCLUSION

PMSs occur frequently and have a significant impact on daily life for a proportion of Korean women. However, Korean women have little knowledge about PMSs and only infrequently consult their physicians.

摘要

目的

评估经前期症状对韩国女性日常生活活动（ADL）的影响，以及她们对经前期综合征（PMS）的认识和治疗寻求情况。

方法

对 1000 名年龄在 15-49 岁的韩国女性进行了一项基于人群的经前期症状在线调查。根据症状的强度、每个周期的持续时间和 ADL 的受损情况对症状进行分类。评估了女性对 PMS 的了解情况和医生咨询情况。

结果

根据世界卫生组织（WHO）《国际疾病分类》（ICD-10）、美国妇产科学院（ACOG）和《精神障碍诊断与统计手册》（DSM-IV[第 4 版]）标准，PMS/经前期烦躁障碍（PMDD）的近似患病率分别为 98.6%、32.1%和 2.8%。在 23 种已记录的症状中，最常见的症状是关节-肌肉-背痛、腹痛和易怒。身体症状比精神症状更为普遍。症状的持续时间和严重程度之间存在高度相关性。PMS 对 ADL 的影响以及 ADL 受损的女性比例与 PMS 的严重程度显著相关。随着 PMS 严重程度的增加，向医生咨询的女性比例从 ICD-10 的 2%、ACOG PMS 的 2.3%分别增加到 DSM-IV PMDD 的 10.7%。大多数女性（91.5%）对 PMS 和 PMDD 的术语一无所知。