Department of Womens' Disease Control and Prevention, the Medical University of Silesia, ul, Medyków 12, 40-752 Katowice, Poland.
Reprod Biol Endocrinol. 2010 Nov 14;8:141. doi: 10.1186/1477-7827-8-141.
Premenstrual dysphoric disorder has multiple determinants in the biological, psychological and socio-cultural domains. The aim of the study was to evaluate the risk factors for premenstrual dysphoric disorder in Polish women, considering their reproductive history, socio-economic factors, as well as lifestyle and health-related factors.
2,500 females, aged 18 to 45, from the Upper Silesian region of Poland were eligible for the prospective population study. The final study sample was 1,540 individuals. The research was based on a questionnaire containing socio-economic status, general health, lifestyle, medical and reproductive history, premenstrual symptoms based on the American Psychiatric Association's criteria for diagnosing premenstrual dysphoric disorder, and patient prospective daily ratings of symptoms. The Statistica 8.0 computer software was used for statistical analysis. The value of p < 0.05 was adopted as the level of statistical significance.
The mean age of the studied population was 31.9 +/- 7.3 years. The majority of the studied women were married (57.9%), lived in large cities (42.0%) and had tertiary education (43.2%). The results of the study indicated that the prevalence of premenstrual dysphoric disorder was 2.1%. The final statistical analysis revealed that only tertiary education decreased the risk of premenstrual dysphoric disorder (OR = 0.08; p < 0.05).
Our research showed that women with tertiary education are less vulnerable to premenstrual dysphoric disorder than women with a lower level of education. Reproductive and lifestyle factors seem to be play a lesser role.
经前烦躁障碍在生物、心理和社会文化领域有多种决定因素。本研究的目的是评估波兰女性经前烦躁障碍的风险因素，同时考虑其生育史、社会经济因素以及生活方式和与健康相关的因素。
波兰上西里西亚地区有 2500 名年龄在 18 至 45 岁之间的女性符合前瞻性人群研究的条件。最终研究样本为 1540 人。该研究基于一份问卷，其中包括社会经济地位、一般健康状况、生活方式、医疗和生育史、基于美国精神病学协会诊断经前烦躁障碍标准的经前症状以及患者对症状的前瞻性每日评分。使用 Statistica 8.0 计算机软件进行统计分析。p<0.05 被视为统计学意义的水平。
研究人群的平均年龄为 31.9±7.3 岁。大多数研究女性已婚（57.9%）、居住在大城市（42.0%）和接受过高等教育（43.2%）。研究结果表明，经前烦躁障碍的患病率为 2.1%。最终的统计分析表明，只有高等教育降低了经前烦躁障碍的风险（OR=0.08；p<0.05）。
我们的研究表明，与教育程度较低的女性相比，接受过高等教育的女性不易患经前烦躁障碍。生殖和生活方式因素似乎作用较小。
