Can Fam Physician. 1983 Oct;29:1919-24.
This paper reviews the premenstrual syndrome (PMS) from a historical and psychological perspective. The physician must recognize that the premenstruum-the four days before the onset of the menses-is a high risk' phase for women. They may demonstrate somatic and psychological complaints such as irritability, aggression, tension, anxiety, depression, lethargy, insomnia, poor coordination and concentration. Psychological disturbances can range from self-deprecation and the feeling that everything is too much' to pronounced feelings of oppression and depression. Psychiatric patients may become even more disturbed at this time. Recent reviews on PMS have studied its etiology and its possible connection to hormone imbalance, but to date there is no complete explanation for the syndrome's psychological symptoms. The most promising treatments for the psychological symptoms of PMS are pyridoxine (although there are conflicting reports about it), antidepressants, benzodiazepines if anxiety and tension dominate, and ongoing psychotherapy for severe cases.
本文从历史和心理学角度综述经前期综合征（PMS）。医生必须认识到，经前期（即月经来潮前的四天）是女性的“高风险”阶段。她们可能会表现出躯体和心理方面的不适，如易怒、攻击性、紧张、焦虑、抑郁、乏力、失眠、协调和注意力不集中。心理障碍的范围从自我贬低和“一切都太多”的感觉，到明显的压抑和抑郁感。精神病患者此时可能会更加不安。最近对 PMS 的综述研究了其病因及其与激素失衡的可能联系，但迄今为止，对于该综合征的心理症状还没有完全的解释。对于 PMS 的心理症状，最有希望的治疗方法是吡哆醇（尽管有相互矛盾的报道）、抗抑郁药、苯二氮䓬类药物，如果焦虑和紧张占主导地位，以及对严重病例进行持续的心理治疗。
