Chandraratne Nadeeka K, Gunawardena Nalika S
Public Health Department, Colombo Municipal Council, Sri Lanka.
J Pediatr Adolesc Gynecol. 2011 Oct;24(5):304-10. doi: 10.1016/j.jpag.2011.05.010.
Government schools of Colombo.
Premenstrual symptomatology (PMS) was determined by a modified version of Premenstrual Symptom screening tool and American College of Obstetricians and Gynecologists (ACOG) diagnostic criteria were used in categorizing study units as having PMS. Other outcome measures were demographic and reproductive factors thought to be correlates of PMS, health seeking behavior for premenstrual symptoms, and how premenstrual symptoms impact their daily life.
Individual premenstrual symptoms were experienced by 65.7% of the population. The most common somatic symptom was fatigue (29.9%) and affective symptom was feeling sad/hopeless (29.6%). Prevalence of PMS was 8.75% (95%CI: 6.43-11.07). Multivariate analysis revealed the presence of: chronic physical illness (P = 0.001); dysmenorrhea (P < 0.0001), and regular menstrual cycles (P = 0.006) as correlates of PMS. Presence of PMS significantly disturbed "in school" activities, relationships and daily routines (P < 0.005) indicating a high negative influence on adolescents' daily life. Only 9.7% sought help from (western) medical practitioners for their premenstrual symptoms and a majority has not perceived it as a condition to report.
Premenstrual syndrome is a common condition among adolescent schoolgirls with a high negative influence on their daily life. The health care seeking behavior is poor, indicating the necessity to address the subject at adolescent reproductive health programs.
科伦坡的政府学校。
采用改良版经前症状筛查工具确定经前症状（PMS），并依据美国妇产科医师学会（ACOG）的诊断标准将研究对象分为患有PMS组。其他观察指标包括被认为与PMS相关的人口统计学和生殖因素、针对经前症状的求医行为，以及经前症状如何影响她们的日常生活。
65.7%的人群经历过个体经前症状。最常见的躯体症状是疲劳（29.9%），情感症状是感到悲伤/绝望（29.6%）。PMS的患病率为8.75%（95%CI：6.43 - 11.07）。多因素分析显示，慢性躯体疾病（P = 0.001）、痛经（P < 0.0001）和月经周期规律（P = 0.006）与PMS相关。PMS的存在显著干扰了“在校”活动、人际关系和日常生活（P < 0.005），表明对青少年的日常生活有很大的负面影响。只有9.7%的人因经前症状向（西方）医生寻求帮助，大多数人并未将其视为一种需要报告的疾病。
经前综合征在青春期女学生中很常见，对她们的日常生活有很大负面影响。求医行为较差，表明有必要在青少年生殖健康项目中关注这一问题。
