中国基于人群样本的经前期综合征和经前期烦躁障碍的患病率。
Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample in China.
机构信息
Basic Medical College, Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250355, China.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2012 May;162(1):83-6. doi: 10.1016/j.ejogrb.2012.01.017. Epub 2012 Feb 28.
OBJECTIVE
To investigate the prevalence of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD), and the frequency and severity of the symptoms in a population-based sample of Chinese women of reproductive age.
STUDY DESIGN
Women aged 18-45 years were screened for suspected PMS and PMDD based on the ACOG recommendations for a diagnosis of PMS and diagnostic and statistical manual of mental disorders, fourth edition (DSM-IV). For those who were consistent with PMS diagnostic criteria, the daily record of severity of problems (DRSP) questionnaire was used to assess the symptoms prospectively over 2 months. Participants were then categorized as having no perceived symptoms, mild PMS, moderate PMS, and PMDD, based on a validated algorithm.
RESULTS
Among the study group, the incidence of PMDD was 2.1% and PMS was 21.1%. The most common symptoms were irritability (91.21%), breast tenderness (77.62%), depression (68.31%), abdominal bloating (63.70%) and angry outbursts (59.62%).
CONCLUSION
The prevalence of PMS/PMDD and the frequency and severity of the symptoms have their own characteristics in Chinese women.
目的
调查中国育龄期妇女经前期综合征（PMS）和经前期烦躁障碍（PMDD）的流行情况，以及该人群中这些症状的发生频率和严重程度。
研究设计
根据美国妇产科医师学会（ACOG）推荐的 PMS 诊断标准和《精神障碍诊断与统计手册》第四版（DSM-IV），对年龄在 18-45 岁的女性进行疑似 PMS 和 PMDD 的筛查。对于符合 PMS 诊断标准的女性，采用每日记录严重程度（DRSP）问卷进行前瞻性评估，为期 2 个月。然后，根据验证有效的算法，将参与者分为无感知症状、轻度 PMS、中度 PMS 和 PMDD。
结果
在研究组中，PMDD 的发生率为 2.1%，PMS 的发生率为 21.1%。最常见的症状为易激惹（91.21%）、乳房触痛（77.62%）、抑郁（68.31%）、腹胀（63.70%）和愤怒爆发（59.62%）。
结论
中国女性的 PMS/PMDD 发生率、症状发生频率和严重程度具有其自身特点。
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