Chisholm G, Jung S O, Cumming C E, Fox E E, Cumming D C
Department of Educational Psychology, University of Alberta, Edmonton, Canada.
Acta Psychiatr Scand. 1990 Jan;81(1):52-7. doi: 10.1111/j.1600-0447.1990.tb06448.x.
Increased anxiety and depression are among the most frequently reported psychological problems in women seeking help for severe symptomatic premenstrual change, but there has been little objective evaluation of these symptoms. We therefore examined the results of objective psychological testing in 40 women with no apparent psychiatric or psychological disorder who had reported moderate to extreme increased anxiety and depression on a retrospective assessment form. Scores on the State-Trait Anxiety Inventory and Institute of Personality and Ability Testing (IPAT) Depression Scale increased from the low symptom intermenstrual phase of the cycle (days 5-10) to the premenstrual phase (within the last 6 days of the cycle), suggesting that retrospective complaints of increased premenstrual anxiety and depression can be confirmed on objective psychological assessment. However, it was observed that the distribution of intermenstrual IPAT depression scores was bimodal. Cyclic changes varied among the tests depending upon the IPAT depression score. The study suggests that 2 populations may exist in this screened sample; one population appears to have "pure PMS" and the second groups manifests a premenstrual exacerbation of subclinical depression.
焦虑和抑郁加剧是寻求严重经前症状变化帮助的女性中最常报告的心理问题，但对这些症状的客观评估很少。因此，我们对40名无明显精神或心理障碍的女性进行了客观心理测试，这些女性在回顾性评估表中报告了中度至极度的焦虑和抑郁加剧。状态-特质焦虑量表和人格与能力测试研究所（IPAT）抑郁量表的得分从月经周期中症状较轻的卵泡期（第5 - 10天）到经前期（周期的最后6天内）有所增加，这表明经前焦虑和抑郁加剧的回顾性主诉可以通过客观心理评估得到证实。然而，观察到卵泡期IPAT抑郁得分的分布是双峰的。根据IPAT抑郁得分，不同测试中的周期性变化各不相同。该研究表明，在这个筛查样本中可能存在两类人群；一类人群似乎患有“单纯经前综合征”，另一组则表现为亚临床抑郁症的经前加重。
