Craner Julia R, Sigmon Sandra T, McGillicuddy Morgan L
a University of Maine , Orono , Maine , USA.
Women Health. 2014;54(3):232-44. doi: 10.1080/03630242.2014.883658.
Diagnostic assessment recommendations for premenstrual dysphoric disorder (PMDD) include the use of daily symptom monitoring for two consecutive menstrual cycles; however, it is unclear whether medical providers use this established procedure in practice. This study explored typical diagnostic procedures for PMDD among a sample of physicians (N = 87) who were recruited by mail and completed questions about current practices. Results indicated that only 11.5% of physicians in this sample reported routinely using 60-day symptom monitoring, and only 18.4% of physicians reported regular use of any type of daily symptom monitoring. No differences were observed in these procedures based on frequency of contact with patients with PMDD or physician type (obstetrics and gynecology [OB/GYN] or family medicine). Overall, these results indicated that it is important to establish standard assessment methods for PMDD that have clinical utility for physicians, as well as increase awareness of research-based practice in diagnosing PMDD.
经前烦躁障碍（PMDD）的诊断评估建议包括连续两个月经周期进行每日症状监测；然而，尚不清楚医疗服务提供者在实际操作中是否采用了这一既定程序。本研究探讨了通过邮件招募的一组医生（N = 87）对PMDD的典型诊断程序，这些医生完成了关于当前诊疗实践的问题。结果表明，该样本中只有11.5%的医生报告常规使用60天症状监测，只有18.4%的医生报告定期使用任何类型的每日症状监测。基于与PMDD患者的接触频率或医生类型（妇产科[OB/GYN]或家庭医学），在这些程序中未观察到差异。总体而言，这些结果表明，为PMDD建立对医生具有临床实用性的标准评估方法非常重要，同时提高对基于研究的PMDD诊断实践的认识。
