Yen Ju-Yu, Chen Cheng-Chung, Chang Shun-Jen, Ko Chih-Hung, Chen Cheng-Sheng, Yen Cheng-Fang
CNS Spectr. 2011 Sep;16(9):205-13. doi: 10.1017/S1092852912000387.
IntroductionThis study aimed to compare hostility, impulsivity, and behavior inhibition between women with and without premenstrual dysphoric disorder (PMDD) during both luteal and follicular phases and to examine whether these variables contribute to irritability and daily functional impairment of PMDD.
PMDD was screened via the Premenstrual Symptoms Screening Tool. A diagnosis of PMDD was confirmed by psychiatric interviewing without 2-month prospective confirmation. Sixty women in the PMDD group and 60 women in the control group completed the Chinese Version of the Buss-Durkee Hostility Inventory-Short Form, Dickman's Impulsivity Inventory, and the Behavior Inhibition System Scale during the luteal and follicular phases.
We found that the PMDD group had significantly higher levels of hostility, dysfunctional impulsivity, and behavioral inhibition than the control group in both luteal and follicular phases. The PMDD group also had more premenstrual aggravation on total hostility, hostility affect, and suppressive hostility than the control group. Higher hostility, dysfunctional impulsivity, and behavior inhibition were associated with more severe irritability and functional impairment of PMDD.DiscussionHostility, impulsivity, and behavior inhibition might contribute to irritability and functional impairment in women with PMDD.
Assessment and interventions based on these factors should be provided for women with PMDD, especially in the luteal phase.
引言
本研究旨在比较经前烦躁障碍（PMDD）女性与非PMDD女性在黄体期和卵泡期的敌意、冲动性及行为抑制情况，并探讨这些变量是否会导致PMDD的易怒情绪和日常功能损害。
通过经前症状筛查工具对PMDD进行筛查。在未经2个月前瞻性确认的情况下，通过精神科访谈确诊PMDD。60名PMDD组女性和60名对照组女性在黄体期和卵泡期完成了中文版布斯-杜克敌意量表简版、迪克曼冲动性量表及行为抑制系统量表。
我们发现，在黄体期和卵泡期，PMDD组的敌意、功能失调性冲动及行为抑制水平均显著高于对照组。PMDD组在总敌意、敌意情感及抑制性敌意方面的经前加重情况也比对照组更明显。更高的敌意、功能失调性冲动及行为抑制与PMDD更严重的易怒情绪和功能损害相关。
讨论
敌意、冲动性及行为抑制可能会导致PMDD女性出现易怒情绪和功能损害。
应为PMDD女性提供基于这些因素的评估和干预措施，尤其是在黄体期。
