Chumpalova Petranka, Iakimova Rossitza, Stoimenova-Popova Maya, Aptalidis Daniil, Pandova Milena, Stoyanova Maria, Fountoulakis Konstantinos N
University Multiprofile Hospital for Active Treatment "Doctor Georgi Stranski", 8A Georgi Kochev Blvd., 5800 Pleven, Bulgaria.
2Department of Psychiatry and Medical Psychology, Medical University-Pleven, 113, Storgozia Distr., 5800 Pleven, Bulgaria.
Ann Gen Psychiatry. 2020 Jan 15;19:3. doi: 10.1186/s12991-019-0255-1. eCollection 2020.
Premenstrual syndrome (PMS) and its more severe form premenstrual dysphoric disorder (PMDD) are highly prevalent conditions, but there seems to be ethnic and cultural variances in their distribution.
To explore the prevalence of PMS/PMDD and their typical clinical features in a Bulgarian population.
This investigation was designed and executed as a cross-sectional descriptive study. Three hundred and five conveniently recruited females with no psychiatric history filled in a self-evaluation questionnaire based on DSM-IV tapping on different symptoms of PMS. The prevalence of the conditions was calculated.
32.1% (= 98) of the tested females (mean age 31.04 ± 6.31) suffered from PMS and 3.3% (= 10) were diagnosed with PMDD. The leading symptoms in the sample were irritability, fatigue and changes in appetite, depressed mood, mood swings, and anxiety, and abdominal bloating, breast tension and tenderness. Most of the symptoms were moderately severe. Mild and moderate cases of PMS were near equally distributed and more frequent than severe ones.
PMS is a common condition which is usually mildly expressed, but severe cases are not an exception. The clinical picture is dominated by almost equally distributed psychological and somatic symptoms.
经前综合征（PMS）及其更严重的形式经前烦躁障碍（PMDD）是高度普遍的病症，但它们的分布似乎存在种族和文化差异。
探讨保加利亚人群中PMS/PMDD的患病率及其典型临床特征。
本调查设计并实施为一项横断面描述性研究。305名方便招募的无精神病史女性填写了一份基于《精神疾病诊断与统计手册》第四版（DSM-IV）的自我评估问卷，该问卷涉及PMS的不同症状。计算了这些病症的患病率。
32.1%（=98人）的受试女性（平均年龄31.04±6.31岁）患有PMS，3.3%（=10人）被诊断为PMDD。样本中的主要症状为易怒、疲劳、食欲改变、情绪低落、情绪波动、焦虑、腹部胀痛、乳房胀痛和触痛。大多数症状为中度严重。轻度和中度PMS病例分布接近均等，且比严重病例更常见。
PMS是一种常见病症，通常表现为轻度，但严重病例也不例外。临床症状以心理和躯体症状几乎均等分布为主。
