Kulkarni Jayashri, Leyden Olivia, Gavrilidis Emorfia, Thew Caroline, Thomas Elizabeth H X
Monash Alfred Psychiatry Research Centre, The Alfred Hospital and Monash University, Central Clinical School, Melbourne, VC, Australia.
Monash Alfred Psychiatry Research Centre, The Alfred Hospital and Monash University, Central Clinical School, Melbourne, VC, Australia.
Psychiatry Res. 2022 Feb;308:114381. doi: 10.1016/j.psychres.2021.114381. Epub 2022 Jan 2.
Early life trauma is a risk factor for many mental disorders; however, there is a lack of research exploring early life trauma in Premenstrual Dysphoric Disorder (PMDD), a debilitating form of Premenstrual Syndrome (PMS). This descriptive study aimed to determine the prevalence of early life trauma in women with PMDD and characterise type and age of trauma experience. Data for 100 women diagnosed with PMDD was extracted from the Monash Alfred Women's Mental Health Clinic Database. Experience of early life trauma was subclassified into four types (Physical abuse, sexual abuse, emotional abuse and/or neglect) and four age groups (0-5, 6-10, 11-14 and/or 15-18 years old). Prevalence of early life trauma was calculated and compared with Australian population estimates. Eighty-three percent of women with PMDD had experienced early life trauma, with emotional abuse being the most common (71%). All types of trauma were more common amongst PMDD women than the general Australian population. Trauma prevalence was similar across the four age groups, ranging from 59 to 66%. Of note, 51.8% women experienced trauma across all age groups. Our results suggest a strong association between early life trauma and PMDD. Emotional abuse and/or chronic trauma across childhood may be most strongly associated with PMDD.
早年创伤是许多精神障碍的一个风险因素;然而,对于经前烦躁障碍(PMDD)这一严重形式的经前综合征(PMS),缺乏对早年创伤的研究。这项描述性研究旨在确定PMDD女性中早年创伤的患病率,并描述创伤经历的类型和年龄。从莫纳什阿尔弗雷德妇女心理健康诊所数据库中提取了100名被诊断为PMDD的女性的数据。早年创伤经历被细分为四种类型(身体虐待、性虐待、情感虐待和/或忽视)和四个年龄组(0至5岁、6至10岁、11至14岁和/或15至18岁)。计算早年创伤的患病率,并与澳大利亚人口估计数进行比较。83%的PMDD女性经历过早年创伤,其中情感虐待最为常见(71%)。所有类型的创伤在PMDD女性中都比澳大利亚普通人群更为常见。四个年龄组的创伤患病率相似,在59%至66%之间。值得注意的是,51.8%的女性在所有年龄组都经历过创伤。我们的结果表明早年创伤与PMDD之间存在强烈关联。童年时期的情感虐待和/或慢性创伤可能与PMDD关联最为紧密。