Stout A L, Steege J F, Blazer D G, George L K
J Nerv Ment Dis. 1986 Sep;174(9):517-22. doi: 10.1097/00005053-198609000-00002.
The purpose of this investigation was to obtain information about lifetime psychiatric diagnoses of women seeking treatment for premenstrual syndrome. The National Institute for Mental Health Diagnostic Interview Schedule (DIS) was administered to 223 women attending a premenstrual syndrome clinic. Rates of symptoms and psychiatric disorders were then compared with DIS data collected from an Epidemiologic Catchment Area (ECA) program community sample of 923 women in the same age group from the same geographic location. Women in the Premenstrual Syndrome Clinic sample met DIS/DSM-III criteria for dysthymia, phobia, obsessive-compulsive disorder, alcohol abuse/dependence, and drug abuse/dependence with a greater frequency than did women from the community sample. There appears to be much overlap between the symptoms for which women seek help from a specialty premenstrual syndrome clinic and symptoms related to several specific affective, anxiety, and substance abuse disorders. Further investigation is needed to determine whether premenstrual syndrome is strongly associated with DSM-III psychiatric diagnoses or whether current psychiatric classification systems are inadequate for differentiation.
本调查的目的是获取有关寻求经前综合征治疗的女性终生精神疾病诊断的信息。对223名前往经前综合征诊所就诊的女性实施了美国国立精神卫生研究所诊断访谈表（DIS）。然后将症状和精神疾病的发生率与从同一地理位置相同年龄组的923名女性的流行病学调查区域（ECA）项目社区样本中收集的DIS数据进行比较。经前综合征诊所样本中的女性符合恶劣心境、恐惧症、强迫症、酒精滥用/依赖和药物滥用/依赖的DIS/DSM-III标准的频率高于社区样本中的女性。女性从专科经前综合征诊所寻求帮助的症状与几种特定的情感、焦虑和物质滥用障碍相关的症状之间似乎有很多重叠。需要进一步调查以确定经前综合征是否与DSM-III精神疾病诊断密切相关，或者当前的精神疾病分类系统是否不足以进行区分。
