Dózsa-Juhász Olívia, Makai Alexandra, Prémusz Viktória, Ács Pongrác, Hock Márta
Faculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, Pécs, Hungary.
Womens Health Rep (New Rochelle). 2024 Mar 27;5(1):286-292. doi: 10.1089/whr.2023.0107. eCollection 2024.
Premenstrual symptoms, including premenstrual syndrome and its more severe form premenstrual dysphoric disorder, are a set of somatic and psychological symptoms that occur during the luteal phase of the menstrual cycle. Our research aimed to adapt the Hungarian version of the Premenstrual Assessment Form-Short Form (PAF-SF), a questionnaire suitable for assessing premenstrual symptoms, and to examine its reliability, validity, and applicability.
The questionnaire was validated according to Beaton's six-step guidelines. Our sample consisted of 198 menstruating women, 50 of whom completed the instrument for a second time to assess reliability. Descriptive statistics were calculated presenting mean (standard deviation), the internal consistency was measured by Cronbach's alpha value, the test-retest reliability using intraclass correlation coefficients, Spearman rank correlation was applied to test the criterion validity of the questionnaire, and discriminant validity was examined using the independent-sample test using IBM SPSS 28.0 software. The structural validity was evaluated by confirmatory factor analysis (CFA) using IBM AMOS 29.0 software. The level of significance was set at < 0.05.
Our sample (average age 25.37 ± 4.80 years) scored 28.08 ± 9.49 points out of the maximum 60 points when filling out the PAF-SF questionnaire. The result of Cronbach's alpha calculation, which supports the reliability of the questionnaire, was 0.845. During the CFA, the three-factor structure (Affect, Water Retention, and Pain) was supported (root mean-square error approximation [RMSEA] = 0.054; Tucker-Lewis Index = 0.965; Comparative Fit Index = 0.976; = 48.642; df = 31; = 0.023; /df = 1.569).
The PAF-SF questionnaire proved to be a reliable measuring tool for assessing premenstrual symptoms among women of reproductive age.
经前症状，包括经前综合征及其更严重的形式经前烦躁障碍，是在月经周期黄体期出现的一系列躯体和心理症状。我们的研究旨在改编匈牙利版的经前评估简表（PAF-SF），这是一份适用于评估经前症状的问卷，并检验其信度、效度和适用性。
根据比顿的六步指南对问卷进行验证。我们的样本包括198名有月经的女性，其中50人再次填写该问卷以评估信度。计算描述性统计量，给出均值（标准差），用克朗巴哈α值测量内部一致性，用组内相关系数测量重测信度，应用斯皮尔曼等级相关检验问卷的效标效度，使用IBM SPSS 28.0软件通过独立样本检验检验区分效度。使用IBM AMOS 29.0软件通过验证性因子分析（CFA）评估结构效度。显著性水平设定为<0.05。
我们的样本（平均年龄25.37±4.80岁）在填写PAF-SF问卷时，在满分60分中得分为28.08±9.49分。支持问卷信度的克朗巴哈α计算结果为0.845。在CFA过程中，三因素结构（情绪、水潴留和疼痛）得到支持（均方根误差近似值[RMSEA]=0.054；塔克-刘易斯指数=0.965；比较拟合指数=0.976；=48.642；自由度=31；=0.023；/自由度=1.569）。
PAF-SF问卷被证明是评估育龄妇女经前症状的可靠测量工具。
