Haskett R F, Steiner M, Osmun J N, Carroll B J
Biol Psychiatry. 1980 Feb;15(1):121-39.
Forty-two women with severe premenstrual tension syndrome (PMTS) were studied to define the clinical phenomenology and examine its resemblance to common psychiatric disorders. They were mature, adult women suffering severe emotional and physical symptoms in the premestruum but well at other times. Their mean premenstrual score on the Menstrual Distress Questionnaire (MDQ) was twice as high as in the study of Moos. Symptoms showed a marked On--Off phenomenon between premenstrual and follicular evaluations with all rating instruments (p less than 0.001). Existing scales for depression, anxiety, and hostility did not demonstrate that the core disturbance of PMTS is any of these dimensions alone. Item analysis of the MDQ revealed that irritability, mood lability, tension, and restlessness were the most prominent emotional descriptors of this specific syndrome. Several indicators of impaired intellectual and physical functioning were also noted. In most of these women PMTS occurred in the absence of other psychopathology. Subclinical characterological and neurotic disturbances when present were probably exacerbated in the premenstrual period. PMTS is not a clinical model for recurrent affective disorders.
对42名患有严重经前紧张综合征（PMTS）的女性进行了研究，以确定其临床现象学，并检验其与常见精神障碍的相似性。她们均为成年成熟女性，在经前期出现严重的情绪和身体症状，但在其他时期状况良好。她们在月经困扰问卷（MDQ）上的平均经前得分是穆斯研究中的两倍。使用所有评定工具，症状在经前和卵泡期评估之间呈现出明显的“开-关”现象（p<0.001）。现有的抑郁、焦虑和敌意量表并未表明PMTS的核心障碍单独存在于这些维度中的任何一个。MDQ的项目分析显示，易怒、情绪不稳定、紧张和坐立不安是该特定综合征最突出的情绪描述词。还注意到一些智力和身体功能受损的指标。在这些女性中，大多数PMTS的发生不存在其他精神病理学问题。存在的亚临床性格和神经症性障碍在经前期可能会加重。PMTS不是复发性情感障碍的临床模型。
