Chuong C J, Burgos D M
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030, USA.
J Psychosom Obstet Gynaecol. 1995 Mar;16(1):21-7. doi: 10.3109/01674829509025653.
This study was designed to identify significant factors in the medical history of women with premenstrual syndrome (PMS). Medical history variables of 190 women with PMS were compared with those of a group of 182 women without premenstrual symptoms who sought gynecological care (control group). All the participants were carefully selected by interview and designated questionnaires. Women with a past or present psychiatric history were excluded. The results showed that age, number of children, age of menarche, smoking history and family history of psychiatric disorders of the women with PMS and the controls were similar. Women with PMS exhibited a significantly greater frequency of postpartum depression (43% versus 12%), past birth control pill use (91.6% versus 45.9%), alcohol use (39.5% versus 14.8%) and drug use (48.4% versus 14.1%) than did the controls respectively; all p values were < 0.05). Our data suggest an association between these factors and PMS. They should be identified in women with premenstrual complaints during the initial visit, and the roles of these factors in the pathophysiology of PMS need to be further investigated.
本研究旨在确定经前综合征（PMS）女性病史中的重要因素。将190名患有PMS的女性的病史变量与一组182名无经前症状且寻求妇科护理的女性（对照组）的病史变量进行比较。所有参与者均通过访谈和指定问卷进行精心挑选。排除有既往或当前精神病史的女性。结果显示，患有PMS的女性和对照组女性在年龄、子女数量、初潮年龄、吸烟史和精神疾病家族史方面相似。患有PMS的女性产后抑郁症的发生率（43%对12%）、过去使用避孕药的比例（91.6%对45.9%）、饮酒比例（39.5%对14.8%）和药物使用比例（48.4%对14.1%）均显著高于对照组；所有p值均<0.05）。我们的数据表明这些因素与PMS之间存在关联。在初次就诊时，应在有经前不适的女性中识别出这些因素，并且这些因素在PMS病理生理学中的作用需要进一步研究。
