McLeod D R, Hoehn-Saric R, Foster G V, Hipsley P A
Department of Psychiatry, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, Maryland 21287-7144.
Acta Psychiatr Scand. 1993 Oct;88(4):248-51. doi: 10.1111/j.1600-0447.1993.tb03451.x.
During the premenstrual and follicular phases of the menstrual cycle, 41 women who had generalized anxiety disorder (GAD) plus premenstrual syndrome (PMS) were assessed with psychiatric rating scales and compared with 21 GAD patients without PMS and 19 controls. The latter two groups were rated only once, in the typical open-ended manner. Symptoms during both phases of the menstrual cycle were more severe in the GAD + PMS patients than in the controls and were more severe during the premenstruum. For the GAD + PMS patients, ratings obtained in the typical open-ended manner were influenced by how patients felt during the premenstruum. Thus, the assessment of women with GAD + PMS may be complicated by cyclical fluctuations in symptom severity, and ratings obtained in the typical manner may be influenced disproportionately by how these patients feel premenstrually.
在月经周期的经前期和卵泡期,对41名患有广泛性焦虑症(GAD)并伴有经前综合征(PMS)的女性进行了精神科评定量表评估,并与21名无经前综合征的广泛性焦虑症患者及19名对照组进行比较。后两组仅以典型的开放式方式进行了一次评定。月经周期两个阶段的症状在患有广泛性焦虑症加经前综合征的患者中比对照组更严重,且在经前期更严重。对于患有广泛性焦虑症加经前综合征的患者,以典型开放式方式获得的评定受患者经前期感受的影响。因此,对患有广泛性焦虑症加经前综合征的女性进行评估可能会因症状严重程度的周期性波动而复杂化,且以典型方式获得的评定可能会因这些患者经前期的感受而受到不成比例的影响。