Severino S K, Yonkers K A
Department of Psychiatry, New York Hospital-Cornell Medical Center, Westchester Division, White Plains 10605.
Psychosomatics. 1993 Jul-Aug;34(4):299-306. doi: 10.1016/S0033-3182(93)71863-0.
The proposed DSM-III-R diagnostic category, Late Luteal Phase Dysphoric Disorder (LLPDD), is a severe form of premenstrual disturbance. Core symptoms include mood lability and dysphoria with no psychotic features. Yet transient psychotic symptoms during the late luteal phase and during menstruation have been noted in the literature for decades. Although good prospective data are lacking, patients with these disturbances may variably be subsumed under diagnostic categories of "atypical psychosis," "periodic psychosis," and "cycloid psychosis." In this article, several patients displaying premenstrual psychoses are described. A review of the literature on psychoses during the menstrual cycle as it relates to the diagnostic criteria for LLPDD follows.
提议的《精神疾病诊断与统计手册第三版修订版》（DSM-III-R）诊断类别——黄体后期烦躁障碍（LLPDD），是经前紊乱的一种严重形式。核心症状包括情绪不稳定和烦躁不安，无精神病性特征。然而，数十年来文献中已记载了黄体后期及月经期间出现的短暂精神病性症状。尽管缺乏良好的前瞻性数据，但有这些紊乱症状的患者可能会被不同程度地归入“非典型精神病”、“周期性精神病”和“循环性精神病”的诊断类别。本文描述了几名出现经前精神病的患者。随后将对与LLPDD诊断标准相关的月经周期精神病文献进行综述。
