Freeman E W, Rickels K, Sondheimer S J
Department of Obstetrics/Gynecology, Pennsylvania, Philadelphia 19104.
J Psychosom Obstet Gynaecol. 1993 Mar;14(1):41-50. doi: 10.3109/01674829309084429.
The extent to which premenstrual symptoms occur when they are distinguished from primary dysmenorrhea and the relationship of premenstrual symptoms to other emotional distress in adolescents is not well understood. This pilot investigation examined relationships between premenstrual symptoms, dysmenorrhea and emotional distress factors in a sample of 165 females, ages 15-19 years. Premenstrual symptoms were correlated with dysmenorrhea (r = 0.54, p < 0.0001). Subjects with premenstrual symptoms had significantly more emotional distress than the normal group as assessed by the Symptom Checklist (SCL-90), an objective self-report questionnaire. In contrast, dysmenorrhea had no relationship with the SCL factors and no interaction with premenstrual symptoms in relation to emotional distress. The SCL scores significantly decreased from baseline (2 years earlier) in the normal group but not in the premenstrual symptom group. The data show that premenstrual symptoms were associated with other emotional distress factors in adolescents while dysmenorrhea was not. A further prospective, longitudinal study of menstrually-related symptoms in adolescents is needed to learn about the development of these premenstrual symptoms that may be related to the premenstrual syndrome seen clinically in the later reproductive years.
经前症状与原发性痛经区分开来时出现的程度，以及经前症状与青少年其他情绪困扰之间的关系，目前尚不清楚。这项初步调查在165名年龄在15至19岁的女性样本中，研究了经前症状、痛经和情绪困扰因素之间的关系。经前症状与痛经相关（r = 0.54，p < 0.0001）。通过症状自评量表（SCL - 90）这一客观的自我报告问卷评估，有经前症状的受试者比正常组有明显更多的情绪困扰。相比之下，痛经与SCL各因素无关，在情绪困扰方面与经前症状也无相互作用。正常组的SCL分数从基线（2年前）显著下降，而经前症状组则没有。数据表明，经前症状与青少年的其他情绪困扰因素有关，而痛经则不然。需要对青少年与月经相关的症状进行进一步的前瞻性纵向研究，以了解这些经前症状的发展情况，这些症状可能与后期生殖年龄临床所见的经前综合征有关。
