Yu M, Zhu X, Li J, Oakley D, Reame N E
Health Care Women Int. 1996 Mar-Apr;17(2):161-72. doi: 10.1080/07399339609516230.
We explored perimenstrual symptoms among 16 Chinese women in an urban area of southeastern China using a retrospective questionnaire, the Menstrual Distress Questionnaire (MDQ), and a prospective daily symptom diary, the Daily Health Diary (DHD), modified for cultural relevance. Mean scores on the DHD were significantly (p < .03) higher during the perimenstrual phase for the symptoms fatigue, increased sensitivity to cold, increased sleeping, abdominal pain/discomfort, painful or tender breasts, and decreased sexual desire. The women who reported higher DHD physical symptom scores prospectively were more likely to recall more severe physical symptoms retrospectively on the MDQ. However, there were remarkable discrepancies between the DHD and MDQ regarding psychoemotional symptoms. By retrospective MDQ, the percentages of women who experienced severe mood swings and irritability ranged from 13% to 25% during the premenstrual and menstrual phases; on the DHDs, however, these emotional symptoms were not statistically associated with the menstrual cycle. The failure of prospective charting to confirm the retrospective reports of cyclic psychoemotional symptoms agrees with findings of studies of U.S. samples. We conclude that perimenstrual distress in Chinese women may be affected by the data collection methods.
我们在中国东南部一个城市地区，对16名中国女性的经前症状进行了研究。采用回顾性问卷《月经困扰问卷》（MDQ）以及前瞻性每日症状日记《日常健康日记》（DHD），后者根据文化相关性进行了修改。在经前阶段，《日常健康日记》中疲劳、对寒冷敏感度增加、睡眠增多、腹痛/不适、乳房疼痛或触痛以及性欲降低等症状的平均得分显著更高（p < .03）。前瞻性报告《日常健康日记》中身体症状得分较高的女性，回顾性地在《月经困扰问卷》中回忆起更严重身体症状的可能性更大。然而，在心理情绪症状方面，《日常健康日记》和《月经困扰问卷》之间存在显著差异。根据回顾性《月经困扰问卷》，在经前和经期经历严重情绪波动和易怒的女性比例在13%至25%之间；然而，在《日常健康日记》中，这些情绪症状与月经周期并无统计学关联。前瞻性记录未能证实回顾性报告的周期性心理情绪症状，这与对美国样本的研究结果一致。我们得出结论，中国女性的经前困扰可能受到数据收集方法的影响。
