A case series of premenstrual disorders presenting to the UK's National Female Hormone Clinic.

A case series of premenstrual disorders presenting to the UK's National Female Hormone Clinic.
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DOI:
10.1192/bjb.2022.63
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发表时间:
2023-10
期刊:
影响因子:
2.6
通讯作者:
Craig, Michael C.
Craig, Michael C.
中科院分区:
其他
文献类型:
--
作者:
Reilly, Thomas J.;Knox, Clare-Louise;Marsh, Michael S.;Craig, Michael C.

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我们的目的是描述英国三级服务机构出现经前疾病的女性患者的临床特征。我们对 2014 年 4 月至 2020 年 8 月转诊至国家女性激素诊所的患者进行了回顾性病例记录审查。根据临床评估,我们确定患者是否符合经前烦躁障碍或潜在精神疾病经前恶化的标准。在 146 名因经前疾病就诊的患者中,130 名 (89.0%) 进行了 ICD-10 精神科诊断;少数 16 人 (11.0%) 没有精神病诊断。经过评估,94 名患者 (64.4%) 符合经前烦躁障碍标准,67 名患者 (45.6%) 精神疾病恶化。接受该专科服务的患者患有复杂的精神共存疾病;几乎一半的人出现精神疾病恶化。
We aimed to describe the clinical characteristics of female patients presenting with premenstrual disorders to a tertiary service in the UK. We conducted a retrospective case-note review of referrals to the National Female Hormone Clinic from April 2014 to August 2020. Based on clinical assessment, we determined whether the patient met criteria for premenstrual dysphoric disorder or premenstrual exacerbation of an underlying psychiatric disorder. Of 146 patients seen in clinic for premenstrual disorders, an ICD-10 psychiatric diagnosis was made in 130 (89.0%); a minority 16 (11.0%) did not have a psychiatric diagnosis. Following assessment, 94 patients (64.4%) met criteria for premenstrual dysphoric disorder and 67 (45.6%) had exacerbation of a psychiatric disorder. Patients presenting to this specialist service had complex psychiatric comorbidity; almost half presented with exacerbation of a psychiatric disorder.
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