PREMENSTRUAL SYMPTOMS IN ADOLESCENTS
PREMENSTRUAL SYMPTOMS IN ADOLESCENTS
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DOI：
10.1016/0197-0070(89)90213-1
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发表时间：
1989-09-01
影响因子：
7.6
通讯作者：
NAPOLITANO, B
中科院分区：
文献类型：
--
作者：
FISHER, M;TRIELLER, K;NAPOLITANO, B
为了评估青少年经前症状的患病率和严重程度，我们使用了经前评估表，这是一个95项的工具，以前在成人中验证过。青少年女性（n = 207）在郊区为基础的青少年健康服务完成的形式。受试者的平均年龄为17.6岁，89%为白色，59%为高中生，28%为大学生。几乎所有的受试者都报告了至少一个轻微（96%）或中度（89%）严重程度的经前变化，而许多受试者报告了他们认为严重（59%）或极端（43%）的变化。最常报告的身体状况变化是全身不适和水潴留症状、疲劳和自主神经生理变化。最常报告的情绪和行为变化包括社会功能受损、抑郁变化和冲动行为。这些变化几乎完全符合以前在成人中报道的变化，在那些报告有痛经且未服用口服避孕药的青少年中最为严重。我们认为，评估和治疗青少年的临床医生和研究人员应该在我们的研究结果的背景下看待青少年的身体和情感投诉。
To assess the prevalence and severity of premenstrual symptoms in adolescents, we administered the Premenstrual Assessment Form, a 95-item instrument previously validatd in adults. Adolescent females (n = 207) at a suburban-based adolescent health service completed the form. Subjects had a mean age of 17.6 years, 89% were white, 59% were in high school, 28% were in college. Almost all subjects reported at least one premenstrual change of minimal (96%) or moderate (89%) severity, while many reported changes they considered severe (59%) or extreme (43%). The most commonly reported changes in physical condition were general discomfort and water retention symptoms, fatigue, and autonomic physical changes. The most commonly reported changes in mood and behavior included impaired social function, depressive changes, and impulsive behavior. These changes matched almost exactly those previously reported in adults and were most severe in those adolescents who reported having dysmenorrhea and were not on an oral contraceptive. We believe that clinicians and researchers who evaluate and treat adolescents should view the physical and emotional complaints of teenagers in the context of our findings.