Differentiating premenstrual dysphoric disorder from premenstrual exacerbations of other disorders: A methods dilemma
Differentiating premenstrual dysphoric disorder from premenstrual exacerbations of other disorders: A methods dilemma
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DOI：
10.1093/clipsy/8.2.242
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发表时间：
2001-06-01
影响因子：
5.8
通讯作者：
Gehlert, S
中科院分区：
文献类型：
--
作者：
Hartlage, SA;Gehlert, S
经前焦虑障碍（PMDD）和其他疾病的经前恶化很难区分。以前的方法，例如将患有其他疾病的妇女排除在PMDD诊断之外，不能进行双重诊断。我们的目标是推进概念和临床思维，并激发关于这种方法困境的对话。讨论揭示了一般的并发症，无论疾病。考虑到经前障碍的基本标准有助于区分感兴趣的现象。所提出的方法允许识别PMDD与其他障碍共同发生，PMDD症状可以通过其性质和时间来区分（例如，周期性抑郁情绪可能是PMDD症状，但周期性暴饮暴食或整个月的抑郁情绪可能不是）。对于PMDD的诊断来说，损害必须是预先增加的。所提出的方法是一种进步，但仍然存在一些未回答的问题。
Premenstrual dysphoric disorder (PMDD) and premenstrual exacerbations of other disorders are difficult to distinguish. previous methods, such as excluding women with other disorders from a PMDD diagnosis, do not enable a dual diagnosis. Our objective is to advance conceptual and clinical thinking and stimulate dialogue regarding this methods dilemma. The discussion sheds light on comorbidity in general, regardless of the disorders. Considering fundamental criteria for revere premenstrual disorders helps distinguish the phenomena of interest, A proposed method allows identification of PMDD co-occurring with other disorders, PMDD symptoms can be differentiated by their nature and timing (e,g., cyclic depressed mood could be a PMDD symptom, but cyclic binge eating or depressed mood all month long could not be). Impairment must increase premenstrually for a PMDD diagnosis. The proposed method is an advance, but specified unanswered questions remain.