Fulfillment of the premenstrual dysphoric disorder criteria confirmed using a self-rating questionnaire among Japanese women with depressive disorders.
Fulfillment of the premenstrual dysphoric disorder criteria confirmed using a self-rating questionnaire among Japanese women with depressive disorders.
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DOI：
10.1186/1751-0759-5-5
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发表时间：
2011-05-02
影响因子：
2.1
通讯作者：
Kamo T
中科院分区：
文献类型：
--
作者：
Miyaoka Y;Akimoto Y;Ueda K;Ujiie Y;Kametani M;Uchiide Y;Kamo T
一些患有抑郁症的女性会经历严重的经前症状。然而，很少有研究对患有抑郁症的妇女的经前症状进行评估。在这项研究中，我们的目的是利用经前烦躁不安（PMDD）量表来调查抑郁症女性的经前症状。我们对65名被诊断为重度抑郁症或心境恶劣的日本女性门诊患者和303名健康女性作为对照进行了问卷调查。问卷包括人口统计和经前不悦量表，经前不悦量表是根据Steiner等人开发的经前症状筛查工具（PSST）修改而来（Arch women Ment Health 2003,6:203-209）。28名患有抑郁症的女性（43.1%）符合经前抑郁量表的某些项目。这些妇女被认为同时患有经前不悦症和抑郁症，或者患有抑郁症的经前加重（PME）。另一方面，对照组中有18名妇女（5.9%）被诊断患有经前不悦症。符合经前抑郁障碍标准的抑郁障碍组比经前抑郁障碍对照组对经前综合症（PMS）有更多的了解，并采取更多的行动来减轻经前症状。我们的研究结果表明，严重经前症状的发生在抑郁症妇女比健康受试者高得多。这部分是由于这一群体包含有经前症候群的女性，但主要是由于这一群体包含有经前不悦症的女性。经前不悦症较高的比例表明经前不悦症和其他抑郁症有相似之处。此外，有必要对健康的日本妇女和患有抑郁症的妇女进行经前症状和循证治疗方面的教育。
Some women with depressive disorders experience severe premenstrual symptoms. However, there have been few studies in which premenstrual symptoms in women suffering from depressive disorders were assessed. In this study, we aimed to investigate premenstrual symptoms in women with depressive disorders using the premenstrual dysphoric disorder (PMDD) scale. We administered questionnaires to 65 Japanese female outpatients who had been diagnosed with a major depressive disorder or dysthymic disorder and to 303 healthy women as control subjects. The questionnaire consisted of items on demographics and the PMDD scale, which was modified from the premenstrual symptoms screening tool (PSST) developed by Steiner et al. (Arch Womens Ment Health 2003, 6:203-209). Twenty-eight women (43.1%) with depressive disorder fulfilled certain items of the PMDD scale. These women are considered to have coexisting PMDD and a depressive disorder, or to have premenstrual exacerbation (PME) of a depressive disorder. On the other hand, 18 women (5.9%) in the control group were diagnosed as having PMDD. The depressive disorder group who fulfilled the PMDD criteria had more knowledge of the term premenstrual syndrome (PMS) and took more actions to attenuate premenstrual symptoms than the control group with PMDD. Our findings demonstrated that the occurrence of severe premenstrual symptoms is much higher in women with depressive disorders than in healthy subjects. This is partially due to this group containing women with PME, but mainly due to it containing women with PMDD. The higher percentage of PMDD suggests similarity between PMDD and other depressive disorders. Furthermore, educating healthy Japanese women and women with depressive disorders about premenstrual symptoms and evidence-based treatment for them is necessary.