Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample
Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample
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DOI：
10.1007/s00737-010-0165-3
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发表时间：
2010-12-01
影响因子：
4.5
通讯作者：
Zemp, Elisabeth
中科院分区：
文献类型：
--
作者：
Tschudin, Sibil;Bertea, Paola Coda;Zemp, Elisabeth
该研究旨在评估整个育龄妇女群体样本中经前症状、经前综合症 (PMS) 和经前焦虑症 (PMDD) 的患病率，并从社会人口、健康状况和健康行为因素方面分析 PMS 和 PMDD 的预测因素。基于 Steiner 等人开发的经前综合症筛查工具，将一组有关经前综合征的问题翻译成德语并进行试点，并纳入 2007 年瑞士健康调查的书面调查问卷中。计算了结果变量 PMS 和 PMDD 的加权患病率和多变量回归分析。共有3,913名15岁至54岁的女性回答了有关经前综合症症状的问题，其中3,522名女性还回答了有关经前综合症对生活的干扰的问题。 91% 的参与者报告至少一种症状，10.3% 患有经前综合症，3.1% 符合经前抑郁症标准。未婚女性、35-44 岁女性以及瑞士意大利语区女性的经前综合症患病率较高。经前综合症和经前抑郁症都与身体健康状况不佳和心理困扰密切相关。社会文化因素似乎决定了经前综合症的患病率、认知和处理方式。考虑到身体健康状况不佳和高度心理困扰的关联，必须假设符合经前抑郁症资格的女性存在更广泛的潜在脆弱性，并应在临床管理以及该领域的未来研究中予以考虑。
The study aimed at assessing the prevalence of premenstrual symptoms and of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) in a population-based sample of women of the entire reproductive age range, as well as to analyse predictors of PMS and PMDD in terms of socio-demographic, health status and health behavioural factors. A set of questions on PMS based on the premenstrual syndrome screening tool developed by Steiner et al., translated into German and piloted-was integrated into the written questionnaire of the 2007 Swiss Health Survey. Weighted prevalence rates and multivariable regression analysis for the outcome variables PMS and PMDD were calculated. A total of 3,913 women aged 15 to 54 years answered the questions on PMS symptoms, and 3,522 of them additionally answered the questions on interference of PMS with life. Ninety one percent of the participants reported at least one symptom, 10.3% had PMS and 3.1% fulfilled the criteria for PMDD. The prevalence of PMS was higher in non-married women, in women aged 35-44 years and in women of the Italian-speaking region of Switzerland. Both PMS and PMDD were strongly associated with poor physical health and psychological distress. Socio-cultural factors seem to determine the prevalence, perception and handling of PMS. Considering the association with poor physical health and high psychological distress, a broader underlying vulnerability in women qualifying for PMDD must be assumed and should be taken into account in clinical management as well as in future research in this field.