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월경전 불쾌기분장애에 관한 전향적인 연구
A Prospective Study of Premenstrual Dysphoric Disorder

김지연   (고려대학교 의과대학 정신과학교실UU0000159  ); 조숙행   (고려대학교 의과대학 정신과학교실UU0000159  ); 곽동일   (고려대학교 의과대학 정신과학교실UU0000159  ); 박용균   (고려대학교 의과대학 산부인과학교실UU0000159  );
  • 초록

    This study was designed to determine the frequency of premenstrual dysphoric disorder in gynecological outpatients, and also attempted to compare premenstrual change characteristics, functional impairment due to premenstrual changes and frequency of risk factors reported by women with confirmed premenstrual changes $(PMC^+)$ (n=17) and those without confirmed premenstrual changes $(PMC^-)$ (n=23). Forty gynecological outpatients who complained of premenstrual discomforts were asked to complete questionnaires on menstrual history, obstetric-gynecological history, and premenstrual change and functional impairment. The women were also asked to complete a daily rating form based on DSM-IV diagnostic criteria for one menstrual cycle. Absolute severity method, effect size method and percent change method were used to assess changes between follicular phase and luteal phase. The results of the study were as follows: 1) The frequency of premenstrual dysphoric disorder according to each of the three methods was 5% for the absolute severity method, 15% for the effect size method, and 27.5% for the percent change method. 2) The frequently reported symptoms were as follow: physical symptoms(64.7%) : lethargy, easy fatigability, or marked lack of energy(41.2%) : decreased interest in usual activities(29.4%) ; and marked affective lability(23.5%). 3) There were no significant differences in onset ages of premenstrual changes, regularities of premenstrual changes and changes of severity and duration of premenstrual symptoms over time between women with and without confirmed premenstrual changes. However, women with confirmed premenstrual changes reported both physical and emotional symptoms as earliest symptoms most frequently, while women without confirmed premenstrual changes reported only physical symptoms most frequently. 4) functional impairment was significantly higher in women with confirmed premenstrual changes than those without confirmed premenstrual changes, but impairment was not severe. 5) No differences were found between women with and without confirmed premenstrual changes in risk factors including demographic data, menstrual and obstetric and gynecological history. These results suggest that the prevalence of premenstrual dysphoric disorder varies with scoring methods. The women with confirmed premenstrual changes reported physical symptoms most frequently(64.7%). functional impairment was significantly higher in women with confirmed premenstrual changes, but impairment was not severe.


  • 주제어

    월경전 불쾌기분장애 .   측정방법 .   일상생활기능장애 .   위험요소.  

 저자의 다른 논문

  • 김지연 (2)

    1. 1999 "자살을 시도한 정신과 환자에서 낮은 혈청 콜레스테롤 농도와 심각한 자살 수행과의 연관성" 생물정신의학 = Korean journal of biological psychiatry 6 (2): 227~234    
    2. 1999 "Nefazodons투여 후 지각이상을 보인 환자 4례" 생물정신의학 = Korean journal of biological psychiatry 6 (2): 259~263    
  • 조숙행 (43)

  • 곽동일 (16)

  • 박용균 (2)

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