A survey of physicians' attitudes and behavior toward PMS

Bj, Hailey; Ulmer, Ann; Crowell, Michael D.; Carr, Catherine; Horton, Niambi

doi:10.1080/07399338809510814

Cited by 3 publications

(1 citation statement)

References 13 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although PMDD is regarded as a psychological disorder, it also involves a biological component and women often seek treatment for premenstrual symptoms in gynecologic or other primary care settings [17][18][19][20][21]. As is the case for MDD, consensus opinion suggests that outpatient, non-psychiatric medical settings are suitable for the diagnosis and treatment of PMS symptoms and uncomplicated cases of PMDD [16].…”

Section: Major Depressive Disorder (Mdd) and Premenstrual Dysphoric Dmentioning

confidence: 99%

Obstetrician-gynecologists' decision making about the diagnosis of major depressive disorder and premenstrual dysphoric disorder

Hill

Gray

Carter

et al. 2005

Journal of Psychosomatic Obstetrics & Gynecology

View full text Add to dashboard Cite

Major depressive disorder (MDD) is underdiagnosed and undertreated in ambulatory care settings including gynecologic practices. Far less is known about the diagnosis of Premenstrual Dysphoric Disorder (PMDD). Three hundred and thirty-five gynecologists responded to mailed questionnaires that used descriptive scenarios as analogues to clinical cases. Questionnaire recipients were randomly selected to receive either a MDD or PMDD version of the questionnaire. Respondents were less accurate when diagnosing MDD cases (48% accuracy; p = 0.526), than PMDD cases (80% accuracy; p < 0.001), but were significantly more confident about their probability ratings of MDD cases, t = 2.57, p < 0.02. Qualitative analysis suggested that less accurate MDD respondents did not prioritize case data according to DSM-IV criteria, whereas almost all PMDD respondents made use of valid reasoning strategies. Respondents did not take base rates into account when deciding about the probability of either affective disorder. Results imply that gynecologists employ cognitive strategies that result in accurate diagnostic judgments about PMDD, but overconfidence, lack of attention to DSM-IV criteria and base rate neglect could hinder clinical decisions about MDD, and may contribute to underdiagnosis of depression.

show abstract

Section: Major Depressive Disorder (Mdd) and Premenstrual Dysphoric Dmentioning

confidence: 99%

Obstetrician-gynecologists' decision making about the diagnosis of major depressive disorder and premenstrual dysphoric disorder

Hill

Gray

Carter

et al. 2005

Journal of Psychosomatic Obstetrics & Gynecology

View full text Add to dashboard Cite

show abstract

Effects of a premenstrual syndrome education program on premenstrual symptomatology

Seideman

1990

Health Care for Women International

View full text Add to dashboard Cite

This exploratory study was conducted to determine the effects of an educational program on the number and severity of premenstrual symptoms as well as the number of premenstrual days with symptoms. Participants were a convenience sample of 47 employed women, whose scores on Abraham's Menstrual Symptomatology Questionnaire were in the moderate to severe range. Women were randomly divided into control and experimental groups, and those in the experimental groups participated in an education program. Both groups recorded daily on Abraham's Menstrual Symptom Diary for 19 anxiety, appetite, edema, and depression symptoms. Participants in the education program had fewer occurrences of anxiety and appetite symptoms and fewer severe edema and depression symptoms, as well as fewer days with symptoms, than women who did not participate in the educational program. The findings support the idea that client education can promote self-care and improve health status.

show abstract

Obstetrician-gynecologists’ attitudes towards premenstrual dysphoric disorder and major depressive disorder

Bd²,

Holzman

et al. 2001

Journal of Psychosomatic Obstetrics & Gynecology

View full text Add to dashboard Cite

Nine hundred ninety-seven fellows of the American College of Obstetricians and Gynecologists were surveyed by mailed questionnaire regarding their attitudes toward the conceptualization, diagnosis and treatment of premenstrual dysphoric disorder (PMDD) and major depressive disorder (MDD). Hypothesized differences in attitudes based on age, gender and professional identity as a primary care provider versus non-primary care provider were examined. Comparisons between attitudes toward PMDD and MDD were also investigated. Approximately 36% of the questionnaires were completed and returned. Overall attitudes toward PMDD versus MDD were found to be significantly different. Roughly one in three respondents disagreed with statements indicating responsibility for and confidence in their ability to treat MDD, but not PMDD. When significant differences were found for age, gender and professional identity, younger physicians, women physicians and those who self-identified as primary care providers reported attitudes that may be more likely to be associated with diagnosis and treatment of MDD and PMDD in gynecologic practice. For example, about 41% of self-identified non-primary care providers and 14.8% of primary care providers disagreed with the statement 'treating depression is my responsibility as a gynecologist'. Differences in gynecologists' attitudes toward MDD versus PMDD may be associated with under-treatment of MDD in gynecologic practice.

show abstract

A survey of physicians' attitudes and behavior toward PMS

Cited by 3 publications

References 13 publications

Obstetrician-gynecologists' decision making about the diagnosis of major depressive disorder and premenstrual dysphoric disorder

Obstetrician-gynecologists' decision making about the diagnosis of major depressive disorder and premenstrual dysphoric disorder

Effects of a premenstrual syndrome education program on premenstrual symptomatology

Obstetrician-gynecologists’ attitudes towards premenstrual dysphoric disorder and major depressive disorder

Contact Info

Product

Resources

About