Late luteal phase dysphoric disorder in 670 women evaluated for premenstrual complaints

Hurt, Stephen W.; Schnurr, Paula P.; Severino, Sally K.; Freeman, Ellen W.; Gise, Leslie Hartley; Rivera-Tovar, Ana; Steege, John F.

doi:10.1176/ajp.149.4.525

Cited by 98 publications

(15 citation statements)

References 17 publications

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“…In order to reduce the risk of diagnosing normal affective experiences as a mental disorder 8–10 , we recommend that this cutoff of “4-moderate” be implemented consistently as the threshold for absolute severity (premenstrual symptoms must reach 4) and absolute symptom clearance (postmenstrual symptoms must not exceed 3). Second, although 30% premenstrual elevation (or premenstrual “change”) is generally used 5,11 as the elevation threshold, at least five different methods have been used to calculate this premenstrual change variable (listed in Table 3 note) 18,19,20,7,12,13 . Therefore, the present study begins by examining the interactive effects of both differing calculation methods and differing thresholds on diagnostic prevalence.…”

Section: Introductionmentioning

confidence: 99%

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Toward the Reliable Diagnosis of DSM-5 Premenstrual Dysphoric Disorder: The Carolina Premenstrual Assessment Scoring System (C-PASS)

Eisenlohr‐Moul¹,

Girdler²,

Schmalenberger³

et al. 2017

AJP

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Objective Despite evidence for the validity of premenstrual dysphoric disorder (PMDD) and its recent inclusion in DSM-5, variable diagnostic practices compromise the construct validity of the diagnosis and threaten the clarity of efforts to understand and treat its underlying pathophysiology. In an effort to hasten and streamline the translation of the new DSM-5 criteria for PMDD into terms compatible with existing research practices, we present the development and initial validation of the Carolina Premenstrual Assessment Scoring System (C-PASS). The C-PASS is a standardized scoring system for making DSM-5 PMDD diagnoses using 2 or more menstrual cycles of daily symptom ratings using the Daily Record of Severity of Problems (DRSP). Method Two hundred women recruited for retrospectively-reported premenstrual emotional symptoms provided 2–4 menstrual cycles of daily symptom ratings on the DRSP. Diagnoses were made by expert clinician and the C-PASS. Results Agreement of C-PASS diagnosis with expert clinical diagnosis was excellent; overall correct classification by the C-PASS was estimated at 98%. Consistent with previous evidence, retrospective reports of premenstrual symptom increases were a poor predictor of prospective C-PASS diagnosis. Conclusions The C-PASS (available as a worksheet, Excel macro, and SAS macro) is a reliable and valid companion protocol to the DRSP that standardizes and streamlines the complex, multilevel diagnosis of DSM-5 PMDD. Consistent use of this robust diagnostic method would result in more clearly-defined, homogeneous samples of women with PMDD, thereby improving the clarity of studies seeking to characterize or treat the underlying pathophysiology of the disorder.

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Section: Introductionmentioning

confidence: 99%

“…Therefore, although valid diagnosis of PMDD is possible using simple visual inspection 4 , poor reliability of such visual diagnosis is likely due to busy clinician schedules and sources of unconscious error. It is this state of affairs that motivated our development of a computerized approach 13 to making the complex diagnosis of PMDD.…”

Section: Introductionmentioning

confidence: 99%

Toward the Reliable Diagnosis of DSM-5 Premenstrual Dysphoric Disorder: The Carolina Premenstrual Assessment Scoring System (C-PASS)

Eisenlohr‐Moul¹,

Girdler²,

Schmalenberger³

et al. 2017

AJP

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“…Some studies have shown that women with PMS or PMDD have a higher percentage of past major depression than women without PMS or PMDD [10,11,18], while Hurt et al have reported contradictory results [19]: Although the risk of late luteal phase dysphoric disorder (LLPDD) (the former term for PMDD in the DSM-III-R) was 14% higher in women with a past psychological disorder, it was not increased in women who reported to suffer from a major depression in the past [19]. Breaux, Hartlage and Gehlert [20] concluded in their review that based on existing research it has not been fully proven whether women with PMDD have a higher likelihood to report past major depression.…”

Section: Introductionmentioning

confidence: 99%

The interrelation between premenstrual syndrome and major depression: Results from a population-based sample

et al. 2011

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BackgroundResearch about the relationship between premenstrual syndrome (PMS) and major depression is limited. This study examined the relationship between moderate to severe PMS and major depression in a population-based sample of women of reproductive age. The objectives of the study were to assess the association between premenstrual syndrome and major depression, to analyse how PMS and major depression differ and to characterise the group of women who report both PMS and major depression.MethodsData were obtained from the Swiss Health Survey 2007. Included in the analysis was data from women under the age of 55 without hysterectomy and who answered the questions on PMS symptoms. The population-based sample consisted of 3518 women. Weighted prevalence rates were calculated and relative risk ratios for PMS, major depression and women who reported both PMS and major depression, were calculated with logistic multinominal logit regression.ResultsThe prevalence of major depression was 11.3% in women screening positive for moderate PMS and 24.6% in women screening positive for severe PMS. Compared to women without any of these conditions, women who reported moderate to severe alcohol consumption had a lower risk for PMS. Women reporting use of antidepressants, and use of oral contraceptives had a higher risk for major depression compared to women without any of these conditions. Women reporting work dissatisfaction had a higher risk for PMS. A higher relative risk to report both PMS and major depression compared to women without PMS or major depression was related to factors such as high psychological distress, low mastery, psychotropic drug consumption, and low self-rated health.ConclusionsThe results suggested that women who suffer from both PMS and major depression are more impaired compared to women with only one disorder. The results further indicated that PMS and major depression are different disorders that can, however, co-occur.

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“…Indeed, sleep complaints commonly occur during the postovulatory luteal phase (LP) in healthy women [2]. These complaints reach a higher severity in women suffering from premenstrual dysphoric disorder (PMDD) [3], a DSM-IV classified menstrual cycle-related mood disorder. Since disturbed sleep and circadian rhythms have been correlated with increased incidence of obesity and diabetes [4], cardiovascular disease [5], and especially depression [6], and since depression already occurs with higher prevalence in women [7], it is necessary to understand how neuroendocrine changes across the menstrual cycle interact with circadian physiology and contribute to the greater susceptibility of sleep complaints in women.…”

Section: Introductionmentioning

confidence: 99%

Sleep, Hormones, and Circadian Rhythms throughout the Menstrual Cycle in Healthy Women and Women with Premenstrual Dysphoric Disorder

Shechter

Boivin

2010

International Journal of Endocrinology

126

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A relationship exists between the sleep-wake cycle and hormone secretion, which, in women, is further modulated by the menstrual cycle. This interaction can influence sleep across the menstrual cycle in healthy women and in women with premenstrual dysphoric disorder (PMDD), who experience specific alterations of circadian rhythms during their symptomatic luteal phase along with sleep disturbances during this time. This review will address the variation of sleep at different menstrual phases in healthy and PMDD women, as well as changes in circadian rhythms, with an emphasis on their relationship with female sex hormones. It will conclude with a brief discussion on nonpharmacological treatments of PMDD which use chronotherapeutic methods to realign circadian rhythms as a means of improving sleep and mood in these women.

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Late luteal phase dysphoric disorder in 670 women evaluated for premenstrual complaints

Cited by 98 publications

References 17 publications

Toward the Reliable Diagnosis of DSM-5 Premenstrual Dysphoric Disorder: The Carolina Premenstrual Assessment Scoring System (C-PASS)

Toward the Reliable Diagnosis of DSM-5 Premenstrual Dysphoric Disorder: The Carolina Premenstrual Assessment Scoring System (C-PASS)

The interrelation between premenstrual syndrome and major depression: Results from a population-based sample

Sleep, Hormones, and Circadian Rhythms throughout the Menstrual Cycle in Healthy Women and Women with Premenstrual Dysphoric Disorder

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