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A symptom diary to assess severe premenstrual syndrome and premenstrual dysphoric disorder
Division of Clinical Psychology and Psychotherapy, Department of Psychology , Philipps University , Marburg , Germany.
Division of Clinical Psychology and Psychotherapy, Department of Psychology , Philipps University , Marburg , Germany.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research. Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm, Sweden. (Linnaeus Centre HEAD)ORCID iD: 0000-0003-4753-6745
Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps University, Marburg, Germany.
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2017 (English)In: Women & health, ISSN 0363-0242, E-ISSN 1541-0331, Vol. 57, no 7, p. 837-854Article in journal (Refereed) Published
Abstract [en]

The differentiation between premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) has been widely discussed. PMDD is listed as a mental disorder in the DSM-5, whereas PMS is not considered as a mental disorder in any diagnostic manual. Consequently, PMS is operationalized in different ways. Keeping a symptom diary is required to diagnose PMDD but is also recommended for PMS. The aim of our study was, therefore, to operationalize PMS and PMDD within a DSM-5-based symptom diary. We developed a symptom-intensity-score (SI-score) and an interference-score (INT-score) to evaluate the symptom diary. Ninety-eight women (aged 20-45 years) completed a symptom diary over two menstrual cycles, a retrospective screening for premenstrual symptoms, and answered additional impairment questionnaires from August 2013 to August 2015. The scores revealed moderate to good reliability (Cronbachs a = 0.83-0.96). Convergent validity was shown by significant correlations with a retrospective screening, the Pain Disability Index, and the German PMS-Impact Questionnaire. Discriminant validity was indicated by low correlations with the Big Five Inventory-10. These scores may facilitate the evaluation of prospective symptom ratings in research and clinical practice. Future research should focus on continuing to validate the scores (e.g., in an ambulatory setting).

Place, publisher, year, edition, pages
2017. Vol. 57, no 7, p. 837-854
Keywords [en]
DSM-5; menstrual cycle; premenstrual dysphoric disorder (PMDD); premenstrual syndrome (PMS); psychological diagnostics; symptom diary
National Category
Psychology
Identifiers
URN: urn:nbn:se:liu:diva-146317DOI: 10.1080/03630242.2016.1206055ISI: 000407790600006PubMedID: 27355449OAI: oai:DiVA.org:liu-146317DiVA, id: diva2:1195943
Available from: 2018-04-07 Created: 2018-04-07 Last updated: 2018-04-25

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