Premenstrual Dysphoric Disorder Deb Rink Definition Premenstrual Syndrome PMS having mild to severe physical andor emotional symptoms that typically occur about 511 days before a woman starts her monthly menstrual cycle and these symptoms stop shortly after ID: 371832
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Slide1
Premenstrual Syndrome and Premenstrual Dysphoric Disorder
Deb RinkSlide2
DefinitionPremenstrual Syndrome (PMS)
having mild to severe physical and/or emotional symptoms that typically occur about 5-11 days before a woman starts her monthly menstrual cycle, and these symptoms stop shortly after
mences
begins
3–6
Premenstrual
Dysphoric
Disorder (PMDD)
a condition in which a woman has severe depression symptoms not otherwise specified and emotional and cognitive behavioral symptoms before menstruation that interfere with daily function.
3–6
Slide3
OcurranceUp to 80% of all women experience PMS symptoms
1
Up to 10% of all women report the more severe symptoms of PMDD
1,3,7
Slide4
Signs and Symptomsdepressed moods,
anxiety,
lability
,
irritability
,
irritability
has been shown to have no discrimination between normal and PMS participants in research and is reported by most women
2
decreased
interest in usual activities
,
concentration
difficulties,
lack
of energy,
change
in appetite,
sleep
changes,
feeling
overwhelmed, and
physical
symptoms such as bloating, breast tenderness, headaches, joint pain, weight gain, and cramps
1–7
Slide5
More Symptomsmood swings,
feeling
out of control,
feeling
hopeless,
possible
suicidal thoughts, and
panic
attacks
2–4,6
Slide6
DiagnosisPMDD
A woman must display 1 of 4 core symptoms (irritability, anxiety,
dysphoria
, or
lability
),
have
at least 5 of the 11 typical symptoms listed above,
and
have had the symptoms in most of her cycles for the last 12 months in order to be diagnosed with
PMDD
These
symptoms must have interfered with social or occupational
function
1
PMS
PMS has very similar symptoms,
does
not require an emotional symptom,
nor
is there a need to confirm daily functional impairment
1
Slide7
Differential DiagnosisMedical conditions, such as thyroid disease, etc.
Psychological disorders
Social disorders
1–
4
Note: PMS/PMDD are very difficult to diagnoseSlide8
TreatmentHealthy lifestyleSupplemental vitamins
and minerals
=
vitamin B6, calcium, magnesium, and vitamin E
Herbal remedies =
evening primrose oil and chaste tree berry
SSRI’s
for most severe cases
1,3,7
Slide9
References
1. Steiner M. Premenstrual syndrome and premenstrual
dysphoric
disorder: guidelines for
management
.
J Psychiatry
Neurosci
. 2000;25(5):459.
2. Freeman EW,
Halberstadt
SM,
Rickels
K,
Legler
JM, Lin H,
Sammel
MD. Core Symptoms That Discriminate Premenstrual Syndrome.
J
Womens
Heal 15409996
. 2011;20(1):29–35.
3. Bhatia SC, Bhatia SK. Diagnosis and treatment of premenstrual
dysphoric
disorder.
Am
Fam
Physician
. 2002;66(7):1239–1249.
4.
Firoozi
R,
Kafi
M,
Salehi
I,
Shirmohammadi
M. The Relationship between Severity of Premenstrual Syndrome and Psychiatric Symptoms.
Iran J Psychiatry
. 2012;7(1):36–40.
5.
Orsal
O,
Tozun
M,
Unsal
A. Relationship between Premenstrual syndrome and depressive symptoms among nursing students.
HealthMed
. 2013;7(2):508–515.
6. Wang Y, Lin S, Chen R, Benita W-M. Pattern of moderate-to-severe symptoms of premenstrual syndrome in a selected hospital in China.
J
Obstet
Gynaecol
Res
. 2012;38(1):302–309.
7. Board ADAME. Premenstrual
dysphoric
disorder. 2012. Available at: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004461/. Accessed October 28, 2013.