Frequency, Clinical Characteristics and Correlates of Premenstrual Syndrome in High School Students.
- Author:
Hyung Joo CHANG
;
Hyun Ghang JEONG
;
Young Hoon KO
;
Chang Su HAN
;
Sook Haeng JOE
- Publication Type:Original Article
- Keywords:
Premenstrual syndrome;
Premenstrual dysphoric disorder;
Adolescent;
Depression;
Anxiety
- MeSH:
Adolescent;
Anxiety;
Depression;
Humans;
Korea;
Logistic Models;
Mass Screening;
Premenstrual Syndrome;
Questionnaires;
Weights and Measures
- From:Korean Journal of Psychosomatic Medicine
2013;21(1):44-54
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To investigate the frequency and clinical characteristics of premenstrual syndrome(PMS)/premenstrual dysphoric disorder(PMDD) in high school students, and determine the correlates of PMS/PMDD in association with comorbid depression and anxiety. METHODS: A total of 1688 students were recruited from 5 high schools in Seoul, Korea. Subjects completed the questionnaire composed of scales to measure premenstrual symptoms, depression, and anxiety, as well as sociodemographic and reproductive variables. Subjects were categorized into 3 groups by using the Premenstrual Symptom Screening Tool(PSST) to determine the frequency and clinical characteristics of PMS/PMDD. Multivariate logistic regression was used to identify the correlates of PMS/PMDD. RESULTS: The frequency of moderate to severe PMS and PMDD was 20.1% and 6.4%, respectively. Irritability (78.8%), fatigue(76.4%), and emotional sensitivity(69.8%) were common premenstrual symptoms, and functional impairment in academic performance(67.1%) was dominant. Dysmenorrhea[odd ratio(OR)=3.68, 95% confidence interval(CI) 2.45-5.55], family history of PMS(OR=1.91, 95% CI 1.35-2.71), and use of oral contraceptive (OR=1.85, 95% CI 1.16-2.94) were associated with the increased risk of PMS/PMDD after adjustment for depression and anxiety. Negative attitude to menses(OR=15.60, 95% CI 3.61-67.42) was associated with the increased risk of PMS/PMDD, particularly in subjects without depression and anxiety. CONCLUSIONS: PMS was common, as the frequency of PMS more than moderate severity including PMDD exceeded 25%, and disrupted daily functioning in adolescents. PMS is associated with various sociodemographic and menstrual characteristics, and these associations are affected by comorbid depression and anxiety.
