Abstract
A collection of over 200 symptoms has been labeled premenstrual syndrome. Common belief is that most women experience a marked increase in symptoms premenses. Cyclic variations in the prevalence of commonly cited perimenstrual symptoms were estimated from daily symptom recording. A community-based, multiethnic sample of 345 women recorded symptom severity from "not present" to "extreme" for 90 days. Maximum total reported symptom score occurred during menses, not during premenses. When individual symptoms are considered, the prevalence of those rated as moderate to extreme during menses is less than 15 percent. A method for identifying symptom severity patterns throughout the menstrual cycle is described. Six symptom severity patterns were identified. Only 13 percent of the women exhibited a pattern of increased symptom severity in the premenses. Another 13 percent had a pattern of decreased symptom severity in the premenses.
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- Abraham G. E., Lubran M. M. Serum and red cell magnesium levels in patients with premenstrual tension. Am J Clin Nutr. 1981 Nov;34(11):2364–2366. doi: 10.1093/ajcn/34.11.2364. [DOI] [PubMed] [Google Scholar]
- Abraham G. E. Nutritional factors in the etiology of the premenstrual tension syndromes. J Reprod Med. 1983 Jul;28(7):446–464. [PubMed] [Google Scholar]
- Andersch B. Bromocriptine and premenstrual symptoms: a survey of double blind trials. Obstet Gynecol Surv. 1983 Nov;38(11):643–646. doi: 10.1097/00006254-198311000-00001. [DOI] [PubMed] [Google Scholar]
- Brooks J., Ruble D., Clark A. College women's attitudes and expectations concerning menstrual-related changes. Psychosom Med. 1977 Sep-Oct;39(5):288–298. doi: 10.1097/00006842-197709000-00002. [DOI] [PubMed] [Google Scholar]
- Budoff P. W. Zomepirac sodium in the treatment of primary dysmenorrhea syndrome. N Engl J Med. 1982 Sep 16;307(12):714–719. doi: 10.1056/NEJM198209163071203. [DOI] [PubMed] [Google Scholar]
- Bäckström T., Aakvaag A. Plasma prolactin and testosterone during the luteal phase in women with premenstrual tension syndrome. Psychoneuroendocrinology. 1981;6(3):245–251. doi: 10.1016/0306-4530(81)90034-2. [DOI] [PubMed] [Google Scholar]
- Bäckström T., Mattsson B. Correlation of symptoms in pre-menstrual tension to oestrogen and progesterone concentrations in blood plasma. A preliminary study. Neuropsychobiology. 1975;1(2):80–86. doi: 10.1159/000117480. [DOI] [PubMed] [Google Scholar]
- Bäckström T., Sanders D., Leask R., Davidson D., Warner P., Bancroft J. Mood, sexuality, hormones, and the menstrual cycle. II. Hormone levels and their relationship to the premenstrual syndrome. Psychosom Med. 1983 Dec;45(6):503–507. doi: 10.1097/00006842-198312000-00004. [DOI] [PubMed] [Google Scholar]
- Carroll B. J., Steiner M. The psychobiology of premenstrual dysphoria: the role of prolactin. Psychoneuroendocrinology. 1978 Apr;3(2):171–180. doi: 10.1016/0306-4530(78)90005-7. [DOI] [PubMed] [Google Scholar]
- Coyne C. Muscle tension and its relation to symptoms in the premenstruum. Res Nurs Health. 1983 Dec;6(4):199–205. doi: 10.1002/nur.4770060408. [DOI] [PubMed] [Google Scholar]
- Elsner C. W., Buster J. E., Schindler R. A., Nessim S. A., Abraham G. E. Bromocriptine in the treatment of premenstrual tension syndrome. Obstet Gynecol. 1980 Dec;56(6):723–726. [PubMed] [Google Scholar]
- GREENE R., DALTON K. The premenstrual syndrome. Br Med J. 1953 May 9;1(4818):1007–1014. doi: 10.1136/bmj.1.4818.1007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harrison W. M., Endicott J., Rabkin J. G., Nee J. Treatment of premenstrual dysphoric changes: clinical outcome and methodological implications. Psychopharmacol Bull. 1984 Winter;20(1):118–122. [PubMed] [Google Scholar]
- Haskett R. F., Steiner M., Carroll B. J. A psychoendocrine study of premenstrual tension syndrome. A model for endogenous depression? J Affect Disord. 1984 Apr;6(2):191–199. doi: 10.1016/0165-0327(84)90024-7. [DOI] [PubMed] [Google Scholar]
- Haskett R. F., Steiner M., Osmun J. N., Carroll B. J. Severe premenstrual tension: delineation of the syndrome. Biol Psychiatry. 1980 Feb;15(1):121–139. [PubMed] [Google Scholar]
- Jakubowicz D. L., Godard E., Dewhurst J. The treatment of premenstrual tension with mefenamic acid: analysis of prostaglandin concentrations. Br J Obstet Gynaecol. 1984 Jan;91(1):78–84. doi: 10.1111/j.1471-0528.1984.tb05283.x. [DOI] [PubMed] [Google Scholar]
- Little B. C., Zahn T. P. Changes in mood and autonomic functioning during the menstrual cycle. Psychophysiology. 1974 Sep;11(5):579–580. doi: 10.1111/j.1469-8986.1974.tb01118.x. [DOI] [PubMed] [Google Scholar]
- Moos R. H. The development of a menstrual distress questionnaire. Psychosom Med. 1968 Nov-Dec;30(6):853–867. doi: 10.1097/00006842-196811000-00006. [DOI] [PubMed] [Google Scholar]
- Munday M. R., Brush M. G., Taylor R. W. Correlations between progesterone, oestradiol and aldosterone levels in the premenstrual syndrome. Clin Endocrinol (Oxf) 1981 Jan;14(1):1–9. doi: 10.1111/j.1365-2265.1981.tb00359.x. [DOI] [PubMed] [Google Scholar]
- Muse K. N., Cetel N. S., Futterman L. A., Yen S. C. The premenstrual syndrome. Effects of "medical ovariectomy". N Engl J Med. 1984 Nov 22;311(21):1345–1349. doi: 10.1056/NEJM198411223112104. [DOI] [PubMed] [Google Scholar]
- O'Brien P. M., Craven D., Selby C., Symonds E. M. Treatment of premenstrual syndrome by spironolactone. Br J Obstet Gynaecol. 1979 Feb;86(2):142–147. doi: 10.1111/j.1471-0528.1979.tb10582.x. [DOI] [PubMed] [Google Scholar]
- O'Rourke M. W. Subjective appraisal of psychological well-being and self-reports of menstrual and nonmenstrual symptomatology in employed women. Nurs Res. 1983 Sep-Oct;32(5):288–292. [PubMed] [Google Scholar]
- Pátkai P., Johannson G., Post B. Mood, alertness and sympathetic-adrenal medullary activity during the menstrual cycle. Psychosom Med. 1974 Nov-Dec;36(6):503–512. doi: 10.1097/00006842-197411000-00005. [DOI] [PubMed] [Google Scholar]
- Reid R. L., Yen S. S. Premenstrual syndrome. Am J Obstet Gynecol. 1981 Jan;139(1):85–104. doi: 10.1016/0002-9378(81)90417-8. [DOI] [PubMed] [Google Scholar]
- Rubinow D. R., Roy-Byrne P., Hoban M. C., Gold P. W., Post R. M. Prospective assessment of menstrually related mood disorders. Am J Psychiatry. 1984 May;141(5):684–686. doi: 10.1176/ajp.141.5.684. [DOI] [PubMed] [Google Scholar]
- Sampson G. A. Premenstrual syndrome: a double-blind controlled trial of progesterone and placebo. Br J Psychiatry. 1979 Sep;135:209–215. doi: 10.1192/bjp.135.3.209. [DOI] [PubMed] [Google Scholar]
- Sheldrake P., Cormack M. Variations in menstrual cycle symptom reporting. J Psychosom Res. 1976;20(3):169–177. doi: 10.1016/0022-3999(76)90017-9. [DOI] [PubMed] [Google Scholar]
- Slade P., Jenner F. A. Autonomic activity in subjects reporting changes in affect in the menstrual cycle. Br J Soc Clin Psychol. 1979 Feb;18(1):135–136. doi: 10.1111/j.2044-8260.1979.tb00316.x. [DOI] [PubMed] [Google Scholar]
- Spellacy W. N., Carlson K. L., Schade S. L. Menstrual cycle carbohydrate metabolism. Studies on plasma insulin and blood glucose levels during an intravenous glucose tolerance test. Am J Obstet Gynecol. 1967 Oct 1;99(3):382–386. doi: 10.1016/s0002-9378(16)34546-x. [DOI] [PubMed] [Google Scholar]
- Steiner M., Haskett R. F., Carroll B. J., Hays S. E., Rubin R. T. Plasma prolactin and severe premenstrual tension. Psychoneuroendocrinology. 1984;9(1):29–35. doi: 10.1016/0306-4530(84)90019-2. [DOI] [PubMed] [Google Scholar]
- Taylor J. W. Plasma progesterone, oestradiol 17 beta and premenstrual symptoms. Acta Psychiatr Scand. 1979 Jul;60(1):76–86. doi: 10.1111/j.1600-0447.1979.tb00267.x. [DOI] [PubMed] [Google Scholar]
- Taylor J. W. The timing of menstruation-related symptoms assessed by a daily symptom rating scale. Acta Psychiatr Scand. 1979 Jul;60(1):87–105. doi: 10.1111/j.1600-0447.1979.tb00268.x. [DOI] [PubMed] [Google Scholar]
- Varma T. R. Hormones and electrolytes in premenstrual syndrome. Int J Gynaecol Obstet. 1984 Feb;22(1):51–58. doi: 10.1016/0020-7292(84)90104-8. [DOI] [PubMed] [Google Scholar]
- Watts J. F., Butt W. R., Logan Edwards R., Holder G. Hormonal studies in women with premenstrual tension. Br J Obstet Gynaecol. 1985 Mar;92(3):247–255. doi: 10.1111/j.1471-0528.1985.tb01090.x. [DOI] [PubMed] [Google Scholar]
- Wood C., Jakubowicz D. The treatment of premenstrual symptoms with mefenamic acid. Br J Obstet Gynaecol. 1980 Jul;87(7):627–630. doi: 10.1111/j.1471-0528.1980.tb05018.x. [DOI] [PubMed] [Google Scholar]
- Woods N. F., Most A., Dery G. K. Estimating perimenstrual distress: a comparison of two methods. Res Nurs Health. 1982 Jun;5(2):81–91. doi: 10.1002/nur.4770050209. [DOI] [PubMed] [Google Scholar]
- Woods N. F., Most A., Dery G. K. Estimating perimenstrual distress: a comparison of two methods. Res Nurs Health. 1982 Jun;5(2):81–91. doi: 10.1002/nur.4770050209. [DOI] [PubMed] [Google Scholar]
- Woods N. F., Most A., Dery G. K. Toward a construct of perimenstrual distress. Res Nurs Health. 1982 Sep;5(3):123–136. doi: 10.1002/nur.4770050304. [DOI] [PubMed] [Google Scholar]
- Woods N. F. Relationship of socialization and stress to perimenstrual symptoms, disability, and menstrual attitudes. Nurs Res. 1985 May-Jun;34(3):145–149. [PubMed] [Google Scholar]
- Yki-Järvinen H. Insulin sensitivity during the menstrual cycle. J Clin Endocrinol Metab. 1984 Aug;59(2):350–353. doi: 10.1210/jcem-59-2-350. [DOI] [PubMed] [Google Scholar]
- Younglai E. V., Smith S. L., Cleghorn J. M., Streiner D. L. Variations in ovarian steroid levels during the luteal phase of the menstrual cycle. Clin Biochem. 1975 Aug;8(4):234–239. doi: 10.1016/s0009-9120(75)92479-0. [DOI] [PubMed] [Google Scholar]