Table 1.
Mapping the DSM-5 PMDD Content onto the Daily Record of Severity of Problems (DRSP) and Symptom Categories for the Present Paper
DSM-5 | DRSP | Symptom Content Domain in this Paper |
---|---|---|
CRITERION B: CORE EMOTIONAL SYMPTOMS | ||
1. Marked affective lability (e.g., mood swings; feeling suddenly sad or tearful, or increased sensitivity to rejection) | DRSP 5. Had mood swings (e.g. suddenly felt sad or tearful) | Included as core emotional symptoms |
DRSP 6. Was more sensitive to rejection or my feelings were easily hurt | ||
2. Marked irritability or anger or increased interpersonal conflicts | DRSP 7. Felt angry, irritable | |
DRSP 8. Had conflicts or problems with people | Not included, since interpersonal conflicts are a behavioral symptom which constitutes impairment in and of itself | |
3. Marked depressed mood, feelings of hopelessness, or self-deprecating thoughts | DRSP 1. Felt depressed, sad, “down” or blue | Included as core emotional symptoms |
DRSP 2. Felt hopeless | ||
DRSP 3. Felt worthless or guilty | ||
4. Marked anxiety, tension, and/or feelings of being keyed up or on edge | DRSP 4. Felt anxious, “keyed up”, or “on edge” | |
CRITERION C: SECONDARY PSYCHOLOGICAL AND PHYSICAL SYMPTOMS | ||
1. Decreased interest in usual activities (e.g. work, school, friends, hobbies) | DRSP 9. Had less interest in usual activities (e.g. work, school, friends, hobbies) | Included as secondary psychological symptoms |
2. Subjective difficulty in concentration | DRSP 10. Had difficulty concentrating | |
3. Lethargy, easy fatigability, or marked lack of energy | DRSP 11. Felt lethargic tired, fatigued, or had a lack of energy | Included as physical symptom |
4. Marked change in appetite; overeating; or specific food cravings | DRSP 12. Had increased appetite or overate | Not included, since changes in eating and sleeping are behavioral symptoms which constitute impairment in and of themselves |
DRSP 13. Had specific food cravings | ||
5. Hypersomnia or Insomnia | DRSP 14. Slept more, took naps, found it hard to get up | |
DRSP 15. Had trouble getting to sleep, staying asleep | ||
6. A sense of being overwhelmed or out of control | DRSP 16. Felt overwhelmed, that I couldn’t cope | Included as secondary psychological symptoms |
DRSP 17. Felt out of control | ||
7. Physical symptoms such as breast tenderness or swelling, joint or muscle pain, sensation of “bloating”, or weight gain | DRSP 18. Had breast tenderness | Included as physical symptoms |
DRSP 19. Had breast swelling, felt bloated, or had weight gain | ||
DRSP 21. Had joint or muscle pain | ||
Not included in DSM-5 PMDD | DRSP 20. Had headache |