Repercussões do transtorno disfórico pré-menstrual entre universitárias

V. C. L. Carvalho, Amaury Cantilino, Nathália Machado P. Carreiro, Luciene Fontes de Sá, E. B. Sougey
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引用次数: 4

Abstract

INTRODUCTION: Maternal premenstrual dysphoric disorder (PMDD) is a severe variant of premenstrual syndrome in which mood swings is the most disturbing and debilitating symptom, affecting the quality of life of women of reproductive age. The objective of this study was to identify the main physical and emotional manifestations of PMDD among undergraduate students of Physical Therapy. METHODS: A cross-sectional, descriptive, analytical study was carried between August and December 2008, with 259 undergraduate students. The following instruments were used: a questionnaire covering social and economic data; the Menstrual Symptom Questionnaire (MSQ); Steiner's self-rated premenstrual syndrome questionnaire; and the Hamilton Self-Rating Depression Questionnaire. Descriptive and analytical statistical analysis was performed using the chi-square test or Fisher's exact test. Significance was set at 5%. RESULTS: A high prevalence of physical and emotional symptoms was found. Among the signs and symptoms assessed by MSQ, only depression showed a significant correlation with PMDD (p = 0.048). Other symptoms, such as anxiety, mood lability, physical symptoms, the ability to perform daily tasks, and pain, were not correlated with PMDD. CONCLUSION: PMDD caused physical and emotional distress among the women assessed and was significantly correlated with depression. These findings suggest that PMDD should be classified as a clinical manifestation of mood disorders.
女大学生经前焦虑障碍的影响
母体经前烦躁不安症(PMDD)是经前综合征的一种严重变体,其中情绪波动是最令人不安和虚弱的症状,影响育龄妇女的生活质量。本研究旨在探讨物理治疗专业本科生经前不悦症的主要生理及情绪表现。方法:2008年8月至12月,对259名大学生进行横断面、描述性、分析性研究。使用了下列工具:一份包括社会和经济数据的调查表;月经症状问卷(MSQ);斯坦纳经前综合症自评问卷;以及汉密尔顿抑郁自评问卷。描述性和分析性统计分析采用卡方检验或Fisher精确检验。显著性设为5%。结果:发现身体和情绪症状的高发率。在MSQ评估的体征和症状中,只有抑郁与PMDD有显著相关性(p = 0.048)。其他症状,如焦虑、情绪不稳定、身体症状、执行日常任务的能力和疼痛,与经前不悦症无关。结论:经前不悦引起被评估妇女的身体和精神困扰,并与抑郁显著相关。这些发现表明经前不悦症应该被归类为情绪障碍的一种临床表现。
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