经前综合征和经前烦躁障碍:症状严重程度、功能损害和相关因素:沙特横断面研究

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI:10.4103/jehp.jehp_708_24
Samiha Hamdi Sayed, Mohammed Al-Mohaithef, Enas Mohamed Ibrahim, Ebtesam A Elsayed
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引用次数: 0

摘要

背景:经前综合症(PMS)是妇女中相当严重的健康问题,对她们的功能和生产力产生负面影响。因此,本研究旨在评估沙特阿拉伯经前综合症和经前烦躁障碍(PMDD)症状严重程度、功能障碍和相关因素。材料和方法:一项基于社交媒体的横断面调查,使用623名沙特女性作为方便样本。采用自我管理问卷,包括个人特征和月经史问卷和临床医生经前症状筛查工具,使用国际疾病分类系统(DSM-IV)诊断标准和美国妇产科医师学会。因此,根据症状的严重程度,将妇女分为四个经前综合症组。结果:63.6%的妇女有临床显著性经前症状,21.8%的妇女有轻度经前症状,12.2%的妇女有经前不悦,仅有2.4%的妇女无经前症状。多数经前症候群症状为中度或重度,以情感性症状为主(如情绪波动、易流泪、易怒、自我认同感低、情绪低落)。经前症候群组间情感、躯体症状及功能损害加权平均评分差异有统计学意义,经前抑郁伴经前症候群组各症状平均评分均高于轻度和无经前症候群组(P < 0.01)。功能障碍与情感症状的相关性显著高于躯体症状(P = 0.000)。经前综合症组在月经持续时间(P = 0.034)和每次月经使用护垫数(P = 0.042)方面差异有统计学意义。但在个体特征上差异无统计学意义(P < 0.05)。结论:经前症候群在沙特阿拉伯是一个主要的健康问题,在那里,中度至重度的经前症候群最为典型,影响妇女生产力的经前症候群比例不容忽视。因此,沙特政府应重视经前综合症,建立卫生服务和以社区为基础的经前综合症筛查和咨询服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Premenstrual syndrome and premenstrual dysphoric disorder: Symptoms severity, functional impairment, and associated factors: A Saudi cross-sectional study.

Background: Premenstrual syndrome (PMS) is a considerable health problem among women that negatively impacts their functionality and productivity. Thus, this study aims to assess PMS and premenstrual dysphoric disorder (PMDD) symptoms severity, functional impairment, and associated factors in Saudi Arabia.

Materials and methods: A cross-sectional social media-based survey using a convenience sample of 623 Saudi women. A self-administered questionnaire was used, including the Personal Characteristics and Menstrual History Questionnaire and the Premenstrual Symptoms Screening Tool for Clinicians using the International Disease Classification System (DSM-IV) diagnostic criteria and The American College of Obstetricians and Gynecologists. Accordingly, women were classified into four PMS groups based on the severity of the symptoms.

Results: In total, 63.6% of the women had clinically significant PMS, 21.8% had mild PMS, 12.2% had PMDD, and only 2.4% had no PMS. Most PMS symptoms were moderate or severe, predominating affective symptoms (e.g., mood swings, feeling tearful, irritability, low self-identity, depressed mood). Statistically significant differences were observed between the PMS groups concerning the weighted mean scores of the affective and somatic symptoms and functional impairment, where the mean scores of all PMS symptoms were higher among PMDD followed by CSPMS than the mild and no PMS groups (P < 0.01). The functional impairment showed a significantly positive and higher correlation with affective than somatic symptoms (P = 0.000). Significant differences were detected between the PMS group based on the duration of menstrual flow (P = 0.034) and the number of pads per menstruation (P = 0.042). However, they had no significant differences based on personal characteristics (P > 0.05).

Conclusion: PMS is a predominant health concern in Saudi Arabia, where the moderate to severe form is the most typical with an unneglected percentage of PMDD that affects women's productivity. Thus, the Saudi government should focus on PMS, establishing health services and community-based PMS screening and counseling services.

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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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