The epidemiology of premenstrual symptoms in a population-based sample of 2650 urban women: attributable risk and risk factors
- PMID: 1569434
- DOI: 10.1016/0895-4356(92)90039-p
The epidemiology of premenstrual symptoms in a population-based sample of 2650 urban women: attributable risk and risk factors
Abstract
This epidemiologic survey achieved a reliable measure of the prevalence of premenstrual symptoms by avoiding the biases of small or selected samples, anamnestic error, and subjective expectation. From 6232 women (a 78.8% response), aged 20-49 years, identified through a random sample of urban households, the 24-hour prevalence of symptoms was obtained using the Moos' Menstrual Distress Questionnaire, administered without reference to the menstrual cycle. For 71% of the naturally cycling women, current cycle phase was determined by follow-up (n = 2650); but a higher prevalence of severe or moderately severe affective symptoms in the premenstrual compared to the mid-cycle phase was not found. However, observed risk factor interactions led to the conclusion that premenstrual distress is a discrete mood disorder, affecting women aged 25-35 years, with probable ovulatory cycles, and vulnerable to stress; and that the risk of affective symptoms attributable to the premenstrual state was one percent.
Comment in
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Epidemiology of premenstrual symptoms.J Clin Epidemiol. 1993 Apr;46(4):406-8. doi: 10.1016/0895-4356(93)90157-v. J Clin Epidemiol. 1993. PMID: 8483006 No abstract available.
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