Premenstrual Syndrome Diagnosis: A Comparative Study between the Daily Record of Severity of Problems (DRSP) and the Premenstrual Symptoms Screening Tool (PSST)

Objective To validate the premenstrual symptoms screening tool (PSST) in relation to the daily record of severity of problems (DRSP) for premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) diagnoses. Methods A cross-sectional study with 127 women (20–45 years) with PMS complaints. The women were evaluated in terms of weight, height and body mass index (BMI). After using the primary care evaluation of mental disorders (PRIME-MD) questionnaire to exclude the diagnosis of depression, the PSST was completed and the women were instructed to fill out the DRSP for two consecutive menstrual cycles. The agreement between the two questionnaires was assessed by the Kappa (k) and the prevalence-adjusted, bias-adjusted kappa (PABAK) values. Results Two-hundred and eighty-two women met the eligibility criteria and answered the PSST. The DRSP was completed for two cycles by 127 women. The percentages of women with PMS and PMDD diagnoses by the DRSP were 74.8% and 3.9% respectively; by PSST, the percentages were41.7% and 34.6% respectively. The number of patients considered “normal” (with symptoms below the threshold for the diagnosis of PMS) was similar in both questionnaires. There was no agreement (Kappa = 0.12) in the results of PMS/ PMDD diagnosis (the PABAK coefficient confirmed this result = 0.39). The PSST had a high sensitivity (79%) and a low specificity (33.3%) for PMS/PMDD diagnosis. Conclusion The PSST should be considered a diagnostic screening tool. Positive PMS/PMDD cases by PSST should be further evaluated by DRSP to confirm the diagnosis.

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Premenstrual Syndrome: Correlation and Functional Impairment

Journal of Mahatma Gandhi University of Medical Sciences and Technology ◽

10.5005/jp-journals-10057-0025 ◽

2017 ◽

Vol 2 (1) ◽

pp. 18-22

Author(s):

Murlidhar Swami ◽

Mona Narain ◽

Krishna Kanwal

Keyword(s):

Functional Impairment ◽

Premenstrual Syndrome ◽

Care Center ◽

Tertiary Care ◽

Premenstrual Dysphoric Disorder ◽

Cross Sectional Study ◽

Severe Form ◽

Cross Sectional ◽

Premenstrual Symptoms ◽

Dsm Iv

ABSTRACT Introduction Premenstrual syndrome (PMS) and its more severe form “premenstrual dysphoric disorder (PMDD)” is a common yet underdiagnosed disorder. It is characterized by anxiety, mood changes, and several somatic symptoms in the last week of the luteal phase and began to remit within a few days after the onset of the follicular phase. Aims The aim of this study was to evaluate the prevalence of PMS and PMDD among females at a tertiary care center and evaluate the associated symptomatology, sociodemographic variables, and functional impairment. Materials and methods In an observational, cross-sectional study, 150 randomly selected females (18–30 years) were evaluated for menstrual history after sociodemographic profiling. Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV)-TR (SCID)-PMDD was applied among those who were positive on premenstrual symptoms screening tool. Statistical analysis was done using Statistical Package for the Social Sciences, version 14.0. Results The prevalence of PMS was 21.33%. Moderate to severe PMS was 14% and PMDD was 7.33% according to DSM-IV-TR criteria. Fatigue/lack of energy, decreased interest in work were the most commonly reported symptoms. Decreased school/work efficiency and productivity was the commonest form of functional impairment. Increased body mass index, onset of symptoms since menarche, duration of premenstrual symptoms, menstrual cramps, and family history showed statistically significant association with PMS/PMDD. Conclusion Premenstrual syndrome is fairly common and causes significant functional impairment. Screening females in relevant age group for its symptomatology may aid in early detection and better management. How to cite this article Swami M, Narain M, Kanwal K, Mishra M, Singh S. Premenstrual Syndrome: Correlation and Functional Impairment. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):18-22.

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465 Premenstrual Syndrome in Adolescents of Anand - Cross-Sectional Study from India using Premenstrual Symptoms Screening Tool for Adolescents (Psst-A)

Archives of Disease in Childhood ◽

10.1136/archdischild-2012-302724.0465 ◽

2012 ◽

Vol 97 (Suppl 2) ◽

pp. A136-A136 ◽

Cited By ~ 3

Author(s):

S. Kamat ◽

A. Nimbalkar ◽

S. Nimbalkar

Keyword(s):

Premenstrual Syndrome ◽

Screening Tool ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Premenstrual Symptoms

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A study on premenstrual syndrome symptoms and their association with sleep quality in nursing staff

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191204 ◽

2019 ◽

Vol 8 (4) ◽

pp. 1487

Author(s):

Gauri Kore ◽

Heena Merchant ◽

Hiba Narvel ◽

Ajita Nayak ◽

Avinash De Sousa

Keyword(s):

Sleep Quality ◽

Nursing Staff ◽

Premenstrual Syndrome ◽

Rating Scale ◽

Tertiary Care ◽

Age Groups ◽

Cross Sectional Study ◽

Cross Sectional ◽

Premenstrual Symptoms ◽

Tertiary Care Hospitals

Background: Symptoms in the premenstrual period can be debilitating and troublesome and impacts the general health of women. There is a dearth of studies examining the relationship between sleep quality and premenstrual symptoms in women, especially in Indian settings. The current study was conducted with the aim of looking at the frequency of premenstrual syndrome (PMS) in different age groups and the association of these symptoms with sleep quality in nursing staff.Methods: The cross-sectional study involved 450 female nursing staff between 25- 50 years of age from various tertiary care hospitals who were administered the Premenstrual Tension Syndrome Rating Scale (PMTS) and Pittsburgh Sleep Quality Index (PSQI). The data was then statistically analyzed.Results: The prevalence of premenstrual symptoms was found to be 85.6% amongst the participants (according to the ACOG criteria), while the proportion of females suffering from PMS (according to DSM IVTR criteria) was 36.5%. A correlation analysis between total scores of PMTS and PSQI showed a positive, linear and significant association.Conclusions: The intensity of PMS was associated with reduction in sleep quality in present study. Further studies on PMS and sleep related parameters need to carry out in larger samples to give impetus to our findings.

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COMPARISON BETWEEN START BACK SCREENING TOOL AND DRAM FOR DETECTION OF PSYCHOSOCIAL FACTORS IN LOW BACK PAIN

Coluna/Columna ◽

10.1590/s1808-185120212004239030 ◽

2021 ◽

Vol 20 (4) ◽

pp. 268-271

Author(s):

Carlos Tucci ◽

Alex Oliveira de Araujo ◽

Raphael Martus Marcon ◽

Alexandre Fogaça Cristante ◽

Tarcísio Eloy Pessoa de Barros Filho

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Screening Tool ◽

Cross Sectional Study ◽

Low Back ◽

Level Of Evidence ◽

Cross Sectional ◽

Start Back Screening Tool ◽

Number Of Patients ◽

Medium Risk

ABSTRACT Objective: To correlate the results of the STarT Back Screening Tool and DRAM questionnaires, applied simultaneously, in a population with low back pain. Methods: Comparative cross-sectional study with 84 participants with low back pain assessed by both STarT Back Screening Tool (SBST) and DRAM questionnaires. The degree of correlation between the two questionnaires was analyzed through the evaluation of individualized data and using the Spearman correlation coefficient. Results: According to the DRAM, 19% of the patients were classified as “normal”, 32.1% as “at risk” and 48.8% as “distressed”. According to SBST, 59.5% of patients were classified as “low risk”, 31% as “medium risk” and 9.5% as “high risk”. Applying the Spearman's coefficient to evaluate the degree of correlation between the two questionnaires, a value of 0.4 was obtained. This shows that there is a positive, but weak, correlation (p <0.001) between the two questionnaires. Conclusion: There is a positive correlation between the two questionnaires, but the DRAM showed a greater tendency to classify patients with some degree of psychological distress when compared to the SBST. Both questionnaires are effective in identifying these factors, but the data suggest that the DRAM may be more effective as a screening tool in patients with low back pain, in view of the higher number of patients identified. Level of evidence III; Diagnostic test study.

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Premenstrual syndrome and premenstrual dysphoric disorder among women aged 15-49 years

Aegean Journal of Obstetrics and Gynecology ◽

10.46328/aejog.v2i3.59 ◽

2020 ◽

Vol 2 (3) ◽

pp. 1-5

Author(s):

Selami Doğan ◽

Nuray Doğan ◽

Tevfik Tanju Yılmazer ◽

Kurtuluş Öngel

Keyword(s):

Waist Circumference ◽

Family Practice ◽

Premenstrual Syndrome ◽

Premenstrual Dysphoric Disorder ◽

Cross Sectional Study ◽

Health Care Facilities ◽

Reproductive Age ◽

Cross Sectional ◽

Symptom Frequency ◽

Disorder Symptom

Objective: Approximately 80% of women in reproductive age experience some premenstrual ‎phase-related changes in the menstrual cycle. We aimed to determine the prevalence of premenstrual syndrome (PMS) and ‎premenstrual dysphoric disorder symptom frequency among women aged 15-49 years in a family practice catchment area. Material and Methods: A cross-sectional study was conducted in the women registered to a family practice center in İzmir Bayraklı. Out of 522 women at the age of 15-49 years, 198 participants filled the Premenstrual Assessment Form (PAF) and answered demographic questions. The main outcome measures were the presence of “premenstrual ‎symptoms” and “premenstrual syndrome”. Results: The mean age, waist circumference and BMI of the women were 29.3±9.1 years, 80.4±13.2 ‎cm and 25.2±5.1 kg/m2, respectively. Of the participants, 68.2% (n=131) were single and 60.4% ‎‎ (n=116) were housewives. Premenstrual syndrome (PMS) was present in all the women involved in the study. Of ‎these, 3.6% were evaluated as premenstrual dysphoric disorder (PMDD). None of the ‎independent variables in the study revealed as risk factors for PMDD (p>0.05). Mean PAF scores were ‎2.22±0.90‎. There was no correlation between PAF scores and the studied variables except for waist ‎circumference (r = -0.17; p = 0.02). The sociodemographic variables ‎were not related with PMS (p> 0.05).‎ Conclusions: Training and counseling on the causes and ‎symptoms of PMS should be provided to women, particularly in primary health care facilities, and in-service trainings should be ‎conducted to provide information to the staff working in family practice centers.‎

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The Association Between Neuroticism and Premenstrual Syndrome Symptoms.

10.21203/rs.3.rs-957738/v1 ◽

2021 ◽

Author(s):

Soodeh Nosratabadi ◽

Atefeh Ahmadi ◽

Masumeh Ghazanfarpour ◽

Abolfazl Hosseinnataj ◽

Fahimeh Khorasani

Keyword(s):

Premenstrual Syndrome ◽

Cross Sectional Study ◽

Stepwise Logistic Regression ◽

Medical Sciences ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Qualitative Variables ◽

Daily Record ◽

Mental Symptoms

Abstract Background and objectives: Premenstrual syndrome includes physical and mental symptoms occurring cyclically during the secretory phase. The present study aimed to specify the association between neuroticism and the severity of premenstrual syndrome symptoms. Method: This cross-sectional study was conducted on 223 students of Kerman University of Medical Sciences in 2019 November 17. Chi-square and Fisher’s exact tests were used to analyze the relationship between qualitative variables; stepwise logistic regression was employed to assess the factors affecting the syndrome symptoms, and Mann–Whitney U test was used to compare the scores of the Daily Record of Severity of Problems chart in two groups. Findings: 223 female students completed the first stage information. The mean score of the questionnaire was 151.72±100.11. Moreover, 77.6% of the students had the syndrome. The severity of symptoms was mild, moderate, severe, and highly severe in 53.6, 42, 3.6, and 0.7%, respectively. There was a significant relationship between premenstrual syndrome and neuroticism scores. Students with PMS had higher scores in all of the subscales (neuroticism including anxiety, stress, despair,..) (P<0.001). Conclusion: It seems that there is a relationship between neuroticism (anxiety, stress, despair) and the severity of PMS symptoms. Therefore, it is recommended that therapists and counselors consider these factors to treat and mitigate the severity of PMS symptoms.

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Assessment of premenstrual syndrome among reproductive aged Myanmar women

Asian Journal of Medical Sciences ◽

10.3126/ajms.v7i4.13298 ◽

2016 ◽

Vol 7 (4) ◽

pp. 39-43 ◽

Cited By ~ 3

Author(s):

Htet Htet Oo ◽

Mya Thanda Sein ◽

Ohn Mar ◽

Aye Aung

Keyword(s):

Premenstrual Syndrome ◽

Psychological Symptom ◽

Premenstrual Dysphoric Disorder ◽

Physical Symptom ◽

Cross Sectional ◽

Premenstrual Symptoms ◽

Social Lives ◽

Mild Degree ◽

Almost All ◽

Poor Concentration

Background: Almost all women experience at least mild degree of one or more premenstrual symptoms during the days before menstruation. Women with premenstrual syndrome (PMS) experience a pattern of severe premenstrual symptoms month after month and premenstrual dysphoric disorder (PMDD) is the extreme, predominantly psychological end of the PMS spectrum. These symptoms hinder some aspect of their family as well as social lives and also interfere their activities at work.Aims and Objectives: This study aimed to assess the prevalence of PMS among reproductive aged Myanmar women from medical field and to investigate the frequency and severity of symptoms experience by the women with PMS.Materials and Methods: All participants were asked to complete a questionnaire derived from Calendar of Premenstrual Experiences (COPE) for two consecutive menstrual cycle to diagnose PMS and PMDD. A cross-sectional descriptive study was conducted in 400 reproductive aged women (between 15 - 45 years) among the medical students, doctors and nurses.Results: Out of 400 subjects, 149 women (37.3%) met DSM-IV criteria for PMS and 251 women (62.7%) did not have PMS. Among PMS women, 81 women (54.4%) had PMDD. The most frequent PMS symptoms were poor concentration (88.6%), irritability (87.3%), ache and pain (81.9%), increased appetite (79.2%) and breast swelling (75.8%). The most frequent symptom in mild and moderate PMS is physical symptom (ache and pain) and that in PMDD was psychological symptom (poor concentration).Conclusion: The prevalence of PMS with high PMDD proportion was found in reproductive aged Myanmar women from medical field.Asian Journal of Medical Sciences Vol.7(4) 2016 39-43

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Pengetahuan Mahasiswi Universitas Al Azhar Indonesia Terhadap Premenstrual Syndrome

JURNAL Al-AZHAR INDONESIA SERI SAINS DAN TEKNOLOGI ◽

10.36722/sst.v2i3.141 ◽

2015 ◽

Vol 2 (3) ◽

pp. 193

Author(s):

Riris Lindiawati Puspitasari ◽

Dewi Elfidasari ◽

Kun Mardiwati Rahayu

Keyword(s):

Premenstrual Syndrome ◽

Population Sample ◽

Reproductive Organs ◽

Cross Sectional Study ◽

Hormonal Control ◽

P Value ◽

Cross Sectional ◽

Knowledge Age ◽

Physical Changes ◽

Age Of Menarche

Abstrak – Tahap perkembangan remaja ditandai dengan perubahan fisik umum yang disertai perkembangan kognitif maupun sosial. Menstruasi merupakan proses alamiah organ reproduksi wanita dengan pengendalian hormon. Salah satu gangguan menstruasi adalah Premenstrual Syndrome atau sindrom sebelum haid atau dikenal juga sebagai ketegangan sebelum haid. Siklus menstruasi yang tidak teratur, penurunan level progesteron dan peningkatan level estrogen, stres, usia menarche yang terlalu cepat, dan status gizi merupakan beberapa faktor penyebab PMS. Penelitian ini bertujuan untuk mengetahui pengetahuan mahasiswi Universitas Al Azhar Indonesia terhadap PMS. Metodologi yang digunakan yaitu studi Cross Sectional. Populasi sampel penelitian adalah mahasiswi Universitas Al Azhar Indonesia. Variabel independen yang dipilih yaitu pengetahuan, usia menarche, siklus haid, olahraga, nutrisi, produktivitas, dan indeks massa tubuh (IMT). Berdasarkan uji bivariat dan multivariat regresi logistik tidak ditemukan hubungan yang signifikan antara pengetahuan dengan premenstrual syndrome pada mahasiswi UAI yaitu pengetahuan dengan p value 0,169; OR 0,473; 95% CI 0,163-1,374. Responden yang memiliki pengetahuan 0,473 kali lebih baik dalam penatalaksanaan premenstrual syndrome daripada responden yang memiliki pengetahuan kurang. Abstract – Adolescent developmental stage characterized by common physical changes that accompanied the cognitive and social development. Menstruation was known as a natural process of hormonal control in the female reproductive organs. One of menstrual disorders was premenstrual syndrome or syndrome before menstruation or also known as tension before menstruation. Irregular menstrual cycles, decreased levels of progesterone, increased level of estrogen, stress, menarche age, and nutritional status were informed as factors that cause premenstrual syndrome. This study aimed to determine student’s knowledge to premenstrual syndrome. The methodology used was a cross sectional study. The population sample was a student of University Al Azhar Indonesia. The independent variables were selected, namely knowledge, age of menarche, menstrual cycle, exercise, nutrition, productivity, and body mass index (BMI). Based on the test bivariate and multivariate logistic regression found no significant relationship between knowledge with premenstrual syndrome in UAI student that knowledge with p value 0.169; OR 0.473; 95% CI 0.163 to 1.374. Respondents who had knowledge 0.473 times better than others in treatment of premenstrual syndrome. Keywords: Premenstrual Syndrome, knowlwdge, menstruation, menarche.

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POS1274 THERAPEUTIC MANAGEMENT OF RHEUMATOLOGISTS VERSUS OTORHINOLARYNGOLOGISTS OF CERVICOGENIC DIZZINESS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.2230 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 921.2-922

Author(s):

M. Yasmine ◽

K. Maatallah ◽

H. Ferjani ◽

W. Triki ◽

D. Ben Nsib ◽

...

Keyword(s):

Physical Therapy ◽

Treatment Approach ◽

Cross Sectional Study ◽

Treatment Modalities ◽

Sectional Study ◽

Cross Sectional ◽

Standard Assessment ◽

Number Of Patients ◽

Cervicogenic Dizziness ◽

No Gold Standard

Background:The treatment of patients presenting with cervicogenic dizziness (CGD) may be challenging. Indeed, there is no consensual treatment approach for CGD, nor is there no gold-standard assessment for diagnosis.Objectives:Our study aimed to assess the management of CGD by rheumatologists versus otorhinolaryngologists.Methods:We conducted a cross-sectional study including Tunisian doctors dealing with CGD. Rheumatologists (RTO) and otorhinolaryngologists (ORL) were invited to answer a questionnaire via google form about CGD daily management. Outcomes of interest were treatment modalities.Results:The study included 30 RTO and 32 ORL. Most of the doctors (RTO, vs ORL) were females (88.3%, vs 56.3%), aged between 35 and 45 (43.3%, vs 62.5%), and worked at a private practice (33.3%, vs 59.4%). The number of patients diagnosed with CGD by RTO was as follows: 1-2 per year (33.3%), 1-2 per month (18.8%), 1-2 per week (20%), less than one patient a year (10%) and none in 3.3% of cases. The number of patients diagnosed with CGD by ORL was as follows: 1-2 per year (50%), 1-2 per month (33.3%), 1-2 per week (6.2%), less than one patient a year (15.7%) and none (9.4%). Most patients presenting with CGD were females in both groups (93.1%, vs 82.8% respectively) with a mean age between 36 and 65 (79.3%, vs 82.1%). Most of the respondents declared treating patients with CGD (93.1%, vs 79.1%). Regarding treatment modalities, physical therapy was the most prescribed in both specialties (81.5% and 48.3%, respectively). Only RTO (18.5%) prescribed manual therapy. Concerning medical treatment, anti-inflammatory were the most prescribed drugs in both groups (92.6, and 34.5%, respectively). Sixty-seven percent of RTO prescribed anti-vertigo medication. Interestingly, it was the least prescribed drug by ORL (6.9%). Only RTO (59.3%) prescribed Muscle relaxants.Conclusion:Despite the disparities in the management of CGD, physical therapy remains the first prescribed treatment by Tunisian doctors. Further studies are needed to establish a consensus to treat CGD.Disclosure of Interests:None declared

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The prescription pattern and awareness about antibiotic prophylaxis and resistance among a group of Egyptian pediatric and general dentists: a cross sectional study

BMC Oral Health ◽

10.1186/s12903-021-01685-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mariam Mohsen Aly ◽

Marwa Aly Elchaghaby

Keyword(s):

Antibiotic Resistance ◽

Antibiotic Prophylaxis ◽

Antibiotic Prescription ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Eligibility Criteria ◽

Cross Sectional ◽

Validated Questionnaire ◽

General Dentists

Abstract Background The use of antibiotics in dentistry as prophylaxis and treatment is frequent. Their misuse has led to a major public health problem globally known as antibiotic resistance. This study aimed to assess the pattern of antibiotic prescription and its prophylactic use for systemic conditions. Besides, this study evaluated the awareness and adherence to antibiotic prescription guidelines and antibiotic prophylaxis guidelines along with awareness of antibiotic resistance across pediatric and general dentists. Methods An overall of 378 pediatric and general dentists meeting the required eligibility criteria, fulfilled a pre-designed validated questionnaire. Data were collected, tabulated, and statistically analyzed. Results A significant statistical difference was found among the pediatric and general dentists regarding antibiotics prescription for most of the oral conditions where Amoxicillin with clavulanic acid was the most frequently prescribed antibiotic among the two groups (53% pediatric dentist and 52% general dentist). The majority of pediatric and general dentists, on the other hand, were aware of antibiotic resistance and prescribing recommendations. Conclusions The present study showed a tendency to overprescribe and overuse antibiotics in certain dental conditions among the participants. The vast majority of dentists, especially general dentists do not have adherence to professional guidelines for antibiotics prescription in children despite their awareness of antibiotic resistance and prescription guidelines.

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