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The impact of premenstrual dysphoric disorder among 92 bipolar patients

Published online by Cambridge University Press:  16 April 2020

M. Fornaro  and
G. Perugi
M. Fornaro*
Affiliation:
Department of Neuroscience, Section of Psychiatry, University of Genoa, 16100Genova, Italy
G. Perugi
Affiliation:
Department of Psychiatry, University of Pisa, Pisa, Italy Institute of Behavioral Sciences “G. De Lisio”, Pisa, Italy
*
*Corresponding author. E-mail address: [email protected] (M. Fornaro).
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Abstract

Objectives

To evaluate the impact of Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition (DSM-IV)-defined premenstrual dysphoric disorder (PMDD) lifetime co-morbidity among 92 bipolar patients.

Method

Ninety-two women with a lifetime diagnosis of DSM-IV-defined Bipolar Disorder (BD) either type I or type II were consecutively enrolled to determine co-morbidity rates with PMDD and associated clinical features. Measures included the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) and the Clinical Global Impression (CGI) rating scale.

Results

In our sample, 25 (27.2%) patients reported a lifetime history of PMDD according to DSM-IV criteria (PMDD+). PMDD+ reported higher rates of Cyclothymia and BP-II than PMDD− (respectively 72% vs. 36% and 88% vs. 60%). On the contrary, the carbohydrate-craving feature was more represented among PMDD− than PMDD+ (25% vs. 4%). PMDD was also significantly associated with post-partum depression (36% vs. 15%), Obsessive-Compulsive (24% vs. 7.5%) and Body Dysmorphic Disorders (24% vs. 6%). Finally, PMDD+ reported higher total number of Axis I co-morbid disorders than PMDD−.

Conclusions

In our cohort of BD women, PMDD is a frequent co-morbid condition, in particular among patients with BD-II or Cyclothymia. Multiple co-morbidities also represent a clinical variable associated with PMDD. Further perspective studies are necessary to better define the relationships between PMDD and BD.

Keywords

Premenstrual dysphoric disorder (PMDD)Bipolar disorderDSM-IV
Type
Bipolar Disorder
Information
European Psychiatry , Volume 25 , Issue 8 , December 2010 , pp. 450 - 454
Copyright
Copyright © Elsevier Masson SAS 2010

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