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Relationships between age and symptom severity among women seeking medical treatment for premenstrual symptoms

Published online by Cambridge University Press:  09 July 2009

E. W. Freeman*
Affiliation:
Departments of Obstetrics/Gynecology and Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, USA
K. Rickels
Affiliation:
Departments of Obstetrics/Gynecology and Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, USA
E. Schweizer
Affiliation:
Departments of Obstetrics/Gynecology and Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, USA
T. Ting
Affiliation:
Departments of Obstetrics/Gynecology and Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, USA
*
1Address for correspondence: Dr Ellen W. Freeman, Department of Obstetrics/Gynecology, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, PA 19104, USA.

Synopsis

Age at the time of seeking treatment for premenstrual symptoms (PMS) was examined in a sample of 332 women who reported severe distress and met criteria for Late Luteal Phase Dysphoric Disorder (LLPDD). The mean age of the sample was 33·1 (±5·3) years. Severity of symptoms decreased with age and was not associated with the duration of symptoms. Depression-related factors were associated with the severity of PMS, and together with the duration of symptoms, were the best discriminators between the younger (ages 20–35) and older (ages 36–44) women in this sample. These data suggest that the years of the late twenties through mid-thirties are the most vulnerable time for distressing PMS and fail to support the clinical premise that PMS worsens with age until menopause. Further longitudinal study should be conducted to confirm and extend these findings.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1995

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References

American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders: DSM-III-R, 3rd edn. revised. American Psychiatric Association: Washington, DC.Google Scholar
Black, D. W., Winokur, G., Nasrallah, A. & Brewin, A. (1992). Psychotic symptoms and age of onset in affective disorders. Psychopalhology 25, 1922.Google Scholar
Casper, R. F. & Hearn, M. T. (1990). The effect of hysterectomy and bilateral oophorectomy in women with severe premenstrual syndrome. American Journal of Obstetrics and Gynecology 162, 105109.CrossRefGoogle ScholarPubMed
Casson, P., Hahn, P. M., Van Vugt, D. A. & Reid, R. L. (1990). Lasting response to ovariectomy in severe intractable premenstrual syndrome. American Journal of Obstetrics and Gynecology 162, 99105.Google Scholar
Dalton, K. (1991). Premenstrual syndrome: an alternative view. British Journal of Hospital Medicine 45, 341.Google ScholarPubMed
DeJong, R., Rubinow, D. R., Roy-Byrne, P., Hoban, M. C., Grover, G. N. & Post, R. M. (1985). Premenstrual mood disorder and psychiatric illness. American Journal of Psychiatry 142, 13591361.Google ScholarPubMed
Freeman, E., Rickels, K., Sondheimer, S. J. & Polansky, M. (1990). Ineffectiveness of progesterone suppository treatment for premenstrual syndrome. Journal of the American Medical Association 264, 349353.CrossRefGoogle ScholarPubMed
Häfner, H., Maurer, K., Löffler, W. & Riecher-Rössler, A. (1993). The influence of age and sex on the onset and early course of schizophrenia: British Journal of Psychiatry 162, 8086.CrossRefGoogle ScholarPubMed
Halbreich, U. & Endicott, J. (1985). Relationship of dysphoric premenstrual changes in depressive disorders. Acta Psychiatrica Scandinavica 71, 331.CrossRefGoogle ScholarPubMed
Halbreich, U., Alt, I. H. & Paul, L. (1988). Premenstrual changes: impaired hormonal homeostasis. Endocrinology and Metabolism Clinics of North America 17, 173194.CrossRefGoogle ScholarPubMed
Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology 32, 5055.Google Scholar
Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology 6, 278.CrossRefGoogle ScholarPubMed
Hammarbäck, S. & Bäckström, T. (1988). Induced anovulation as treatment of premenstrual tension syndrome: a double-blind cross-over study with GnRH-agonists versus placebo. Acta Obstetrica et Gynecologica Scandinavica 67, 159166.Google Scholar
Hammarbäck, S., Bäckström, T. & MacGibbon-Taylor, B. (1989). Diagnosis of premenstrual tension syndrome: description and evaluation of a procedure for diagnosis and differential diagnosis. Journal of Psychosomatic Obstetrics and Gynecology 10, 2542.CrossRefGoogle Scholar
Harrison, W. M., Endicott, J., Nee, J., Glick, H. & Rabkin, J. G. (1989). Characteristics of women seeking treatment for premenstrual syndrome. Psychosomatics 30, 405411.CrossRefGoogle ScholarPubMed
Horwath, E., Johnson, J., Weissman, M. M. & Hornig, C. C. (1992). The validity of major depression with atypical features based on a community study. Journal of Affective Disorders 26, 117126.CrossRefGoogle ScholarPubMed
Hurt, S. W., Schnurr, P. P., Severino, S. K., Freeman, E. W., Gise, L. H., Rivera-Tovar, A. & Steege, J. F. (1992). Late luteal phase dysphoric disorder in 670 women evaluated for premenstrual complaints. American Journal of Psychiatry 149, 525530.Google ScholarPubMed
Kuczmierczyk, A. R., Labrum, A. H. & Johnson, C. C. (1992). Perception of family and work environments in women with premenstrual syndrome. Journal of Psychosomatic Research 36, 787795.CrossRefGoogle ScholarPubMed
McElroy, S. L., Keck, P. E. Jr., Pope, H. G. Jr., Hudson, J. I., Faedda, G. L. & Swann, A. C. (1992). Clinical and research implications of the diagnosis of dysphoric or mixed mania or hypomania. Journal of Psychiatry 149, 16331644.Google Scholar
Mortola, J. F., Girton, L. & Fischer, U. (1991). Successful treatment of severe premenstrual syndrome by combined use of gonadotropin-releasing hormone agonist and estrogen/progestin. Journal of Clinical Endocrinology and Metabolism 72, 252A252F.CrossRefGoogle ScholarPubMed
Muse, K. N., Cetel, N. S., Futterman, L. A. & Yen, S. S. C. (1984). The premenstrual syndrome: effects of ‘medical ovariectomy’. New England Journal of Medicine 311, 13451349.CrossRefGoogle ScholarPubMed
Pearlstein, T. B., Frank, E., Rivera-Tovar, A., Thoft, J. S., Jacobs, E. & Mieczkowski, T. A. (1990). Prevalence of axis I and axis II disorders in women with late luteal phase dysphoric disorder. Journal of Affective Disorders 20, 129134.CrossRefGoogle ScholarPubMed
Ramacharan, S., Love, E. J., Fick, G. H. & Goldfien, A. (1992). The epidemiology of premenstrual symptoms in a population-based sample of 2650 urban women: attributable risk and risk factors. Journal of Clinical Epidemiology 45, 377392.CrossRefGoogle Scholar
Robins, L. N. & Regier, D. A. (1991). Psychiatric Disorders in America. The Free Press: New York.Google Scholar
Scheibe, G. & Albus, M. (1992). Age at onset, precipitating events, sex distribution, and co-occurrence of anxiety disorders. Psychopathology 25, 1118.CrossRefGoogle ScholarPubMed
Schnurr, P. P. (1988). Some correlates of prospectively defined premenstrual syndrome. American Journal of Psychiatry 145, 491494.Google ScholarPubMed
Spitzer, R. L. & Endicott, J. (1975). Schedule for Affective Disorders and Schizophrenia – Lifetime Version. New York Psychiatric Institute, Biometrics Research: New York.Google Scholar
Steege, J. F., Stout, A. L. & Rupp, S. L. (1985). Relationships among premenstrual symptoms and menstrual cycle characteristics. Obstetrics and Gynecology 65, 398.Google Scholar
Warner, P. & Bancroft, J. (1990). Factors related to self-reporting of the pre-menstrual syndrome. British Journal of Psychiatry 157, 249260.CrossRefGoogle ScholarPubMed
Warner, P., Bancroft, J., Dixson, A. & Hampson, M. (1991). The relationship between perimenstrual depressive mood and depressive illness. Journal of Affective Disorders 23, 923.CrossRefGoogle ScholarPubMed
Woods, N. F., Most, A. & Dery, G. K. (1982). Prevalence of perimenstrual symptoms. American Journal of Public Health 72, 12571264.Google Scholar
York, R., Freeman, E., Lowery, B. & Strauss, J. F. (1989). Characteristics of premenstrual syndrome. Obstetrics and Gynecology 73, 601605.Google ScholarPubMed