PDF(Pubmed)
Abstract：
Premenstrual disorders (PMD) are characterised by a cluster of somatic and psychological symptoms of varying severity that occur during the luteal phase of the menstrual cycle and resolve during menses (Freeman and Sondheimer, Prim Care Companion J Clin Psychiatry 5:30-39, 2003; Halbreich, Gynecol Endocrinol 19:320-334, 2004). Although PMD have been widely recognised for many decades, their precise cause is still unknown and there are no definitive, universally accepted diagnostic criteria. To consider this issue, an international multidisciplinary group of experts met at a face-to-face consensus meeting to review current definitions and diagnostic criteria for PMD. This was followed by extensive correspondence. The consensus group formally became established as the International Society for Premenstrual Disorders (ISPMD). The inaugural meeting of the ISPMD was held in Montreal in September 2008. The primary aim was to provide a unified approach for the diagnostic criteria of PMD, their quantification and guidelines on clinical trial design. This report summarises their recommendations. It is hoped that the criteria proposed here will inform discussions of the next edition of the World Health Organisation\'s International Classification of Diseases (ICD-11), and the American Psychiatric Association\'s Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V) criteria that are currently under consideration. It is also hoped that the proposed definitions and guidelines could be used by all clinicians and investigators to provide a consistent approach to the diagnosis and treatment of PMD and to aid scientific and clinical research in this field.
摘要：
经前疾病（PMD）的特征是一系列严重程度不同的躯体和心理症状，这些症状发生在月经周期的黄体期，并在月经期间消退（Freeman和Sondheimer，PrimCareCompanionJClinPsychiatry5:30-39,2003;Halbreich,GynecolEndocrinol19:320-334,2004)。尽管PMD已经被广泛认可了几十年，他们的确切原因仍然未知，也没有确定的原因，普遍接受的诊断标准。考虑到这个问题,一个国际多学科专家组在一次面对面的共识会议上开会,审查了PMD的当前定义和诊断标准.随后是大量的通信。共识小组正式成立为国际经前疾病协会（ISPMD）。ISPMD的成立会议于2008年9月在蒙特利尔举行。主要目的是为PMD的诊断标准提供统一的方法，他们的量化和临床试验设计指南。这份报告总结了他们的建议。希望这里提出的标准将为下一版世界卫生组织国际疾病分类（ICD-11）的讨论提供信息。和美国精神病学协会的精神疾病诊断和统计手册，目前正在考虑的第五版(DSM-V)标准。还希望所有临床医生和研究人员都可以使用拟议的定义和指南，为PMD的诊断和治疗提供一致的方法，并帮助该领域的科学和临床研究。
