PDF(Pubmed)
Abstract：
OBJECTIVE: We aimed to describe the clinical characteristics of female patients presenting with premenstrual disorders to a tertiary service in the UK. We conducted a retrospective case-note review of referrals to the National Female Hormone Clinic from April 2014 to August 2020. Based on clinical assessment, we determined whether the patient met criteria for premenstrual dysphoric disorder or premenstrual exacerbation of an underlying psychiatric disorder.
RESULTS: Of 146 patients seen in clinic for premenstrual disorders, an ICD-10 psychiatric diagnosis was made in 130 (89.0%); a minority 16 (11.0%) did not have a psychiatric diagnosis. Following assessment, 94 patients (64.4%) met criteria for premenstrual dysphoric disorder and 67 (45.6%) had exacerbation of a psychiatric disorder.
CONCLUSIONS: Patients presenting to this specialist service had complex psychiatric comorbidity; almost half presented with exacerbation of a psychiatric disorder.
RESULTS: Of 146 patients seen in clinic for premenstrual disorders, an ICD-10 psychiatric diagnosis was made in 130 (89.0%); a minority 16 (11.0%) did not have a psychiatric diagnosis. Following assessment, 94 patients (64.4%) met criteria for premenstrual dysphoric disorder and 67 (45.6%) had exacerbation of a psychiatric disorder.
CONCLUSIONS: Patients presenting to this specialist service had complex psychiatric comorbidity; almost half presented with exacerbation of a psychiatric disorder.
摘要：
目的：我们的目的是描述在英国三级服务中出现经前期疾病的女性患者的临床特征。我们从2014年4月至2020年8月对国家女性激素诊所的转诊进行了回顾性病例回顾。根据临床评估，我们确定患者是否符合经前焦虑障碍或经前加重的基础精神疾病的标准.
结果：在门诊就诊的146例经前紊乱患者中，130例(89.0%)进行了ICD-10精神病诊断;少数16例(11.0%)没有精神病诊断.评估后,94例（64.4％）符合经前烦躁不安症的标准，67例（45.6％）患有精神疾病恶化。
结论：接受这种专科服务的患者患有复杂的精神病合并症；几乎一半的患者出现精神病加重。
结果：在门诊就诊的146例经前紊乱患者中，130例(89.0%)进行了ICD-10精神病诊断;少数16例(11.0%)没有精神病诊断.评估后,94例（64.4％）符合经前烦躁不安症的标准，67例（45.6％）患有精神疾病恶化。
结论：接受这种专科服务的患者患有复杂的精神病合并症；几乎一半的患者出现精神病加重。
