PDF(Pubmed)
Abstract：
UNASSIGNED: Premenstrual dysphoric disorder (PMDD) is the most prevalent but neglected psychiatric disorder, with somatic symptoms that are severe enough to markedly affect usual daily activities and have a negative impact on mental health and quality of life by affecting female patients\' behavior and cognition. Studies regarding premenstrual dysphoric disorder and associated factors among high school students in low- and middle-income countries are limited. Therefore, the aim of this study was to assess the prevalence and associated factors of PMDD among high school students, and this is pivotal in further investigation.
UNASSIGNED: A school-based cross-sectional study was conducted from March 25 to April 17, 2023 using a simple random-sampling technique to select a sample of 564 participants. Premenstrual dysphoric disorder was assessed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Self-administered standardized questionnaires were used to collect data.
UNASSIGNED: A total of 548 study participants participated, with a 97.2% response rate. The prevalence of premenstrual dysphoric disorder among high school students was found to be 33.03% (95%CI: 29.20-37.09). In a multivariable analysis, irregular menstruation cycle (AOR = 4.242, 95%CI = 2.182-8.246), depression (AOR = 5.272, 95%CI = 2.779-10.002), having greater than 4 days of menstruation bleeding duration (AOR = 2.138, 95%CI = 1.105-4.138), and high perceived stress (AOR = 3.468, 95%CL = 1.217-9.880) were the factors significantly associated with premenstrual dysphoric disorder.
UNASSIGNED: The overall prevalence of PMDD which was one-third among high school students was high. Moreover, long duration of menstruation bleeding, depressive symptoms, irregular menstruation cycle, and high perceived stress were significant factors in PMDD. Therefore, it needs early screening and intervention in primary healthcare settings, especially for those who have high perceived stress, having depression, having a long duration of menstruation bleeding, and having an irregular menstruation cycle, so as to have good academic achievement and psychological wellbeing.
UNASSIGNED: A school-based cross-sectional study was conducted from March 25 to April 17, 2023 using a simple random-sampling technique to select a sample of 564 participants. Premenstrual dysphoric disorder was assessed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Self-administered standardized questionnaires were used to collect data.
UNASSIGNED: A total of 548 study participants participated, with a 97.2% response rate. The prevalence of premenstrual dysphoric disorder among high school students was found to be 33.03% (95%CI: 29.20-37.09). In a multivariable analysis, irregular menstruation cycle (AOR = 4.242, 95%CI = 2.182-8.246), depression (AOR = 5.272, 95%CI = 2.779-10.002), having greater than 4 days of menstruation bleeding duration (AOR = 2.138, 95%CI = 1.105-4.138), and high perceived stress (AOR = 3.468, 95%CL = 1.217-9.880) were the factors significantly associated with premenstrual dysphoric disorder.
UNASSIGNED: The overall prevalence of PMDD which was one-third among high school students was high. Moreover, long duration of menstruation bleeding, depressive symptoms, irregular menstruation cycle, and high perceived stress were significant factors in PMDD. Therefore, it needs early screening and intervention in primary healthcare settings, especially for those who have high perceived stress, having depression, having a long duration of menstruation bleeding, and having an irregular menstruation cycle, so as to have good academic achievement and psychological wellbeing.
摘要：
■经前烦躁不安症（PMDD）是最普遍但被忽视的精神疾病，躯体症状严重到足以显著影响日常活动，并通过影响女性患者的行为和认知对心理健康和生活质量产生负面影响。在低收入和中等收入国家的高中生中，关于经前烦躁不安和相关因素的研究是有限的。因此,这项研究的目的是评估高中生PMDD的患病率和相关因素，这对进一步调查至关重要。
■于2023年3月25日至4月17日进行了一项基于学校的横断面研究，使用简单的随机抽样技术选择了564名参与者的样本。使用精神疾病诊断和统计手册（DSM-5）评估经前烦躁不安。采用自编标准化问卷收集数据。
■共有548名研究参与者参与，响应率为97.2%。高中生经前烦躁不安的患病率为33.03%(95CI:29.20-37.09)。在多变量分析中，月经周期不规则（AOR=4.242，95CI=2.182-8.246），抑郁症（AOR=5.272，95CI=2.779-10.002），月经出血持续时间大于4天（AOR=2.138，95CI=1.105-4.138），和高感知压力（AOR=3.468，95％CL=1.217-9.880）是与经前焦虑障碍显着相关的因素。
■PMDD的总体患病率很高，在高中生中占三分之一。此外，月经出血持续时间长，抑郁症状,月经周期不规则，高感知压力是PMDD的重要因素。因此,它需要在初级医疗保健环境中进行早期筛查和干预，特别是对于那些有高度感知压力的人，有抑郁症,月经出血持续时间长，月经周期不规则，从而获得良好的学习成绩和心理健康。
■于2023年3月25日至4月17日进行了一项基于学校的横断面研究，使用简单的随机抽样技术选择了564名参与者的样本。使用精神疾病诊断和统计手册（DSM-5）评估经前烦躁不安。采用自编标准化问卷收集数据。
■共有548名研究参与者参与，响应率为97.2%。高中生经前烦躁不安的患病率为33.03%(95CI:29.20-37.09)。在多变量分析中，月经周期不规则（AOR=4.242，95CI=2.182-8.246），抑郁症（AOR=5.272，95CI=2.779-10.002），月经出血持续时间大于4天（AOR=2.138，95CI=1.105-4.138），和高感知压力（AOR=3.468，95％CL=1.217-9.880）是与经前焦虑障碍显着相关的因素。
■PMDD的总体患病率很高，在高中生中占三分之一。此外，月经出血持续时间长，抑郁症状,月经周期不规则，高感知压力是PMDD的重要因素。因此,它需要在初级医疗保健环境中进行早期筛查和干预，特别是对于那些有高度感知压力的人，有抑郁症,月经出血持续时间长，月经周期不规则，从而获得良好的学习成绩和心理健康。
