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.
■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。