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The Assessment of the Symptoms of Premenstrual Syndrome and their Response to Therapy

Published online by Cambridge University Press:  29 January 2018

Gwyneth A. Sampson  and
Philip Prescott
Gwyneth A. Sampson
Affiliation:
Queenswood Psychiatric Unit, Middlewood Hospital, Sheffield, S6 1TP
Philip Prescott
Affiliation:
Faculty of Mathematical Studies, University of Southampton, SO9 5NH
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Summary

The symptoms of premenstrual syndrome should be rated daily, or at frequent intervals throughout the menstrual cycle. Self-rating is usually most feasible and separate rating of differing symptom groups is important, as symptoms differ in their response to therapy. Daily scores should be analysed to assess periodicity, either by subdividing the cycle into phases or by using the least mean square method of fitting sine waves. Standardized scores enable data to be compared across cycles. In a clinical trial it is important to include an untreated cycle to assess whether the subject has premenstrual syndrome and as a baseline with which to compare treated cycles. Allowance should be made for a carry-over effect and for high placebo response. One solution is to use a change-over design balanced for carry-over effects. The criteria used to define a patient should be stated.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 138 , Issue 5 , May 1981 , pp. 399 - 405
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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References

Altman, M. Knowles, E. & Bull, H. D. (1941) A psychosomatic study of the sex cycle in women. Psychosomatic Medicine, 3, 199–225.Google Scholar
Andersch, B. Hahn, L. Wendestam, C. Ohman, R. & Abrahamson, L. (1978) Treatment of premenstrual tension syndrome with bromocryptine. Acta Endocrinologica Supplement, 216, 88, 165–174.Google Scholar
Benedek, T. & Rubenstein, B. B. (1939) The correlations between ovarian activity and psychodynamic processes, Part 2 (The menstrual phase). Psychosomatic Medicine, 1, 461–485.Google Scholar
Beumont, P. J. V. Richards, D. H. & Gelder, M. G. (1975) A study of minor psychiatric and physical symptoms during the menstrual cycle. British Journal of Psychiatry, 126, 431–434.Google Scholar
Clare, A. W. (1979a). The treatment of premenstrual symptoms. British Journal of Psychiatry, 135, 576–579.CrossRefGoogle ScholarPubMed
Clare, A. W. (1979b) Psychological aspects of women with the premenstrual syndrome. Current Medical Research Opinion, 6, Supplement 5, 11–18.Google Scholar
Cullberg, J. (1972) Mood changes and menstrual symptoms with different gestagen/estrogen combinations. A double blind comparison with a placebo. Acta Psychiatrica Scandinavica, 236, Supplement.Google Scholar
Dalton, K. (1977) The Premenstrual Syndrome and Progesterone Therapy. London: E. Heinemann.Google Scholar
Frank, R. T. (1931) The hormonal causes of premenstrual tension. Archives of Neurology, 26, 1053–1057.Google Scholar
Gottschalk, L. A. Kaplan, S. M. Gleser, G. C. & Winget, C. (1962) Variations in magnitude of emotion—a method applied to anxiety and hostility during phases of the menstrual cycle. Psychosomatic Medicine, 24, 300–311.Google Scholar
Graham, J. J. Harding, P. E. Wise, P. H. & Berriman, H. (1978) Prolactin suppression in the treatment of premenstrual syndrome. Medical Journal of Australia, 1978, Special Supplement, 18–20.Google Scholar
Herzberg, B. N. Johnson, A. L. & Brown, S. (1970) Depressive symptoms and oral contraceptives. British Medical Journal, 4, 142–145.CrossRefGoogle ScholarPubMed
International Health Foundation (1979) The Premenstrual Syndrome. A report from the International Health Foundation, Geneva. (15BN 92–9003–115–8).Google Scholar
Ivey, M. E. & Bardwick, J. M. (1968) Patterns of affective fluctuation in the menstrual cycle. Psychosomatic Medicine, 30, 336–345.Google Scholar
Jenner, F. A. (1977) Some of the problems and difficulties associated with clinical studies of antidepressant agents. British Journal of Clinical Pharmacology, 4, 199S–208S.Google Scholar
Jordheim, O. (1972) The premenstrual syndrome—clinical trials of treatment with a progestogen combined with a diuretic compared with both a progestogen alone and with a placebo. Acta Obstetrica Gynaecologica Scandinavica, 51, 77–80.Google Scholar
McCance, R. A., Luff, M. C. & Widdowson, E. H. (1937) Physical and emotional periodicity in women. Journal of Hygiene (London), 37, 571–611.Google Scholar
May, P. R. (1976) Mood shifts and the menstrual cycle. Journal of Psychosomatic Research, 20, 125–130.Google Scholar
Mattson, B. & Schoultz, B. V. (1974) A comparison between lithium, placebo and a diuretic in premenstrual tension. Acta Psychiatrica Scandinavica Supplement, 255, 75–84.Google Scholar
Moos, R. H. (1977) Menstrual Distress Questionnaire Manual. Stamford, California: Social Ecology Laboratory, Stamford University.Google Scholar
O'Brien, P. M. S. Craven, D. Selby, C. & Symonds, E. M. (1979) Treatment of premenstrual syndrome by spironolactone. British Journal of Obstetrics and Gynaecology, 86, 142–147.Google Scholar
Paige, K. E. (1971) Effects of oral contraceptives on affective fluctuations associated with the menstrual cycle. Psychosomatic Medicine, 33, 515–537.Google Scholar
Parlee, M. B. (1974) Stereotypic beliefs about menstruation: a methodological note on the Moos Menstrual Distress Questionnaire and some new data. Psychosomatic Medicine, 36, 229–240.Google Scholar
Persky, H. (1974) Reproductive hormones, moods and the menstrual cycle. In Sex Differences in Behaviour, (ed. Friedman, R. C.). New York: Wiley.Google Scholar
Rees, L. (1953) Psychosomatic aspects of the premenstrual tension syndrome. Journal of Mental Science, 99, 62–73.Google Scholar
Sampson, G. A. & Jenner, F. A. (1977) Studies of daily recordings from the Moos Menstrual Distress Questionnaire. British Journal of Psychiatry, 130, 265–271.Google Scholar
Sampson, G. A. (1979) Premenstrual syndrome: a double blind controlled trial of progesterone and placebo. British Journal of Psychiatry, 135, 209–215.Google Scholar
Silbergeld, S. Brast, N. & Noble, E. P. (1971) A double blind study of symptoms, mood and behaviour, and biochemical variables using ‘Enovid’ and placebo. Psychosomatic Medicine, 33, 411–427.Google Scholar
Wilcoxon, L. A. Schrader, S. L. & Sherif, C. W. (1976) Daily self reports on activities, life events, moods and somatic changes during the menstrual cycle. Psychosomatic Medicine, 38, 6, 399–417.Google Scholar
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