Personality disorders in women with severe premenstrual syndrome
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Stephanie A. Sassoon , Ian M. Colrain , Fiona C. Baker
- چاپ و سال / کشور: 2011
Description
Premenstrual syndrome (PMS) and its more severe form, premenstrual dysphoric disorder, affect up to 18% of women. Both are commonly associated with other mood-related disorders such as major depression, and cause significant life impairment, but their relationship with personality disorders is less clear. After completing the Structured Clinical Interview for DSM-IV-TR disorders, 33 women with severe PMS and 26 asymptomatic women, counterbalanced for menstrual cycle phase, were administered the Structured Interview for DSM-IV Personality Disorders, a diagnostic interview with low transparency, strong inter-rater reliability, and good diagnostic clarity. Women with severe PMS had a higher prevalence of personality disorders (p=0.003) than asymptomatic women (27% versus 0%), and were more likely to have odd– eccentric, dramatic–erratic, and anxious–fearful personality disorder traits (p<0.05). Obsessive–compulsive personality disorder (OCPD) was the most common character pathology in the PMS group (n=6, 18%). OCPD, although not necessarily associated with greater severity of premenstrual symptoms, was related to poorer life functioning in women with PMS. The comorbidity of a personality disorder and severe PMS places an additive burden on general life functioning and may have implications for psychiatric treatment or medication given to those with severe premenstrual symptoms.
Arch Womens Ment Health (2011) 14:257–264 Received: 21 October 2010 / Accepted: 24 January 2011 / Published online: 7 February 2011 # Springer-Verlag 2011
