经前期综合征影响因素研究进展

doi:10.7504/fk2014080122

摘要/Abstract

摘要：

经前期综合征（premenstrual syndrome，PMS）是指反复在黄体期出现周期性的以躯体和精神症状为特征的综合征，月经来潮后，症状自然消失。伴有严重情绪不稳定的PMS称为经前焦虑性障碍( pre-menstrual dysphoric disorder, PMDD)，美国《精神疾病诊断与统计手册》第五版（DSM-5）将其作为抑郁症的一个亚型。PMS由于没有明确的生理诊断依据，各研究者使用的评价方法、研究设计和研究对象不同，发病率报道不一，有报道高达50％的育龄妇女都曾经历过，其中PMDD的患病率在3％~8％；约旦妇女的PMS和PMDD患病率分别为80.2％和10.2％，高于多数文献；东亚PMDD的患病率(1.3%~2.8%) 低于西方(3%~8%)。按照DSM-5关于PMDD的诊断标准，绝经前妇女符合PMDD诊断标准的比例少于10%。PMS的病因尚不清楚，可能与卵巢激素变化、神经递质改变、精神心理因素等有关。本文对PMS的影响因素综述如下。

关键词: 经前期综合征, 影响因素

Key words: premenstrual syndrome, influencing factors

中图分类号:

Ｒ714.256

陈科亮1,2，陈炜1. 经前期综合征影响因素研究进展[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2014080122.

参考文献

［1］    乐杰.妇产科学［M］.7版. 北京：人民卫生出版社，2008:319-320.

［2］   American Psychiatric Association.Diagnostic and statistical manual of mental disorders［M］. 5th ed. Arlington: Am Psychiatri Assoc,2013：171-175.

［3］   Halbreich U, Backstrom T, Eriksson E, et al. Clinical diagnostic criteria for premenstrual syndrome and guidelines for their quantification for research studies［J］. Gynecol Endocrinol,2007,23(3): 123-130.

［4］   Di GG, Reissing ED. Premenstrual dysphoric disorder: prevalence, diagnostic considerations, and controversies［J］. J Psychosom Obstet Gynaecol, 2006, 27(4): 201-210.

［5］ Hamaideh SH, Al-Ashram SA, Al-Modallal H. Premenstrual syndrome and premenstrual dysphoric disorder among Jordanian women［J］. J Psychiatr Ment Health Nurs, 2014，21(1): 60-68.

［6］ Schatz DB, Hsiao MC, Liu CY. Premenstrual dysphoric disorder in East Asia: a review of the literature［J］. Int J Psychiatry Med, 2012, 43(4): 365-380.

［7］   Epperson CN, Steiner M, Hartlage SA, et al. Premenstrual dysphoric disorder: evidence for a new category for DSM-5［J］. Am J Psychiatry,2012,169(5): 465-475.

［8］ Nillni YI, Toufexis DJ, Rohan KJ. Anxiety sensitivity, the menstrual cycle, and panic disorder: a putative neuroendocrine and psychological interaction［J］. Clin Psychol Rev, 2011, 31(7): 1183-1191.

［9］ Rapkin AJ, Akopians AL. Pathophysiology of premenstrual syndrome and premenstrual dysphoric disorder［J］. Menopause Int, 2012, 18(2): 52-59.

［10］ Ziomkiewicz A, Pawlowski B, Ellison PT, et al. Higher luteal progesterone is associated with low levels of premenstrual aggressive behavior and fatigue［J］. Biol Psychol, 2012, 91(3): 376-382.

［11］   Jarvis CI, Lynch AM, Morin AK. Management strategies for premenstrual syndrome/premenstrual dysphoric disorder［J］. Ann Pharmacother, 2008, 42(7): 967-978.

［12］ Masho SW, Adera T, South-Paul J. Obesity as a risk factor for premenstrual syndrome［J］. J Psychosom Obstet Gynaecol, 2005, 26(1): 33-39.

［13］ Yonkers KA, O'Brien PM, Eriksson E. Premenstrual syndrome［J］. Lancet,2008,371(9619): 1200-1210.

［14］    Jovanovic H, Cerin A, Karlsson P,et al.A PET study of 5-HT1A receptors at different phases of the menstrual cycle in women with premenstrual dysphoria［J］. Psychiatry Res, 2006, 148(2-3): 185-193.

［15］   Backstrom T, Haage D, Lofgren M, et al. Paradoxical effects of GABA-A modulators may explain sex steroid induced negative mood symptoms in some persons［J］. Neuroscience, 2011, 191: 46-54.

［16］   Andreen L, Nyberg S, Turkmen S, et al. Sex steroid induced negative mood may be explained by the paradoxical effect mediated by GABAA modulators［J］. Psychoneuroendocrinology, 2009, 34(8): 1121-1132.

［17］   Chocano-Bedoya PO, Manson JE, Hankinson SE, et al. Dietary B vitamin intake and incident premenstrual syndrome［J］. Am J Clin Nutr, 2011, 93(5): 1080-1086.

［18］   Bertone-Johnson ER, Hankinson SE, Bendich A, et al. Calcium and vitamin D intake and risk of incident premenstrual syndrome［J］. Arch Intern Med, 2005, 165(11): 1246-1252.

［19］   Thys-Jacobs S, McMahon D, Bilezikian JP. Cyclical changes in calcium metabolism across the menstrual cycle in women with premenstrual dysphoric disorder［J］. J Clin Endocrinol Metab, 2007, 92(8): 2952-2959.

［20］   Chocano-Bedoya PO, Manson JE, Hankinson SE, et al. Intake of selected minerals and risk of premenstrual syndrome［J］. Am J Epidemiol, 2013, 177(10): 1118-1127.

［21］   Baller EB, Wei SM, Kohn PD, et al. Abnormalities of dorsolateral prefrontal function in women with premenstrual dysphoric disorder: a multimodal neuroimaging study［J］. Am J Psychiatry, 2013, 170(3): 305-314.

［22］ Rapkin AJ, Berman SM, Mandelkern MA, et al. Neuroimaging evidence of cerebellar involvement in premenstrual dysphoric disorder［J］. Biol Psychiatry, 2011, 69(4): 374-380.

［23］   Bannbers E, Gingnell M, Engman J, et al. The effect of premenstrual dysphoric disorder and menstrual cycle phase on brain activity during response inhibition ［J］. J Affect Disord, 2012，142(1-3):347,350.

［24］   Sharma K, Kansal A, Chopra S. Premenstrual syndrome, body fat and bitter taste receptor gene TAS2R38 among adult Kullu females of Himachal Pradesh, India［J］. Anthropol Anz, 2013, 70(2): 203-219.

［25］   Gingnell M, Comasco E, Oreland L, et al. Neuroticism-related personality traits are related to symptom severity in patients with premenstrual dysphoric disorder and to the serotonin transporter gene-linked polymorphism 5-HTTPLPR［J］. Arch Womens Ment Health, 2010, 13(5): 417-423.

［26］   安晓妤，余跃生，姚瑞，等. 医学专科女大学生经前期综合征与C型人格的关系［J］. 中国妇幼保健，2013，7: 1079-1081.

［27］   张永爱，安瑞芳，唐争艳，等. 不同个性中国女大学生经前期综合征的症状及其应对方式研究［J］. 中国实用妇科与产科杂志，2013，29 (1): 62-65.

［28］   Sassoon SA, Colrain IM, Baker FC. Personality disorders in women with severe premenstrual syndrome［J］. Arch Womens Ment Health，2011,14(3): 257-264.

［29］   Cirillo PC, Passos RB, Bevilaqua MC, et al. Bipolar disorder and premenstrual syndrome or premenstrual dysphoric disorder comorbidity: a systematic review［J］. Rev Bras Psiquiatr, 2012, 34(4): 467-479.

［30］   Forrester-Knauss C, Zemp SE, Weiss C, et al. The interrelation between premenstrual syndrome and major depression: results from a population-based sample［J］. BMC Public Health, 2011, 11: 795.

［31］   Kitamura M, Takeda T, Koga S, et al. Relationship between premenstrual symptoms and dysmenorrhea in Japanese high school students［J］. Arch Womens Ment Health, 2012, 15(2): 131-133.

［32］   Perkonigg A, Yonkers KA, Pfister H, et al. Risk factors for premenstrual dysphoric disorder in a community sample of young women: the role of traumatic events and posttraumatic stress disorder［J］. J Clin Psychiatry, 2004, 65(10): 1314-1322.

［33］    Namavar JB, Pakmehr S, Hagh-Shenas H. Work stress, premenstrual syndrome and dysphoric disorder: are there any associations［J］. Iran Red Crescent Med J, 2011, 13(3): 199-202.

［34］   Gonda X, Fountoulakis KN, Csukly G, et al. Association of a trait-like bias towards the perception of negative subjective life events with risk of developing premenstrual symptoms［J］. Prog Neuropsychopharmacol Biol Psychiatry, 2010, 34(3): 500-505.

［35］   Bertone-Johnson ER, Hankinson SE, Johnson SR, et al. Cigarette smoking and the development of premenstrual syndrome［J］. Am J Epidemiol, 2008, 168(8): 938-945.

［36］   Bertone-Johnson ER, Hankinson SE, Johnson SR, et al. Timing of alcohol use and the incidence of premenstrual syndrome and probable premenstrual dysphoric disorder［J］. J Womens Health (Larchmt), 2009, 18(12): 1945-1953.

［37］   Bertone-Johnson ER, Hankinson SE, Willett WC, et al. Adiposity and the development of premenstrual syndrome［J］. J Womens Health (Larchmt), 2010, 19(11): 1955-1962.

（2014-04-01收稿     2014-06-29修回）

[1]	宗璇, 乔杰. 女性生育力及其影响因素[J]. 中国实用妇科与产科杂志, 2022, 38(6): 580-585.
[2]	中华医学会妇产科分会绝经学组. 香芍颗粒临床应用指导建议[J]. 中国实用妇科与产科杂志, 2015, 31(5): 419-420.
[3]	李维,杨孜. 影响子痫前期复发的相关问题[J]. 中国实用妇科与产科杂志, 2014, 30(10): 820-825.
[4]	李维，杨孜，王海玲，韩怡炜. 子痫前期复发影响因素临床研究[J]. 中国实用妇科与产科杂志, 2014, 30(10): 780-785.