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Guideline, 2002

What is the best way to diagnose premenstrual dysphoric disorder?

A three-step diagnostic process including phone screening, clinical interview, and daily symptom tracking over two menstrual cycles can accurately identify PMDD. Using this process, 4% of women tested had PMDD, matching rates reported in other studies.

Early or limited evidence Women evaluated using diagnostic procedure (total sample size not specified)

What they did

Proposed and tested a three-step diagnostic procedure. Step 1: phone screening. Step 2: retrospective diagnosis using a structured clinical interview. Step 3: prospective diagnosis based on daily symptom ratings during two consecutive menstrual cycles.

What they found

Using the three-step diagnostic process, 4% of the women evaluated were confirmed to have PMDD. This prevalence rate matches what is reported in the medical literature.

What it means for you

Proper PMDD diagnosis requires tracking your symptoms day-by-day during your actual menstrual cycles, not just remembering symptoms or answering questions once. The link between symptoms and cycle timing is central to diagnosis. Main limitation: the total sample size is not stated in the abstract.

4%

of sample had PMDD

2

consecutive menstrual cycles tracked

3

steps in diagnostic process

About the study

Original title
[Premenstrual dysphoric disorder. Recommendation for diagnosis of a distinct affective clinical picture]
Authors
Schwärzler B, Hautzinger M
Journal
Der Nervenarzt
Year
2002
Study design
Guideline
What was tested
None - diagnostic method study

Topics