---
title: Do the PSST and DRSP questionnaires give the same PMS diagnosis?
description: No, the two questionnaires gave very different results with poor agreement. The PSST is best used as a screening tool to identify possible cases that then nee
url: https://niyora.com/research/papers/premenstrual-syndrome-diagnosis-a-comparative-study-between-the-daily-record-of-2018/
---

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- Do the PSST and DRSP questionnaires give the same PMS diagnosis?

Survey study, 2018

# Do the PSST and DRSP questionnaires give the same PMS diagnosis?

No, the two questionnaires gave very different results with poor agreement. The PSST is best used as a screening tool to identify possible cases that then need confirmation with the more thorough DRSP.

 Early or limited evidence

127 women aged 20-45 years with PMS complaints who completed both questionnaires

## What they did

Cross-sectional study. Two hundred eighty-two women aged 20-45 years with PMS complaints completed the PSST screening tool. Of these, 127 completed the DRSP questionnaire for two consecutive menstrual cycles. Women with depression were excluded.

## What they found

By DRSP, 74.8 percent of women had PMS and 3.9 percent had PMDD. By PSST, 41.7 percent had PMS and 34.6 percent had PMDD. There was no agreement between the two questionnaires (Kappa 0.12, with PABAK coefficient 0.39). The PSST had high sensitivity (79 percent) but low specificity (33.3 percent) for PMS and PMDD diagnosis.

## What it means for you

The PSST and DRSP diagnose PMS and PMDD very differently. The PSST is useful as a first-step screening tool because it catches most true cases (high sensitivity), but it also incorrectly flags many women as having PMS when they do not (low specificity). Women screening positive on PSST need confirmation with DRSP for accurate diagnosis.

127

women who completed both questionnaires

74.8%

diagnosed with PMS by DRSP

41.7%

diagnosed with PMS by PSST

## About the study

Original title Premenstrual Syndrome Diagnosis: A Comparative Study between the Daily Record of Severity of Problems (DRSP) and the Premenstrual Symptoms Screening Tool (PSST) Authors Henz A, Ferreira CF, Oderich CL et al. Journal Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Year 2018 Study design Survey study Participants 127 What was tested None (diagnostic comparison study) Open access Yes Read the paper [doi.org/10.1055/s-0037-1608672](https://doi.org/10.1055/s-0037-1608672)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)

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## Related studies

Cohort study, 2026

What genetic factors are linked to premenstrual symptoms?

Study, 2026

How do women with PMDD process emotions differently in their brains?

Systematic review, 2026

Why do some women experience mood changes linked to their menstrual cycle?

Case-control study, 2026

Do women with PMS handle emotions differently at different times of the cycle?

Systematic review, 2025

Do people with PMDD and severe PMS have difficulties with emotion regulation?

Cohort study, 2025

Do women with a history of PMS or PMDD have more depression during pregnancy and after birth?

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