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Case-control study, 1999

What are the main symptom patterns in PMDD?

PMDD has five distinct symptom groups: anger and irritability, depressed mood, anxiety and tension, decreased energy with physical symptoms, and eating problems. These patterns were identified through analysis of 99 women's symptoms.

Moderate study design 99 women with PMDD

What they did

Researchers analyzed prospectively measured symptoms from 99 women with PMDD using statistical methods on all 24 symptom items from the DSM-IV diagnostic criteria.

What they found

Five main symptom patterns emerged: anger and irritability, depressed mood, anxiety and tension, decreased energy and interest with physical symptoms, and eating problems. Variation was found across different cycle phases and between groups.

What it means for you

PMDD involves multiple distinct symptom groups rather than just one symptom. Understanding these patterns helps doctors recognize and diagnose PMDD correctly. The main limit is that this is one study, so symptom patterns may vary in other populations.

99

Women studied

24

Symptom items analyzed

5

Main symptom patterns identified

About the study

Original title
Symptom patterns of premenstrual dysphoric disorder as defined in the Diagnostic and Statistical Manual of Mental Disorders-IV
Authors
Gehlert S, Chang CH, Hartlage S
Journal
Journal of women's health
Year
1999
Study design
Case-control study
Participants
99
What was tested
None; this was observational analysis of symptom patterns

Topics