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Randomised trial, 2007

Can a short questionnaire on the first day of menstruation screen for PMS?

Yes, the DRSP questionnaire given on the first day of menses can screen for PMS. It is better at ruling out PMS (correctly identifying 83-84% of women who don't have it) than at finding it (identifying 53-55% of women who do have it).

Strong study design 697 women (388 completed the full two-cycle evaluation; 30.4% had PMS)

What they did

697 women completed a daily symptom questionnaire called the DRSP (Daily Record of Severity of Problems) with 21 symptom items. Two-thirds of the women were used to determine what scores suggest PMS, and the other third were used to test whether this approach worked.

What they found

Among all women, 30.4% had PMS. When the DRSP was given on the first day of menses alone, it correctly identified 83-84% of women without PMS and 53-55% of women with PMS, depending on which scoring method was used. A shorter 7-item version worked just as well as the full 21-item questionnaire.

What it means for you

The DRSP is a practical screening tool to identify women who may need further testing for PMS. It is particularly good at ruling out PMS. A simpler 7-item version works just as well as the full questionnaire, which could make screening easier.

697

women in study

30.4

percent with PMS

83-84

percent correctly ruled out PMS

About the study

Original title
Using the daily record of severity of problems as a screening instrument for premenstrual syndrome
Authors
Borenstein JE, Dean BB, Yonkers KA et al.
Journal
Obstetrics and gynecology
Year
2007
Study design
Randomised trial
Participants
697
What was tested
DRSP questionnaire validation as a screening tool

Topics