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Does a disconnect occur between research and practice for premenstrual dysphoric disorder (PMDD) diagnostic

Julia R Craner1, Sandra T Sigmon, Morgan L McGillicuddy

  • 1a University of Maine , Orono , Maine , USA.

Women & Health
|February 12, 2014
PubMed

Insights

Most physicians do not use the recommended daily symptom monitoring for diagnosing premenstrual dysphoric disorder (PMDD). This highlights a gap between established diagnostic guidelines and current clinical practice for PMDD assessment.

Area of Science:

  • Women's Health
  • Reproductive Psychiatry
  • Clinical Practice Research

Background:

  • Premenstrual dysphoric disorder (PMDD) diagnosis guidelines recommend daily symptom monitoring over two menstrual cycles.
  • Current physician practices regarding PMDD diagnostic assessment are not well-documented.

Purpose of the Study:

  • To investigate the extent to which physicians utilize established daily symptom monitoring procedures for diagnosing PMDD.
  • To identify factors influencing the adoption of recommended PMDD diagnostic methods.

Main Methods:

  • A survey was mailed to 87 physicians to gather information on their diagnostic practices for PMDD.
  • Physicians reported on their routine use of 60-day symptom monitoring and any daily symptom monitoring.

Main Results:

  • Only 11.5% of surveyed physicians routinely used 60-day symptom monitoring for PMDD.
  • Just 18.4% of physicians regularly employed any form of daily symptom monitoring.
  • No significant differences were found based on physician specialty (OB/GYN, family medicine) or patient contact frequency.

Conclusions:

  • Physician adoption of recommended PMDD diagnostic methods, specifically daily symptom monitoring, is low.
  • There is a need for standardized, clinically useful assessment tools for PMDD.
  • Increased awareness of research-based diagnostic practices for PMDD is crucial.

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