月经前失调障碍的诊断有效性:重新审视
Shalini S Naik1, Yadav Nidhi1, Krishan Kumar1
1Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Frontiers in global women's health
|December 13, 2023
概括
月经前失调障碍 (PMDD) 是一种公认的疾病,但其生物基础需要进一步研究. 研究表明神经发育因素和荷尔蒙敏感性,挑战以前关于其流行和影响的观念.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 妇女健康 妇女健康
背景情况:
- 月经前失调障碍 (PMDD) 被世界卫生组织和美国医学会认可,证实了女性的痛苦.
- 它的生物有效性和文化基础一直受到争议.
- PMDD被认为是月经前综合征 (PMS) 最严重的形式,具有显著的心理特征.
研究的目的:
- 系统地审查现有的PMDD文献,使用罗宾斯和古兹诊断有效性标准.
- 探索可能导致PMDD的神经发育和荷尔蒙因素.
- 为了解决有关PMDD患病率和寻求帮助行为的误解.
主要方法:
- 系统的文献审查,应用诊断有效性标准 (临床描述,实验室研究,排除,后续,家庭研究).
- 对神经发育基础 (ADHD,ACE) 和前边边缘电路干涉的最新证据的分析.
- 检查跨生殖阶段的荷尔蒙敏感性和跨收入水平的流行数据.
主要成果:
- 尽管得到了认可,但PMDD的生物有效性仍然不清楚.
- 有证据表明神经发育因素和对荷尔蒙波动的敏感性增加.
- 发病率在收入水平上是相似的,低收入和中等收入国家 (LAMIC) 的发病率更高,这驳斥了只影响现代女性的说法.
- 内部化的耻辱和工作场所的歧视有助于不充分的寻求帮助的行为.
结论:
- 需要进一步的研究来建立PMDD的生物验证器,包括遗传学和神经成像.
- 需要文化敏感的评估工具.
- 了解疾病的生命过程和解决耻辱是改善护理和寻求帮助行为的关键.
关键词:
罗宾斯和古泽是什么意思注意力缺陷多动症注意力缺陷多动症双极性躁动症是什么意思 双极性躁动症是什么意思抑郁 抑郁症 抑郁症 抑郁症 是一种经期的月经时间是月经.在分娩后的产后.在月经前的失调性障碍.的有效性有效性.更多相关视频
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