跨年龄组的月经前失调障碍患病率和症状:一个横截面研究
Adriana Orcesi Pedro1, Roberto Carmignani Verdade1, Maura Gonzaga Lapa2
1Department of Gynecology and Obstetrics, Universidade Estadual de Campinas, Campinas, Brazil.
概括
这项研究发现月经前失调障碍 (PMDD) 影响了3.57%的巴西女性,焦虑等精神情绪症状是最常见的. 这些发现提供了关于月经前症状关联的新见解.
科学领域:
- 生殖健康 生殖健康
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 月经前失调障碍 (PMDD) 显著影响女性的生活质量.
- 了解PMDD的患病率和症状模式对于有效管理至关重要.
- 与PMDD相关的精神情绪和身体症状需要进一步调查.
研究的目的:
- 确定不同年龄组的巴西妇女中PMDD的患病率和症状严重程度.
- 分析在月经前阶段经历的各种精神情绪和身体症状之间的关联.
- 为了更好地理解PMDD的症状在一个大的巴西队列.
主要方法:
- 一项涉及巴西303家私人诊所45160名20-49岁妇女的横截面研究.
- 通过自我报告问卷收集的关于月经前症状的流行率和强度的数据.
- 统计分析包括皮尔森的千平方测试,波桑回归和多重物流回归.
主要成果:
- 在PMDD的患病率为3.57% (95%CI:3.40-3.75).
- 精神情绪症状,如焦虑/紧张 (99.9%) 和易怒/愤怒 (99.8%),比体重增加 (92.5%) 和胀 (92.1%) 等身体症状更为普遍.
- 确定了特定的关联,包括过度饮食与体重增加 (OR=2.77) 和抑郁症与 (OR=0.72).
结论:
- 在这个巴西队列中,PMDD的患病率与全球发现一致.
- 精神情绪症状是PMDD的一个主要特征.
- 这项研究为不同的月经前症状之间的复杂相互关系提供了新的见解.
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