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Prevalence, correlates, comorbidities, and suicidal tendencies of premenstrual dysphoric disorder in a nationwide sample of Korean women

Abstract

Purpose  

We examined the prevalence, correlates, comorbidities, and suicidal tendencies of premenstrual dysphoric disorder (PMDD) according
to the DSM-IV criteria in a nationwide sample of Korean women.

Methods  

A total of 2,499 women aged 18–64 years participated in this study. Diagnostic assessments were based on the Korean version
of the Composite International Diagnostic Interview (CIDI) 2.1 and its 12-month PMDD diagnostic module, which were administered
by lay interviewers. The frequencies of DSM-IV psychiatric disorders, insomnia, and suicidal tendency were analyzed among
PMDD cases and compared with non-PMDD cases, and both odds ratios and significance levels were calculated.

Results  

The 12-month prevalence rate of DSM-IV-diagnosed PMDD was 2.4 %. Among subjects with PMDD, 59.3 % had at least one psychiatric
illness; in comparison, the control frequency was 21.8 %. Associations between PMDD and alcohol abuse/dependence, major depressive
disorder, post-traumatic stress disorder, social phobia, specific phobia, somatoform disorder, insomnia, and suicidality were
overwhelmingly positive and significant (p < 0.05), after controlling for age. Physical illness and being underweight were associated with increased risks of PMDD (p < 0.05).

Conclusions  

PMDD was prevalent in the nationwide sample of Korean women and was frequently associated with other psychiatric disorders,
insomnia, and suicidality, suggesting the need to detect and treat women who experience PMDD.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-9
  • DOI 10.1007/s00127-012-0509-6
  • Authors
    • Jin Pyo Hong, Department of Psychiatry, Asan Medical Center, Ulsan University College of Medicine, Seoul, South Korea
    • Subin Park, Department of Psychiatry, Asan Medical Center, Ulsan University College of Medicine, Seoul, South Korea
    • Hee-Ryung Wang, Department of Psychiatry, Asan Medical Center, Ulsan University College of Medicine, Seoul, South Korea
    • Sung Man Chang, Department of Psychiatry, Kyungpook National University College of Medicine, Daegu, South Korea
    • Jee Hoon Sohn, Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744 Republic of Korea
    • Hong Jin Jeon, Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
    • Hae Woo Lee, Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744 Republic of Korea
    • Seong-Jin Cho, Department of Psychiatry, Gachon University of Medicine and Science, Incheon, South Korea
    • Byung-Soo Kim, Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744 Republic of Korea
    • Jae Nam Bae, Department of Psychiatry, College of Medicine, Inha University, Incheon, South Korea
    • Maeng Je Cho, Department of Psychiatry, Asan Medical Center, Ulsan University College of Medicine, Seoul, South Korea
    • Journal Social Psychiatry and Psychiatric Epidemiology
    • Online ISSN 1433-9285
    • Print ISSN 0933-7954
Posted in: Journal Article Abstracts on 05/01/2012 | Link to this post on IFP |
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