Cited by 108Menstrual Health and DisordersMaternal Mental Health During Pregnancy and PostpartumPersonality Disorders and Psychopathology

Late luteal phase dysphoric disorder in 670 women evaluated for premenstrual complaints

Stephen W. Hurt, Paula P. Schnurr, Sally K. Severino, Ellen W. Freeman, Leslie Hartley Gise, Ana Rivera-Tovar, John F. Steege·1992·American Journal of Psychiatry

Abstract

Objective The American Psychiatric Association's DSM-IV Work Group on Late Luteal Phase Dysphoric Disorder (LLPDD) reanalyzed existing data from prospective, daily symptom ratings to evaluate the DSM-III-R criteria for LLPDD. The objectives were to 1) evaluate the individual symptoms presently required for the diagnosis and other symptoms, 2) determine the proportion of treatment-seeking women who meet the LLPDD criteria, and 3) explore the association between LLPDD and other mental disorders. Method Data from over 1,000 women seeking evaluation for premenstrual complaints at five U.S. sites were examined. The data from 670 of these women were sufficiently complete to warrant evaluation by four different methods of assessing symptom change. Results Depending on the assessment method used, 14% to 45% of the women met the criteria for LLPDD. The current DSM-III-R symptoms were classified as positive for 7% to 54% of the women. Each of these symptoms was significantly more common among women with LLPDD regardless of the assessment method used. Five symptoms not presently included were also significantly more common. Women who had had mental disorders in the past, but not present, showed a significantly greater, but very small, relative risk of LLPDD. Conclusions The variability in the frequency of LLPDD diagnosis according to method of assessing symptom change underscores the need for a uniform assessment method. The five additional symptoms with frequencies comparable to those…

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Crossref · 10.1176/ajp.149.4.525

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Authors
Hurt, S. W., Schnurr, P. P., Severino, S. K., Freeman, E. W., Gise, L. H., Rivera-Tovar, A., & Steege, J. F.
Affiliations
  • American Psychiatric Association (US)
  • Cornell University (US)
Venue
American Journal of Psychiatry
Published
1992-04-01
Volume
149
Issue
4
Pages
525-530
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
OpenAlex
W170390865
Cited by
108
References
20
Citations by year
2025: 2 · 2023: 2 · 2019: 2 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 4
FWCI
9.05
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
late luteal phase dysphoric disorder, premenstrual dysphoric disorder, DSM-III-R criteria, diagnostic criteria validity, women's mental health
MeSH terms
Mental Disorders, Data Collection, Female, Humans, Male, Terminology as Topic, Premenstrual Syndrome, Prospective Studies, Psychiatric Status Rating Scales, Risk, Severity of Illness Index, United States

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