About PMS (cont)
Diagnostic criteria for Premenstrual Syndromes:
||No of Mood & Physical Symptoms required
Can include the exacerbation of another psychiatric disorder?
|Requires significant functional dysfunction?
||Prevalence in women of reproductive age
|American Psychiatric Association (APA)
||Diagnostic and Statistical Manual of Mental Disorders (DSM-V).
||Premenstrual Dysphoric Disorder (PMDD)
||5/11 symptoms, (one of which must be from a list of four specific mood symptoms).
|American Congress of Obstetricians and Gynecologists (ACOG)
||Premenstrual Syndrome (PMS)
||1/6 mood symptoms, and 1/4 physical symptoms.
|The World Health Organisation (WHO)
||International Statistical Classification of Diseases and Related Health Problems (ICD-10)
||Premenstrual Tension Syndrome (PMTS)
||1/9 mood symptoms or one physical symptom.
With permission of Dr. Michael Craig PhD FRCOG FRCPsych
There is considerable concern, particularly amongst severely affected sufferers, that the ICD-10 terminology for PMTS is over-inclusive, and consequently results in the condition not being taken seriously by the public, media and health professionals.
Conversely, there is a concern by other sufferers, that premenstrual symptoms required for a diagnosis of PMDD based on the DSM-V criteria are too strict and leave many women with significant dysfunction without a clinical diagnosis and effective management.