Premenstrual Dysphoric Disorder (PMDD) Diagnostic Criteria
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Questions and Answers

Which of the following symptoms is NOT associated with Premenstrual Dysphoric Disorder?

  • Difficulty sleeping
  • Nasal congestion (correct)
  • Loss of appetite
  • Overeating

    • What is one of the physical symptoms associated with Premenstrual Dysphoric Disorder?

  • Ringing in ears
  • Headache
  • Itchy skin
  • Breast tenderness or swelling (correct)

    • What is the estimated 12-month prevalence of Premenstrual Dysphoric Disorder?

  • Between 5% and 10%
  • Between 0.5% and 2.5%
  • Between 10% and 15%
  • Between 1.8% and 5.8% (correct)

    • What is required to confirm Criterion A of the diagnostic criteria?

    <p>Prospective daily ratings during at least two symptomatic cycles</p> Signup and view all the answers

    What is NOT a requirement for the diagnosis of Premenstrual Dysphoric Disorder?

    <p>Symptoms must be present in the postmenstrual phase</p> Signup and view all the answers

    What is the estimated prevalence of Premenstrual Dysphoric Disorder in women with symptoms meeting the full criteria without functional impairment?

    <p>1.8%</p> Signup and view all the answers

    What percentage of heritability is estimated for premenstrual symptoms?

    <p>30% to 80%</p> Signup and view all the answers

    What is the incidence of new cases of premenstrual dysphoric disorder over a 40-month follow-up period?

    <p>2.5%</p> Signup and view all the answers

    What is the main difference between premenstrual syndrome and premenstrual dysphoric disorder?

    <p>The number of symptoms required</p> Signup and view all the answers

    What is the effect of oral contraceptives on premenstrual complaints?

    <p>They decrease symptoms</p> Signup and view all the answers

    At what stage of life do symptoms of premenstrual dysphoric disorder typically cease?

    <p>After menopause</p> Signup and view all the answers

    What is dysmenorrhea characterized by?

    <p>Painful menses</p> Signup and view all the answers

    What is a common symptom of a manic episode?

    <p>Talkative than usual or pressure to keep talking</p> Signup and view all the answers

    Which of the following is a symptom of a major depressive episode?

    <p>Psychomotor agitation or retardation nearly every day</p> Signup and view all the answers

    A person experiencing a manic episode may exhibit which of the following symptoms?

    <p>Pathologic gambling</p> Signup and view all the answers

    What is a key feature of a major depressive episode?

    <p>Loss of interest or pleasure in most activities</p> Signup and view all the answers

    Which of the following symptoms is characteristic of a manic episode?

    <p>Disrobe in public</p> Signup and view all the answers

    What is a symptom of a major depressive episode?

    <p>Diminished ability to think or concentrate</p> Signup and view all the answers

    Study Notes

    Premenstrual Dysphoric Disorder (PMDD)

    • Marked change in appetite, overeating, or specific food cravings
    • Hypersomnia or insomnia
    • Feeling of being overwhelmed or out of control
    • Physical symptoms: breast tenderness, swelling, joint or muscle pain, bloating, or weight gain

    Diagnostic Criteria

    • Associated with clinically significant distress or interference with daily life, social activities, or relationships
    • Not merely an exacerbation of another disorder (e.g., major depressive disorder, panic disorder, etc.)
    • Criterion A confirmed by prospective daily ratings during at least two symptomatic cycles
    • Not attributable to physiological effects of a substance or another medical condition

    Prevalence

    • 12-month prevalence: 1.8% to 5.8%
    • Rigorous estimate: 1.8% for women with full criteria without functional impairment, 1.3% with functional impairment and no co-occurring symptoms

    Risk and Prognostic Factors

    • Environmental: stress, history of interpersonal trauma, seasonal changes, sociocultural aspects of female sexual behavior
    • Genetic and physiological: heritability unknown, 30% to 80% for premenstrual symptoms
    • Course modifiers: oral contraceptives may reduce premenstrual complaints

    Development and Course

    • Onset: any point after menarche
    • Incidence of new cases: 2.5% over 40-month follow-up period
    • Symptoms worsen approaching menopause, cease after menopause

    Differential Diagnosis

    • Premenstrual syndrome: fewer symptoms, no affective symptoms requirement
    • Dysmenorrhea: painful menses, distinct from affective changes

    Clinical Features

    • Manic episode: flight of ideas, increased activity, decreased sleep, talkative, grandiosity, distractibility
    • Major depressive episode: depressed mood, loss of interest or pleasure, weight changes, insomnia, psychomotor agitation, fatigue, feelings of worthlessness, diminished ability to think or concentrate

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    Description

    Test your knowledge of the diagnostic criteria for Premenstrual Dysphoric Disorder (PMDD), including symptoms such as changes in appetite, sleep disturbances, and physical symptoms. Learn how to identify PMDD and its impact on daily life.

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