Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-17T13:19:39.326Z Has data issue: false hasContentIssue false
  • English
  • Français

The impact of premenstrual dysphoric disorder among 92 bipolar patients

Published online by Cambridge University Press:  16 April 2020

M. Fornaro  and
G. Perugi
M. Fornaro*
Affiliation:
Department of Neuroscience, Section of Psychiatry, University of Genoa, 16100Genova, Italy
G. Perugi
Affiliation:
Department of Psychiatry, University of Pisa, Pisa, Italy Institute of Behavioral Sciences “G. De Lisio”, Pisa, Italy
*
*Corresponding author. E-mail address: [email protected] (M. Fornaro).
Get access

Abstract

Objectives

To evaluate the impact of Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition (DSM-IV)-defined premenstrual dysphoric disorder (PMDD) lifetime co-morbidity among 92 bipolar patients.

Method

Ninety-two women with a lifetime diagnosis of DSM-IV-defined Bipolar Disorder (BD) either type I or type II were consecutively enrolled to determine co-morbidity rates with PMDD and associated clinical features. Measures included the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) and the Clinical Global Impression (CGI) rating scale.

Results

In our sample, 25 (27.2%) patients reported a lifetime history of PMDD according to DSM-IV criteria (PMDD+). PMDD+ reported higher rates of Cyclothymia and BP-II than PMDD− (respectively 72% vs. 36% and 88% vs. 60%). On the contrary, the carbohydrate-craving feature was more represented among PMDD− than PMDD+ (25% vs. 4%). PMDD was also significantly associated with post-partum depression (36% vs. 15%), Obsessive-Compulsive (24% vs. 7.5%) and Body Dysmorphic Disorders (24% vs. 6%). Finally, PMDD+ reported higher total number of Axis I co-morbid disorders than PMDD−.

Conclusions

In our cohort of BD women, PMDD is a frequent co-morbid condition, in particular among patients with BD-II or Cyclothymia. Multiple co-morbidities also represent a clinical variable associated with PMDD. Further perspective studies are necessary to better define the relationships between PMDD and BD.

Keywords

Premenstrual dysphoric disorder (PMDD)Bipolar disorderDSM-IV
Type
Bipolar Disorder
Information
European Psychiatry , Volume 25 , Issue 8 , December 2010 , pp. 450 - 454
Copyright
Copyright © Elsevier Masson SAS 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Angst, J, Sellaro, R, Merikangas, KR, Endicott, JThe epidemiology of perimenstrual psychological symptoms. Acta Psychiatr Scand 2001;104(2):110–116.CrossRefGoogle ScholarPubMed
APA (Ed.). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
APA (Ed.). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). 4th ed. (Text Revision ed.). Washington, DC: American Psychiatric Association; 2000.Google Scholar
Basoglu, C, Cetin, M, Semiz, UB, Agargun, MY, Ebrinc, SPremenstrual exacerbation and suicidal behavior in patients with panic disorder. Compr Psychiatry 2000;41(2):103–105.CrossRefGoogle ScholarPubMed
Dawood, MYPremenstrual tension syndrome. Obstet Gynecol Annu 1985; 14: 328–343.Google ScholarPubMed
Dean, BB, Borenstein, JE, Knight, K, Yonkers, KEvaluating the criteria used for identification of PMS. J Womens Health (Larchmt) 2006;15(5):546–555.CrossRefGoogle ScholarPubMed
Diamond, SB, Rubinstein, AA, Dunner, DL, Fieve, RRMenstrual problems in women with primary affective illness. Compr Psychiatry 1976;17(4):541–548.CrossRefGoogle ScholarPubMed
Endicott, J, Nee, J, Andreasen, N, Clayton, P, Keller, M, Coryell, Wet al.Combine or keep separate?. J Affect Disord 1985;8(1):17–28.CrossRefGoogle ScholarPubMed
Firsy, MBStructured clinical interview for the DSM-IV Axis I Disorders(SCID). Biometrics Research New York, NY: New York State Psychiatric Institute; 1996.Google Scholar
Fornaro, M, Perugi, G, Gabrielli, F, Prestia, D, Mattei, C, Vinciguerra, Vet al.Lifetime co-morbidity with different subtypes of eating disorders in 148 females with bipolar disorders. J Affect Disord 2010;121(1–2):147–151.CrossRefGoogle ScholarPubMed
Guy, WClinical Global Impressions. ECDEU Assessment Manual for Psychopharmacology, revised Rockville, MD: National Institute of Mental Health; 1976.Google Scholar
Halbreich, U, Borenstein, J, Pearlstein, T, Kahn, LSThe prevalence, impairment, impact, and burden of premenstrual dysphoric disorder (PMS/PMDD). Psychoneuroendocrinology 2003;28(Suppl 3):1–23.Google Scholar
Hardoy, MC, Serra, M, Carta, MG, Contu, P, Pisu, MG, Biggio, GIncreased neuroactive steroid concentrations in women with bipolar disorder or major depressive disorder. J Clin Psychopharmacol 2006;26(4):379–384.CrossRefGoogle ScholarPubMed
Jacobsen, FMLow-dose valproate: a new treatment for cyclothymia, mild rapid cycling disorders, and premenstrual syndrome. J Clin Psychiatry 1993;54(6):229–234.Google ScholarPubMed
Karadag, F, Akdeniz, F, Erten, E, Pirildar, S, Yucel, B, Polat, Aet al.Menstrually related symptom changes in women with treatment-responsive bipolar disorder. Bipolar Disord 2004;6(3):253–259.CrossRefGoogle ScholarPubMed
Krishnan, KRPsychiatric and medical comorbidities of bipolar disorder. Psychosom Med 2005;67(1):1–8.CrossRefGoogle ScholarPubMed
Laurence, LPsychiatric group scrutinizes categorizing form of PMS. Chicago Tribune 1993, p. 12–13.Google Scholar
Legros, S, Foidart, JM, Gaspard, U, Legros, JJPremenstrual tension syndrome or premenstrual dysphoria. Rev Med Liege 1999;54(4):268–273.Google ScholarPubMed
Leon, GR, Phelan, PW, Kelly, JT, Patten, SRThe symptoms of bulimia and the menstrual cycle. Psychosom Med 1986;48(6):415–422.CrossRefGoogle ScholarPubMed
McMillan, MJ, Ghadirian, AM, Pihl, ROPremenstrual depression in women with a history of affective disorder: mood and attentional processes. Can J Psychiatry 1989;34(8):791–795.CrossRefGoogle ScholarPubMed
Miller, MN, Miller, BEPremenstrual exacerbations of mood disorders. Psychopharmacol Bull 2001;35(3):135–149.Google ScholarPubMed
NIH. NIH Press Release-Hormones Trigger PMS Symptoms. NIH Press; 1998.Google Scholar
Papadimitriou, GN, Calabrese, JR, Dikeos, DG, Christodoulou, GNRapid cycling bipolar disorder: biology and pathogenesis. Int J Neuropsychopharmacol 2005;8(2):281–292.CrossRefGoogle ScholarPubMed
Pearlstein, T, Steiner, MPremenstrual dysphoric disorder: burden of illness and treatment update. J Psychiatry Neurosci 2008;33(4):291–301.Google ScholarPubMed
Perugi, G, Akiskal, HSThe soft bipolar spectrum redefined: focus on the cyclothymic, anxious-sensitive, impulse-dyscontrol, and binge-eating connection in bipolar II and related conditions. Psychiatr Clin North Am 2002;25(4):713–737.CrossRefGoogle ScholarPubMed
Price, WA, DiMarzio, LPremenstrual tension syndrome in rapid-cycling bipolar affective disorder. J Clin Psychiatry 1986;47(8):415–417.Google ScholarPubMed
Riecher-Rossler, AProspects for the classification of mental disorders in women. Eur Psychiatry 2007;22(Suppl.1):S1–S2[Abstract book, 15th AEP Congress]CrossRefGoogle Scholar
Roy-Byrne, PP, Rubinow, DR, Hoban, MC, Parry, BL, Rosenthal, NE, Nurnberger, JIet al.Premenstrual changes: a comparison of five populations. Psychiatry Res 1986;17(2):77–85.CrossRefGoogle ScholarPubMed
Schmidt, PJ, Nieman, LK, Danaceau, MA, Adams, LF, Rubinow, DRDifferential behavioral effects of gonadal steroids in women with and in those without premenstrual syndrome. N Engl J Med 1998;338(4):209–216.CrossRefGoogle ScholarPubMed
Schneider, T, Popik, P An animal model of premenstrual dysphoric disorder sensitive to antidepressants. Curr Protoc Neurosci 2009[Chapter 9: Unit 9, 31].CrossRefGoogle Scholar
Steiner, M, Haskett, RF, Osmun, JN, Carroll, BJTreatment of premenstrual tension with lithium carbonate. A pilot study. Acta Psychiatr Scand 1980;61(2):96–102.CrossRefGoogle ScholarPubMed
Tomelleri, R, Grunewald, KKMenstrual cycle and food cravings in young college women. J Am Diet Assoc 1987;87(3):311–315.Google ScholarPubMed
Wittchen, HU, Becker, E, Lieb, R, Krause, PPrevalence, incidence and stability of premenstrual dysphoric disorder in the community. Psychol Med 2002;32(1):119–132.CrossRefGoogle Scholar
Young, RC, Biggs, JT, Ziegler, VE, Meyer, DAA rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 1978; 133: 429–435.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.