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The relationship between menstruation and psychiatric admissions

Published online by Cambridge University Press:  13 June 2014

Jane O'Dwyer
Affiliation:
Department of Psychiatry, Northern General Hospital, Herries Road, Sheffield S5 7AU, England
Trevor Friedman
Affiliation:
Mental Illness Unit, General Hospital, Gwendolen Road, Leicester LE5 4PW, England
Elizabeth Clifford
Affiliation:
Mental Illness Unit, General Hospital, Gwendolen Road, Leicester LE5 4PW, England

Abstract

Objective: To determine whether the previously reported relationship between menstruation and emergency psychiatric admissions still pertains.

Method: All females admitted on an emergency basis to a general psychiatric unit of a DGH, were interviewed and data regarding menstrual function was collected on those fitting the inclusion criteria who consented to inclusion in the study.

Results: Ninety three people were included in the study, of whom significantly more were admitted in the late luteal and menstrual phases of the cycle. Symptoms suggestive of premenstrual syndrome were significantly commoner in those admitted in the late luteal and menstrual phases.

Conclusions: The findings suggest that the premenstrual syndrome is either a risk factor for psychiatric admission or is important in determining the time of admission. Adequate detection and treatment of premenstrual syndrome, could in theory, reduce some psychiatric admissions. The methodology and limitations of the study are discussed.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 1997

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References

1.MacKinnon, P, MacKinnon, I. Hazards of the menstrual cycle. BMJ, 1956; 1: 555.CrossRefGoogle ScholarPubMed
2.Dalton, K. Menstruation and acute psychiatric illness. BMJ 1959; 1: 148–9.CrossRefGoogle Scholar
3.Abramowitz, E, Baker, A, Fleischer, S. Onset of depressive psychiatric crises and menstrual cycle. Am J Psychiatry 1982; 139: 475–8.Google ScholarPubMed
4.Janowsky, D, Gomey, R, Castelnuovo-Tedesco, P, Stone, CB. Premenstrualmenstrual increases in psychiatric hospital admission rates. Am J Obstet Gynecol 1969; 103(2); 189–91.CrossRefGoogle ScholarPubMed
5.Ellis, D, Austin, P. Menstruation and aggressive behaviour in a correction centre for women. J Crim Law Criminol Police Sci, 1971; 62(3): 388–95.CrossRefGoogle Scholar
6.d'Orban, P, Dalton, K. Violent crime and the menstrual cycle. Psychol Med, 1980; 10: 353–9.CrossRefGoogle ScholarPubMed
7.Dalton, K. Cyclical criminal acts in the premenstrual syndrome. Lancet, 1980; ii: 1070–1.CrossRefGoogle Scholar
8.Dalton, K. Menstruation and Crime. BMJ 1961; 2: 1752–3.CrossRefGoogle ScholarPubMed
9.Royal Society for Prevention of Accidents. PMT - Premenstrual Tension 1977 - Pamphlet.Google Scholar
10.Udry, J, Morris, N. Distribution of coitus in the menstrual cycle. Nature 1968; 200: 593–6.CrossRefGoogle Scholar
11.Kopell, B, Lunde, D, Clayton, R, Moos, R. Vanations in some measures of arousal during the menstrual cycle. J Nerv Ment Dis 1969; 148, 180–7.CrossRefGoogle Scholar
12.Dalton, K. Menstruation and examination. Lancet 1968; ii: 1386–8.CrossRefGoogle Scholar
13.Endicott, J, Halbreich, U, Schacht, S, Nee, J. Premenstrual changes and affective disorder. Psychosom Med 1981; 43(6): 519–29.CrossRefGoogle Scholar
14.Harrison, W, Endicott, J, Nee, J. Treatment of premenstrual depression with nortriptyline: a pilot study. J Clin Psychiatry 1989; 50(4): 136–9.Google ScholarPubMed
15.Wood, S, Mortola, J, Chan, Y, Moossazaheh, F, Yen, S. Treatment of premenstrual syndrome with fluoxetine: a double-blind placebo controlled crossover study. Obstet Gynecol 1992; 80(3): 339–44.Google ScholarPubMed
16.Sunblad, C, Modigh, K, Andersch, B, Eriksson, E. Clomipramine effectiveness reducing premenstrual irritability and dysphoria a placebo-controlled trial. Acta Psychiatr Scand 1992; 85(1): 3947.CrossRefGoogle Scholar
17.Menkes, D, Taghavi, E, Mason, P, Howard, R. Fluoxetine spectrum of action in premenstrual syndrome, Int Clin Psychopharmacol 1993; 8(2): 95102.CrossRefGoogle ScholarPubMed
18.Elkes, M. Open trial of fluoxetine therapy for premenstrual syndrome. South Med J 1993; 86(5): 503–7.CrossRefGoogle Scholar
19.Daly, L, Bourke, G, McGillvray, J. Interpretation and uses of medical statistics. 4th ed. Oxford: Blackwell Scientific Publications, 1991.Google Scholar