정신신체의학 (Korean Journal of Psychosomatic Medicine)
- 제15권1호
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- Pages.14-21
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- 2007
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- 1225-6471(pISSN)
월경전 불쾌기분 장애에 대한 임상적 고찰
Premenstrual Dysphoric Disorder : A Clinical Review
- 황걸 (조선대학교 의과대학 정신과학교실)
- Hwang, Gul (Department of Psychiatry, Chosun University School of Medical)
- 발행 : 2007.06.15
초록
월경전 불쾌기분 장애(premenstrual dysphoric disorder, PMDD)는 여성의 약
Premenstural dysphoric disorder(PMDD) imposing 4-5% of women is possibly caused by an enhanced responsiveness to the changes of sex steroid hormones and the decrease of serotonin, melatonin and GABA. The common clinical features between PMDD and depression, seasonal affective disorder, panic disorder and anorexia nervosa suggest a relatedness between PMDD and each of them. The diagnostic criteria of DSM-IV-Tr for PMDD requires psychological symptoms, that commonly include irritability, anger, depression, mood swing, affect lability, tension, anxiety, fatigue and food craving. As of today, the best pharmacological treatment for PMDD is the selective serotonin reuptake inhibiter, and leuprolide, danazol, estradiol, spironolactone and bromocriptine are possible alternatives. Nonpharmacological treatments for patients with mild to moderate symptom severity are diet, exercise, light therapy, psychotherapy and keeping a diary.