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Prevalence, correlates, comorbidities, and suicidal tendencies of premenstrual dysphoric disorder in a nationwide sample of Korean women

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Abstract

Purpose

We examined the prevalence, correlates, comorbidities, and suicidal tendencies of premenstrual dysphoric disorder (PMDD) according to the DSM-IV criteria in a nationwide sample of Korean women.

Methods

A total of 2,499 women aged 18–64 years participated in this study. Diagnostic assessments were based on the Korean version of the Composite International Diagnostic Interview (CIDI) 2.1 and its 12-month PMDD diagnostic module, which were administered by lay interviewers. The frequencies of DSM-IV psychiatric disorders, insomnia, and suicidal tendency were analyzed among PMDD cases and compared with non-PMDD cases, and both odds ratios and significance levels were calculated.

Results

The 12-month prevalence rate of DSM-IV-diagnosed PMDD was 2.4 %. Among subjects with PMDD, 59.3 % had at least one psychiatric illness; in comparison, the control frequency was 21.8 %. Associations between PMDD and alcohol abuse/dependence, major depressive disorder, post-traumatic stress disorder, social phobia, specific phobia, somatoform disorder, insomnia, and suicidality were overwhelmingly positive and significant (p < 0.05), after controlling for age. Physical illness and being underweight were associated with increased risks of PMDD (p < 0.05).

Conclusions

PMDD was prevalent in the nationwide sample of Korean women and was frequently associated with other psychiatric disorders, insomnia, and suicidality, suggesting the need to detect and treat women who experience PMDD.

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Authors and Affiliations

  1. Department of Psychiatry, Asan Medical Center, Ulsan University College of Medicine, Seoul, South Korea

    Jin Pyo Hong, Subin Park, Hee-Ryung Wang & Maeng Je Cho

  2. Department of Psychiatry, Kyungpook National University College of Medicine, Daegu, South Korea

    Sung Man Chang

  3. Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea

    Jee Hoon Sohn, Hae Woo Lee, Byung-Soo Kim & Maeng Je Cho

  4. Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

    Hong Jin Jeon

  5. Department of Psychiatry, Gachon University of Medicine and Science, Incheon, South Korea

    Seong-Jin Cho

  6. Department of Psychiatry, College of Medicine, Inha University, Incheon, South Korea

    Jae Nam Bae

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  1. Jin Pyo Hong
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Correspondence to Maeng Je Cho.

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Hong, J.P., Park, S., Wang, HR. et al. Prevalence, correlates, comorbidities, and suicidal tendencies of premenstrual dysphoric disorder in a nationwide sample of Korean women. Soc Psychiatry Psychiatr Epidemiol 47, 1937–1945 (2012). https://doi.org/10.1007/s00127-012-0509-6

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  • DOI: https://doi.org/10.1007/s00127-012-0509-6

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