Aims: The rate of premenstrual dysphoric disorder (PMDD) amongst sub-Saharan Africans is unknown. This study aimed to estimate the rate of PMDD amongst Nigerian undergraduates and to evaluate psychosocial correlates and comorbid psychiatric conditions.
Method: Female university students (n = 410) completed questionnaires detailing sociodemographic, menstruation, and gynaecological history. They also completed the Big Five Personality Inventory (BFI), and the presence of PMDD and any other DSM-IV axis 1 psychiatric diagnosis was assessed with the Mini International Neuropsychiatric Interview (MINI).
Results: The prevalence of PMDD was 6.1% and the correlates included older age (p = 0.001), painful menstruation (p = 0.006), and high score on neuroticism scale (p = 0.019). Compared with participants without PMDD, participants with PMDD have significantly higher rates for the following psychiatric diagnoses: dysthymia (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.68–8.69), major depressive disorder (OR, 17.00; 95% CI, 6.72–43.00), panic disorder (OR, 4.39; 95% CI, 1.35–14.30), and generalised anxiety disorder (OR, 1.21; 95% CI, 1.21–17.83).
Conclusion: The rate of PMDD in sub-Saharan African women was comparable to that in the western cultures. Planning and implementing an effective strategy to manage perimenstrual problems in this region should be an issue of priority.
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