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Psychometric Properties of a DSM-5-Based Screening Tool for Women's Perceptions of Premenstrual Symptoms
Psychological Reports ( IF 1.789 ) Pub Date : 2021-02-14 , DOI: 10.1177/0033294120979696
Meghan A Richards 1, 2 , Kirsten A Oinonen 1, 2
Affiliation  

A premenstrual screening tool is needed when time constraints and attrition limit the feasibility of daily ratings. The present study examines the utility of a novel, 33-item, retrospective, dimensional, DSM-5-based, screening measure developed to explore women’s perceptions of premenstrual symptomatology. This is the first measure that examines perception of impairment for each DSM-5 symptom and assesses the frequency criterion. Participants (N = 331) reported symptoms ranging from none to a level consistent with a provisional DSM-5 diagnosis of Premenstrual Dysphoric Disorder (PMDD). Initial psychometric properties indicated a five-factor structure: (1) affective symptoms; (2) fatigue, sleep, and anhedonia; (3) symptom frequency; (4) impairment and severity of appetite change and physical symptoms; and (5) difficulty concentrating. The total symptom scale and the frequency, severity, and impairment subscales demonstrated high internal consistency. Strong correlations between this dimensional measure and other retrospective and prospective premenstrual symptom measures suggest strong convergent, concurrent, and predictive validity. Premenstrual symptom groups created using this screening measure (minimal, mild/moderate, severe) differed on other retrospective and prospective measures of premenstrual symptoms. There was evidence of divergent validity and lack of an acquiescence bias. We also report data describing women’s perceptions of the frequency, level of impairment, and level of severity for each DSM-5 PMDD symptom over a 12-month period and discuss implications for future research on premenstrual phenomenology. Initial evidence for the reliability and construct validity of this symptom screening measure suggests potential value for assessing premenstrual symptomatology in research and practice.



中文翻译:

基于 DSM-5 的女性经前症状感知筛查工具的心理测量学特性

当时间限制和人员流失限制了每日评级的可行性时,需要使用经前筛查工具。本研究检验了一种新颖的、33 项、回顾性、维度、基于 DSM-5 的筛查措施的效用,该措施旨在探索女性对经前症状的看法。这是第一个检查每个 DSM-5 症状的损伤感知并评估频率标准的措施。参与者 (N = 331) 报告的症状范围从无到符合 DSM-5 对经前焦虑症 (PMDD) 的临时诊断的水平。最初的心理测量学特性表明了一个五因素结构:(1)情感症状;(2)疲劳、睡眠、快感缺乏;(3) 症状频率;(4) 食欲改变和身体症状的损害和严重程度;(5) 难以集中注意力。总症状量表和频率、严重程度和损伤分量表表现出高度的内部一致性。该维度测量与其他回顾性和前瞻性经前症状测量之间的强相关性表明具有很强的收敛性、并发性和预测有效性。使用该筛查措施创建的经前症状组(最小、轻度/中度、重度)在经前症状的其他回顾性和前瞻性措施上有所不同。有证据表明存在不同的有效性和缺乏默认偏差。我们还报告了描述女性在 12 个月期间对每种 DSM-5 PMDD 症状的频率、损伤程度和严重程度的看法的数据,并讨论了对未来经前现象学研究的影响。

更新日期:2021-02-15
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