Premenstrual Syndrome and Premenstrual Dysphoric Disorder in Adolescence

Faith Claman, MSN, CPNP, WHNP; Terri Miller, MSN, WHNP

Disclosures

J Pediatr Health Care. 2006;20(5):329-333. 

In This Article

Diagnostic criteria

The American College of Obstetrics and Gynecology (ACOG) guidelines for PMS support the diagnostic criteria developed by the University of California at San Diego (UCSD) and the National Institute of Mental Health (NIMH) ( Table ). The diagnostic criteria for PMS includes one or more affective or somatic symptoms that negatively impact a woman's function and lifestyle, occur during the five days prior to menses, and are present in each of three previous menstrual cycles (ACOG, 2000). The symptoms must be relieved within four days of the onset of menses and not recur until at least cycle day thirteen (Mishell, 2005).

The American Psychiatric Association (APA) has established criteria for the diagnosis of PMDD ( Box ). The cyclic nature of depressive symptoms that occur in PMDD should help differentiate PMDD from other depressive disorders that occur throughout the cycle.

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