월경전기 증후군 - 월경전기평가서와 매일평가서에 의한 평가 -

Premenstrual Syndrome— Evaluated by Premenstrual Assessment Form & Daily Rating Form —

Objective : Diagnostic method o f Premenstrual syndrome was controversial because Premenstrual syndrome was not definitive and most studies had used retrospective mothod. In our studies, it was evaluated by retrospective PAF and prospective D R F for estimate context of premenstrual changes. Method * O ur study got the data about premenstrual change evaluated by PAF & D R F from 42 healthy nurse students. These data was estimated by typological categories o f PAF, clinical and subclinical change of D R F , cluster classification of D R F items and finally comparison o f PAF with DRF. Results : 1) Among the subjects who met the citeria for PAF typhological categories, General discomfort syndrome was most common(61.90%). Major depressive syndrome o f changes in mood and behavior was shown in 17 females (4 0 .4 8 0 and most common subtype of Major Depressive Syndrome was 14 females. 2) Most common clinical change were increased appetite. Most common subclinical changes were breast pain. 3) O f cluster classification, most common clinical change was dysphoric mood cluster in 11 subjects and most common subclinical change was Physical discomfort cluster in 20 subjects. 4) Among the subjects who met the criteria of PAF typological categories ; 17 Major depressive syndrome, 26 General discomfort syndrome and 23 Impaired social functioning, these subjects confirmed as clinical changes were each o f 10(58.58%)，15(57.69%)，15(65.22%). 5) Among the subjects who met the criteria o f PAF typological categories, subjects confirmed by clinical change were 63.64%. Conclusion * Premenstrual changes were variable and showed positive as well as negative changes. Our study suggest that data o f PAF show obvious change in physical condition but psychological symptoms such as dysphoric premenstrual changes were confirmed significantly but physical symptoms measured insubstantial changes by D RF. It is important the clinical changes showed the premenstrual symptom apparently and that subclinical changes are also worthy to be observed by the longitudinal studies. We suggest that D R F is necessary to confirm the premenstrual changes