Premenstrual syndrome health-related quality of life and psychiatric comorbidity in a clinical adolescent sample: a cross-sectional study.
OBJECTIVE
Adolescents who were admitted to the child and adolescent psychiatry clinic were compared with respect to the premenstrual symptom severity, psychiatric comorbidities and health related quality of life (HRQoL).


METHODS
The research group was identified using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version and Premenstrual Assessment Form. They completed the Pediatric Quality of Life Inventory (The PedsQL).


RESULTS
There were 55 adolescents who were eligible for the study and 89% of participants were diagnosed with at least one psychiatric disorder. The most common psychiatric diagnoses among the diagnosed cases were anxiety and major depressive disorders. Of all of the cases, 78.2% were diagnosed with premenstrual syndrome (PMS) and among those cases, 46.5% had mild, 34.8% had moderate and 18.6% had severe PMS. Most common PMS symptom was anger/irritability. HRQoL in the group with PMS was significantly lower than that of the adolescents without PMS. Moreover, HRQoL of adolescents with PMS was found to deteriorate with the increasing severity of PMS.


CONCLUSIONS
This study is of great importance since it demonstrated that PMS frequency is very high in a clinical adolescent population and negatively affects their HRQoL as similar to non-clinical adolescent population studies.
a Child and Adolescent Psychiatry Department , Ankara University School of Medicine , Ankara , Turkey.
Pınar
P
Uran
b Child and Adolescent Psychiatry Department , Ufuk University School of Medicine , Ankara , Turkey.
Esra
E
Yürümez
a Child and Adolescent Psychiatry Department , Ankara University School of Medicine , Ankara , Turkey.
Ayla
A
Aysev
a Child and Adolescent Psychiatry Department , Ankara University School of Medicine , Ankara , Turkey.
Birim Günay
BG
Kılıç
D000293:Adolescent; D000786:Anger / Q000502:physiology*; D001008:Anxiety Disorders / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000453:epidemiology; D005260:Female; D006801:Humans; D007508:Irritable Mood / Q000502:physiology*; D011293:Premenstrual Syndrome / Q000453:epidemiology / Q000503:physiopathology*; D011788:Quality of Life; D012720:Severity of Illness Index
Premenstrual syndrome; adolescents; health-related quality of life; psychiatric comorbidity