Quick Screen Identifies Risk of Premenstrual Syndrome

Seven-item survey on first day of menses can determine clinically significant premenstrual syndrome

WEDNESDAY, May 23 (HealthDay News) -- A seven-item questionnaire administered on the first day of a woman's menses is a relatively quick and easy way to identify women at risk for premenstrual syndrome, according to study findings published in the May issue of Obstetrics & Gynecology.

Jeff Borenstein, M.D., of Cedars-Sinai Medical Center in Los Angeles, and colleagues analyzed data from 697 women who used the standard Daily Record of Severity of Problems (DRSP), which records 21 symptoms in 11 domains for two menstrual cycles. Seventy percent of the patients' data were grouped according to the highest rated items in each domain that determined premenstrual syndrome. The remaining 30 percent of subject data were used as a testing set.

The researchers found that 30.4 percent of patients had premenstrual syndrome. The positive predictive value was 53.8 percent with the 21-item standard screening tool and 55 percent with the seven-item alternative screening. The negative predictive value was 83.4 percent with standard screening and 84.9 percent with the alternative screening.

"In conclusion, a screening procedure for premenstrual syndrome based on either 21-item or seven-item DRSP symptom ratings on the first day of menses was found to have acceptable test characteristics," the authors write. "These preliminary findings support the use of the DRSP for the identification of women who are most likely to benefit from a more thorough diagnostic evaluation."

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