Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Association of Premenstrual Syndrome and Premenstrual Dysphoric Disorder with Depression, Sleep Quality and Sleep Pattern in the Korean Female High-School Students

일 도시 여자 고등학생에서 월경전기증후군 및 월경전불쾌장애와 우울, 수면의 질, 수면형태의 연관성

  • Lee, JiYeon (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Kim, Seok Man (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Kang, Suk-Hoon (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Chung, HaeGyung (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Choi, JinHee (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • So, HyungSeok (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Kim, Tae Yong (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Paik, Ki-Chung (Department of Psychiatry, College of Medicine, Dankook University)
  • 이지연 (보훈공단 중앙보훈병원 정신건강의학과) ;
  • 김석만 (단국대학교 의과대학 정신건강의학교실) ;
  • 강석훈 (보훈공단 중앙보훈병원 정신건강의학과) ;
  • 정혜경 (보훈공단 중앙보훈병원 정신건강의학과) ;
  • 최진희 (보훈공단 중앙보훈병원 정신건강의학과) ;
  • 소형석 (보훈공단 중앙보훈병원 정신건강의학과) ;
  • 김태용 (보훈공단 중앙보훈병원 정신건강의학과) ;
  • 백기청 (단국대학교 의과대학 정신건강의학교실)
  • Received : 2016.09.08
  • Accepted : 2016.10.26
  • Published : 2016.10.30
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Abstract

Objective : Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) is known to reduce the quality of sleep and is associated with various psychiatric disorders. The aim of this study was to investigate the relationship of PMS with depression, sleep qulity and sleep pattern in Korean female adolescents. Methods : Out of 867 high school female students, 400 female subjects were included in this study. All participants completed self-report questionnaires that included demographic variables, shortened premenstrual assessment form (SPAF), patient health questionnaire-9 (PHQ-9), Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS), insomnia severity index (ISI) and Korean translation of composite scale (CS). A total of 394 individuals who completed the questionnaires were analyzed. Results : As score of SPAF, 143 subjects was defined PMDD group. They had more prevalence of eveningness, more depressive symptom, poorer sleep quality, and more excessive sleepiness than non-PMDD groups. Although the PMDD groups showed more menstrual dysmenorrhea, no difference was found in bleeding duration and cycle. PMS symptom had correlations with depression, poorer sleep quality and excessive sleepiness during the daytime. There was no difference in sleep duration between two groups, but PMS might have a relationship with eveningness of chronotype. Conclusions : Among Korean female high school students, the PMS might have an association with depression and poor sleep quality, and it might lead to daytime impairment due to excessive sleepiness. An appropriate evaluation of PMS could be helpful in determining the mental health condition of adolescents.

Keywords

References

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