• Korean Journal of Psychosomatic Medicine
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• v.4 no.1
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• pp.21-36
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• 1996

This study was attempted to investigate reliability and validity of premenstrual assessment form(PAF). PAF was administered to 230 high school students who had reported premenstrual changes. PAF revealed considerable diversity in premenstrual symtom changes of the subjects. The items with most frequent reported premenstrual changes were 21 items out of 95. Cronbach's internal consistency was .95, and test-retest reliability was .80. Validity test was performed by constructional validation analysis. 8 factors(impulsive & unstable factor, depressive factor, withdrawal & social functioning impairment factor, anxiety & cognitive dysfunction factor, physiological factor, general discomfort factor, increased well-being factor, other factor) emerged at factor analysis. Each of them accounted for 33.97, 5.10, 3.70, 2.93, 2.64, 2.46, 2.12, 2.03 of total variance respectively. High school students experienced impulsive & unstable features of premenstrual symptoms more frequently. This study suggests PAF can be a reliable and valid tool as a initial screening and evaluation of premenstrual changes. finally, factor analysis result was compared with PAF typological categories.

• Korean Journal of Psychosomatic Medicine
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• v.4 no.2
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• pp.198-206
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• 1996

To assess premenstrual changes in adolescents, a self rating retrospective premenstrual assessment from(PAF) and a prospective daily rating form(DRF) were administered to 230 high school students who reported premenstrual changes. The results were as follows 1) According to typological categories of retrospective premenstrual assessment form, the most commonly reported changes in mood and behavior were major depressive syndrome(40.0%), impulsive syndrome(20.9%). Especially among the subtype of depressive syndrome, hostility feature and withdrawal feature were most frequent. The most commonly reported changes in physical condition were general discomfort(73.5%), fatigue(33.9%). 50.9% of all subjects reported impaired social function. 2) 41.2% of the subjects who met the criteria for typological categories of retrospective premenstrual assessment form were confirmed by prospective daily rating form. 3) According to different criteria of percent change method of assessing symptom change, 38.7% of all subjects had at least one mild premenstrual change and 23.5% had at least one moderate premenstrual change. 4) Using prospective daily rating form, overall psychological changes were confirmed more frequently than physical changes. Of the mild premenstrual changes, 'low energy, tired & weak', 'less or impaired work' were most common changes. Of the moderate premenstrual changes, the most common change was 'low energy, tired & weak'. 5) As attitude toward menstruation, 44.9% of the subjects with confirmed premenstrual changes had more negative attitude(disgusted) toward menstruation. 6) The subjects with confirmed mild or moderate premenstrual changes had only dysphoric mood changes or both physical and dysphoric mood changes, but did not have only physical changes. These results suggest that retrospective reports of premenstrual changes were partially confirmed by daily prospective ratings. A substantial number of adolescents appeared to experience premenstrual changes, and the most common confimed premenstrual change of mild or moderate severity was 'low energy, tired and weak'.

• Women's Health Nursing
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• v.7 no.3
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• pp.359-372
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• 2001

The study was intended to investigate the bothersome level of premenstrual symptoms, their pattern and to examine the relationships between menstrual attitude and the premenstrual symptoms. Two hundred sixty eight female students were recruited from a college located in Kyungido from March 1, 2001 to July 1, 2001. A general characteristics questionnaires, the premenstrual assessment form(PAF) and the menstrual distress questionnaire(MDQ) were used to measure the bothersome level of the premenstrual symptoms and the menstrual attitude. The data were analyzed by SPSS-PC+ program. The results of this study were as follows ; 1. All subject who were participated in the research reported more than one symptom in premenstrual period and the mean score of total categories in PAF was low(1.89). The subject had more symptoms of fatigue, abdominal bloating and discomfort, backache and muscle stiffness and among the 21 categories fatigue feature, hysteroid feature, water retention feature and miscellaneous mood/behavior change feature were prevalent. On the other hand organic mental feature and increased well-being feature were rare that premenstrual symptom has negative aspect than positive. 2. Degree of discomfort in premenstrual symptom was related with dysmenorrhea but other general characteristics. 3. In Menstruation attitude, the student in college recognized menstruation as natural but bothersome and causes negatives effects on body and emotion. 4. There were significant correlation(r=.395, p<0.000) between premenstrual symptom and level of Menstrual attitude. 5. Menstrual attitude explained 15.3% variance of PMS and five categories of menstrual attitude, especially factor 1(menstruation is a phenomena that weakens women physically and psychologically) was most highly correlated with PMS and explained 21.1% variance of PMS.

• Journal of the Korean Society of Food Science and Nutrition
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• v.30 no.5
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• pp.1000-1003
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• 2001

A yeast hydrolysate SCP-20 with anti-stress and mitigative effects for premenstrual syndromes (PMS) was composed with crude protein (57.5%) and carbohydrates (28.1%). For the investigation of anti-stress effect in the immobilization stressed rats, the weights of spleen, thyroid and kidney in the group of SCP-20 sdministration were significantly different from those in the group not given SCP-20. Total power (TP), suppression indicator of stress, was obtained from frequency of heart rate variability. TP was changed by the administration of SCP-20 suggesting that SCP-20 has the autonomous nervous control effect. In premenstrual assessment form(PAF), the administration of SCP-20 reduced the intensity of somatic symptoms, emotional symptoms, and behavioral symptoms.

• Korean Journal of Psychosomatic Medicine
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• v.3 no.2
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• pp.115-125
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• 1995

Reports about the prevalence of premenstrual symptoms state that occurs in 20 to 100% of most reproductive-age women. There is a close association between premenstrual syndrome and affective disorders as well as same some other psychiatric disorders. Late luteal phase dysphoric disorder (LLPDD) is a premenstrual condition defined in DSM-III-R by severe mood changes and other symptoms that repeatedly occur only in the luteal phase of the menstrual cycle. However, DSM-III-R does not specify how to compute the change from the follicular to the luteal phase or how to determine when the amount of change is great enough to warrant the diagnosis nor how to determine occupational or social functional impairment. This study was conducted to evaluate the nature, severity and magnitude of premenstrual syndrome in women with current psychiatric disorders by using prospective Daily Rating Form(DRF), and to measure symptom changes according to three scoring methods for diagnosing LLPDD. Our study obtains the data about premenstrual changes estimated by DRF from 22 women with psychiatric disorders who had met criteria for major depressive syndrome on the Premenstrual Assessment Form (PAF). The data was scored by each three methods and was determined to meet criteria A for LLPDD. The results are as follows: 1) the subjects, when scored according to the percent change method, effect size method and absolute severity method, met the DSM-III-R criteria A for LLPDD in 36.4% (8 subjects), 14% (3 subjects) and 4.5% (1 subject) of the cases respectively. 2) The items of irritability, anger and impatience were occurred most frequently on the DRF, when it was scored according to the three scoring methods. And the item of breast pain was next frequent according to the effect size method and the percent change method but according to the absolute severity method. 3) The PAF item of impaired social functioning was reported by 16 (73%) of the subjects. 4) 4 (18%) of the subjects met criteria A for LLPDD and reported impaired social functioning. The prevalency of LLPDD according to each method varied. The percent change method yielded the greatest (36.4%), and the absolute seventy method yielded the laest (4.5%), The effect size method yielded an intermediate frequency (14%). Therefore, for maximizing the diagnostic accuracy of LLPDD, a diagnostic procedure including a measure of change (e.q., effect size method, percent change method) as well as confirmed diagnosis by DRF, will be needed. Also, an accurate tool to evaluate impaired social functioning will be required.

• Sleep Medicine and Psychophysiology
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• v.6 no.1
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• pp.46-51
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• 1999

Objectives: Patients with premenstrual dysphoric disorder(or PMDD) have impairments of the social, occupational or academic function due to psychological or somatic symptoms, which have the characteristic pattern of symptom exacerbation in the week before menses begin and remission shortly after the onset of menses. In the chronobiological view, many researchers have assumed that the etiology of PMDD is the advanced circadian rhythm. It has been suggested that light has a therapeutic effect on PMDD, because evening light results in phase delay of circadian rhythm through the biochemical changes including melatonin. Methods: The authors investigated the therapeutic effect of light therapy on four patients with prospectively diagnosed PMDD by DSM-IV criteria using clinical psychiatric interview, Premenstrual Assessment Form(PAF) and Daily Rating Form(or DRF). In the evening(6:30pm-8:00pm), the 2,500 lux light administered for seven consecutive days during the symptomatic late luteal phase of menstrual cycle. Beck Depression Inventory(or BDI), Hamilton Rating Scale for Depression(or HAM-D), Spielberg State Anxiety Inventory(or SA), and DRF were evaluated before and after seven days of light therapy. Results: Premenstrual symptoms of PMDD could be effectively treated with the evening bright light therapy, especially in PMDD patients with atypical symptoms. In addition, the light therapy seemed to more effective on the psychologic symptoms than the somatic symptoms of PMDD. There was no significant side-effect of light therapy, except the transient and mild eye-strain in one case. Conclusions: In spite of the results of limited data from our clinical trial, the authors suggest that the potential use of light therapy as an alternative to the pharmacological management of patients with PMDD.

• Women's Health Nursing
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• v.7 no.4
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• pp.631-641
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• 2001

This study is to investigate women have pre menstruation discomfort, The period of this research was almost one month (from 25, August 2001 to 25, October 2001). The PAF (Premenstrual assessment form), which was made by Park, Myonng-Wha, used for this study. The confidence rate is Crombach's $\alpha$= .9773. Correcting research papers are analyzed by SPSS 7.5 program and normal feature of the subject is divided by frequency, percentage, mean, standard deviation, t-test and ANOVA. The results of this study are as follows; 1. The average age of the subjects is 26.47 age. 220 subjects(44.6%) have gastroenteric trouble like, enteritis, stomachache, laxity. 278 subjects usually have caffeine drink in routine life. 123 subjects(24.9%) have controlled their diet. The average age of the first plowing is 13.55 ages and distribution is between 10 years and 20 years. The average of the uncomfortable point is 2.84. The way to reduce the uncomfortable feeling on the menstruation is taking relax time. 2. All subjects have experienced pre menstruation discomfort, even the degree uncomfortable feeling is different. Through eighteenth categories on the research papers, average point 2.21 were calculated and many subjects have fatigue ($2.89{\pm}1.0614$) and normal physical uncomfortable ($2.84{\pm}1.0633$) and undercurrent water symptom and unsuitability ($2.45{\pm}0.9857$). 3. According to the result of this study, that shows statistical difference; age (F=2.56. p=.037). marriage (t=2.60, p=.009) the number of children(t=2.83, p=.005), stress level(F=13.03, p=.000) job(F=3.91, p=.020). monthly income(t=2.14. p=.032) uncomfortable degree on the menstruation (F=19.121, p=.000), use of contraceptive appliance or pill(t=-2.20, p=.043), schooling (F=3.30, p=.038). Further research is need to understand pie menstruation discomforts, the variables associated with them. And nursing intervention has to considered in program to reduces of pre-menstruation discomforts.