A Cross-Sectional Study of Premenstrual Dysphoric Disorder (PMDD) in Nursing Staff of Tertiary Care Center in One of the Aspirational District of North India and its Relationship with Quality of Life and Self-Esteem

ABSTRACT

Introduction: Menstruation is a physiological process. Premenstrual dysphoric disorder (PMDD) is a hormone-based mooddisorder causing a severe and debilitating form of premenstrual syndrome. The diagnosis of PMDD is considered as per theDiagnostic and Statistical Manual of Mental Disorder – fourth edition (DSM-IV).Aims and Objectives: The aim of the study was to study premenopausal dysphoric disorder in nursing staff of tertiary carecenter in one of the aspirational district of North India and its relationship with quality of life (QOL) and self-esteem.Materials and Methods: A cross-sectional study was done among 150 female nursing staff (of menstrual age) working inthe medical college and hospital. Premenstrual symptoms screening tool, Rosenberg self-esteem scale, the women’s QOLquestionnaire were used. A proper performance was given to each subject. The questioner was based on DSM-IV criteria. Thesubject had to answer “yes” or “no.” The subjects were classified according to the presence of symptoms. The presence orabsence of depressive symptoms was assessed using Hamilton Depression Rating Scale.Results: As per DSM-IV criteria for the diagnosis of PMDD, in our study out of a total of 150 subjects, 13 suffered from PMDD.Our prevalence rate came out to be 8.67%.Conclusion: The study of PMDD is highly useful because it makes us realize that the suffering of women having PMDD isgenuine and we cannot ignore these symptoms. We have to be very considerate to them, and all modalities of treatment shouldbe given to relieve the women of their sufferings and to reduce the physical and psychological distress. The need of the houris that both gynecologist and psychiatrist work in cooperation to reduce the problems caused by PMDD.