Antidepressant treatment in premenstrual dysphoric disorder, case report
Introduction Premenstrual dysphoric disorder (PMDD) is included for the first time in the last edition of DSM within affective disorders. It is necessary that 5 of a list of 11 symptoms (lability, irritability, depressed mood, anxiety, lethargy, being out of control or physical symptoms among other...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822008410/type/journal_article |
| _version_ | 1797616714298425344 |
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| author | M. Garcia Moreno A. De Cos Milas L. Beatobe Carreño M.B. Poza Cano A. Izquierdo De La Puente P. Del Sol Calderón |
| author_facet | M. Garcia Moreno A. De Cos Milas L. Beatobe Carreño M.B. Poza Cano A. Izquierdo De La Puente P. Del Sol Calderón |
| author_sort | M. Garcia Moreno |
| collection | DOAJ |
| description |
Introduction
Premenstrual dysphoric disorder (PMDD) is included for the first time in the last edition of DSM within affective disorders. It is necessary that 5 of a list of 11 symptoms (lability, irritability, depressed mood, anxiety, lethargy, being out of control or physical symptoms among others) appear in the majority of menstrual cycles but must be only present during the week before menstruation improving after its onset. It has a prevalence of 1,8-5,8% and it is associated to significant functional impairment. SSRIs are indicated as first-line treatment in severe symptoms.
Objectives
To review about premenstrual dysphoric disorder and its psychopharmacological treatment.
Methods
We carry out a literature review about premenstrual dysphoric disorder, accompanied by a clinical description of one patient treated with sertraline.
Results
44 years old female referred to our outpatient mental health service due to anxious and depressive symptoms. She had presented abdominal pain, anxiety, obsessive thoughts, sadness, emotional lability, apahty, anergy, uncontrolled impulse, irritability and vociferous attitude with verbal agressiveness only the week before menstruation during several years. These symptoms interfered negatively in her relationships. We started sertraline treatment with ad integrum clinical recovery after two menstrual cycles. 6 months later we indicated to take sertraline only the week before menstruation, maintaining stability.
Conclusions
1) It is important to consider premenstrual dysphoric disorder as a possible diagnosis in women with premenstrual discomfort symptoms. 2) It might be consider as a depressive disorder. 3) Antidepressant treatment should be considered in women with disabling symptoms.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:45:13Z |
| format | Article |
| id | doaj.art-58b48cabf8b144faa29322cd6633516f |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:45:13Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-58b48cabf8b144faa29322cd6633516f2023-11-17T05:07:45ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S330S33110.1192/j.eurpsy.2022.841Antidepressant treatment in premenstrual dysphoric disorder, case reportM. Garcia Moreno0A. De Cos Milas1L. Beatobe Carreño2M.B. Poza Cano3A. Izquierdo De La Puente4P. Del Sol Calderón5HOSPITAL UNIVERSITARIO PUERTA DE HIERRO MAJADAHONDA, Psychiatry, MADRID, SpainHOSPITAL UNIVERSITARIO DE MÓSTOLES, Psychiatry, MADRID, SpainHOSPITAL UNIVERSITARIO DE MÓSTOLES, Psychiatry, MADRID, SpainHOSPITAL UNIVERSITARIO EL ESCORIAL, Psychiatry, MADRID, SpainHOSPITAL UNIVERSITARIO PUERTA DE HIERRO MAJADAHONDA, Psychiatry, MADRID, SpainHospital Universitario Puerta de Hierro, Psiquiatría Infanto-juvenil, Madrid, Spain Introduction Premenstrual dysphoric disorder (PMDD) is included for the first time in the last edition of DSM within affective disorders. It is necessary that 5 of a list of 11 symptoms (lability, irritability, depressed mood, anxiety, lethargy, being out of control or physical symptoms among others) appear in the majority of menstrual cycles but must be only present during the week before menstruation improving after its onset. It has a prevalence of 1,8-5,8% and it is associated to significant functional impairment. SSRIs are indicated as first-line treatment in severe symptoms. Objectives To review about premenstrual dysphoric disorder and its psychopharmacological treatment. Methods We carry out a literature review about premenstrual dysphoric disorder, accompanied by a clinical description of one patient treated with sertraline. Results 44 years old female referred to our outpatient mental health service due to anxious and depressive symptoms. She had presented abdominal pain, anxiety, obsessive thoughts, sadness, emotional lability, apahty, anergy, uncontrolled impulse, irritability and vociferous attitude with verbal agressiveness only the week before menstruation during several years. These symptoms interfered negatively in her relationships. We started sertraline treatment with ad integrum clinical recovery after two menstrual cycles. 6 months later we indicated to take sertraline only the week before menstruation, maintaining stability. Conclusions 1) It is important to consider premenstrual dysphoric disorder as a possible diagnosis in women with premenstrual discomfort symptoms. 2) It might be consider as a depressive disorder. 3) Antidepressant treatment should be considered in women with disabling symptoms. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822008410/type/journal_articledepressive disorderpremenstrualwomenTreatment |
| spellingShingle | M. Garcia Moreno A. De Cos Milas L. Beatobe Carreño M.B. Poza Cano A. Izquierdo De La Puente P. Del Sol Calderón Antidepressant treatment in premenstrual dysphoric disorder, case report European Psychiatry depressive disorder premenstrual women Treatment |
| title | Antidepressant treatment in premenstrual dysphoric disorder, case report |
| title_full | Antidepressant treatment in premenstrual dysphoric disorder, case report |
| title_fullStr | Antidepressant treatment in premenstrual dysphoric disorder, case report |
| title_full_unstemmed | Antidepressant treatment in premenstrual dysphoric disorder, case report |
| title_short | Antidepressant treatment in premenstrual dysphoric disorder, case report |
| title_sort | antidepressant treatment in premenstrual dysphoric disorder case report |
| topic | depressive disorder premenstrual women Treatment |
| url | https://www.cambridge.org/core/product/identifier/S0924933822008410/type/journal_article |
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