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Review, 2010

Should PMDD be included in psychiatric diagnostic manuals?

PMDD is currently in the DSM diagnostic manual, which helps women access treatment. The authors raise ethical concerns about whether this classification has unintended consequences.

Early or limited evidence Ethical analysis (no study population)

What they did

Ethical review examining the merits and concerns of including PMDD in the DSM-IV diagnostic manual. The review discusses the normal menstrual cycle, hormonal changes, and the clinical reality of PMDD as a disorder.

What they found

Women lose about 70-80ml of blood each month during menstruation and experience hormonal fluctuations that cause mood changes and physical discomfort. PMDD is listed in the DSM-IV as a depressive disorder, which has helped psychologists recognize and treat women's menstrual cycle problems. However, the review notes there are downsides to having PMDD in the DSM.

What it means for you

Including PMDD in diagnostic manuals has helped women get clinical care, but there are ethical concerns about stigma and implications. The abstract does not specify what those downsides are, so the practical implications are unclear.

70-80

milliliters of blood lost per menstrual cycle

About the study

Original title
Psychological Premenstrual Symptoms as a Clinical Diagnosis: An Ethical Review
Authors
Isabelle Carren-Le Sauter
Year
2010
Study design
Review
What was tested
None
Open access
Yes

Topics