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Practical diagnosis and treatment of premenstrual syndrome and premenstrual dysphoric disorder by psychiatrists and obstetricians/gynecologists in Japan.
Yoshimi, Kana; Inoue, Fumi; Odai, Tamami; Shirato, Nahoko; Watanabe, Zen; Otsubo, Tempei; Terauchi, Masakazu; Takeda, Takashi.
Afiliación
  • Yoshimi K; Division of Women's Health, Research, Institute of Traditional Asian Medicine Kindai University Osaka Japan.
  • Inoue F; Department of Psychiatry Kyowakai Hannnan, Hospital Osaka Japan.
  • Odai T; Division of Women's Health, Research, Institute of Traditional Asian Medicine Kindai University Osaka Japan.
  • Shirato N; Department of Women's Health Tokyo Medical and Dental University Tokyo Japan.
  • Watanabe Z; Department of Obstetrics and Gynecology Showa University School of Medicine Tokyo Japan.
  • Otsubo T; Department of Obstetrics and Gynecology Tohoku University Graduate School of Medicine Miyagi Japan.
  • Terauchi M; Department of Psychosomatic and Psychiatric Medicine Tokyo Women's Medical University Adachi Medical Centerr Tokyo Japan.
  • Takeda T; Department of Women's Health Tokyo Medical and Dental University Tokyo Japan.
PCN Rep ; 3(3): e234, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39149567
ABSTRACT

Aim:

To investigate and compare the diagnoses and treatment of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) from the perspectives of psychiatrists and obstetricians/gynecologists (OB/GYNs) in Japan.

Methods:

Between December 2021 and February 2022, a web-based survey was conducted among the members of the Japanese Association of Neuro-Psychiatric Clinics. Data from 262 psychiatrists who responded to the aforementioned survey were compared with data from 409 OB/GYNs from a survey conducted in 2021 among members of the Japanese Society of Obstetrics and Gynecology.

Results:

Overall, 79.8% of psychiatrists and 97.3% of OB/GYNs were involved in practicing PMS/PMDD diagnosis and treatment. Most psychiatrists believed that PMS should be treated by OB/GYNs (74.4%) and PMDD by psychiatrists (75.6%). Only vague medical interviews were conducted by 86.6% of psychiatrists, and only 9.7% maintained a two-cycle symptom diary. Psychiatrists mostly prescribed selective serotonin/serotonin and noradrenaline reuptake inhibitor (SSRI/SNRI) continuous dosing (91.1%), followed by Kampo medicines, especially Kamishoyosan (73.3%); only 2.8% chose oral contraceptive pills, unlike OB/GYNs, while SSRI continuous (32.8%) and luteal phase dosing (20.6%) and Kampo medicine (42.1%) were the most common first-line treatments. Lifestyle guidance was prescribed by 63.6% of psychiatrists, followed by cognitive behavioral therapy (13.8%) and the symptom diary observation method (11.1%), which were similar to OB/GYNs' choices.

Conclusions:

Many Japanese psychiatrists and OB/GYNs do not base PMS/PMDD diagnoses on prospective monitoring methods using specific diagnostic criteria and therefore do not provide evidence-based treatment. Moreover, a tendency of being biased toward treatments in which the department specialized was observed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: PCN Rep Año: 2024 Tipo del documento: Article Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: PCN Rep Año: 2024 Tipo del documento: Article Pais de publicación: Australia