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Article
September 24, 1997

Premenstrual Dysphoric Disorder What's That?

Author Affiliations

Dr Gold is in private practice in Halifax, Nova Scotia, and was Chair of the Late Luteal Phase Dysphoric Disorder Work Group, DSM-IV Task Force, American Psychiatric Association, 1988-1994.

JAMA. 1997;278(12):1024-1025. doi:10.1001/jama.1997.03550120084040
Abstract

Categorizing the physical and psychological complaints linked to the menstrual cycle is controversial. Some view such efforts as a sociopolitical attempt to minimize, or encapsulate, women's complaints.1 Others, such as Yonkers et al2 in this issue, investigate treatments that alleviate these complaints.

See also p 983.

Premenstrual symptoms have been described for centuries. Many cultures have established rituals and myths related to the menstrual cycle; in North America, cartoons and even lapel buttons about premenstrual syndrome (PMS) are commonplace. Yet it is often unclear what is meant by PMS. Formal investigations of PMS began earlier in this century with the work of Frank in the United States and were furthered by Dalton in Britain.3 In the last 3 decades, many articles have been published dealing with both the etiology and treatment of premenstrual symptoms. By the mid 1980s, many clinicians had recognized that a small but significant

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