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The Iranian version of the Premenstrual Symptoms Screening Tool (PSST): a validation study

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Abstract

The objective of the current study was to translate and test psychometric properties of the Premenstrual Symptoms Screening Tool (PSST) in Iran. Using a standard “forward–backward” procedure, the English version of PSST was translated into Persian. A random sample of university students aged 18 years and over completed the questionnaire in Tehran, Iran. Psychometric properties of the Iranian version of PSST were assessed by performing reliability (internal consistency) and validity analyses [Content Validity Ratio (CVR) and Content Validity Index (CVI)]. In all, 925 female students took part in the study. Of these, 284 (30.7 %) had premenstrual syndrome (PMS) and 119 (12.9 %) had premenstrual dysphoric disorder (PMDD). Reliability of the PSST as measured by internal consistency was found to be satisfactory (Cronbach’s alpha coefficient, 0.93). The content validity as assessed by CVR and CVI were desirable (0.7 and 0.8, respectively). The Iranian version of PSST seems to be a reliable and valid measure of detecting PMS and PMDD in Iranian young female populations.

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References

  • Alavi A, Salahi Moghaddam A, Alimalayeri N, Ramezanpour A (2007) Prevalence of clinical manifestation of premenstrual syndrome and premenstrual dysphoric disorder among Bandar Abbas medical students [Persian]. Med J of Hormozgan Univ of Med Sci 10:335–341

    Google Scholar 

  • American College of Obstetricians and Gynecologists (2000) Clinical management guidelines for obstetrician-gynecologists: premenstrual syndrome. ACOG Practice Bulletin 15:1–9

    Google Scholar 

  • American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders fourth edition-text revision (DSM-IV-TR). American Psychiatric Press, Washington, DC

    Book  Google Scholar 

  • Berek JS (2007) Berek & Novak’s gynecology. Lippincott, New York

    Google Scholar 

  • Borenstein JE, Dean BB, Endicott J, Wong J, Brown C, Dickerson V et al (2003) Health and economic impact of the premenstrual syndrome. J Reprod Med 48:515–524

    PubMed  Google Scholar 

  • Braverman PK (2007) Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolesc Gynecol 20:3–12

    Article  PubMed  Google Scholar 

  • Chayachinda C, Rattanachaiyanont M, Phattharayuttawat S, Kooptiwoot S (2008) Premenstrual syndrome in Thai nurses. J Psychosom Obstet Gynecol 29:203–209

    Article  Google Scholar 

  • Derman O, Kanbur N, Tokur TE, Kotluk T (2004) Premenstrual syndrome and associated symptoms in adolescent girls. Eur J Obstet Gynecol Reprod Biol 116:201–206

    Article  PubMed  Google Scholar 

  • Farhadinasab A, Kashani K (2003) Study the prevalence of pre-menstrual dysphoric disorder in Hamedan high school girls in 2003 [Persian]. J Hamedan Univ of Med Sci 39:25–28

    Google Scholar 

  • Flintbox (2012) The Premenstrual Symptoms Screening Tool (PSST). [http://www.flintbox.com/public/project/575]

  • Gonda X, Telek T, Juhasz G, Lazery J, Vargha A, Bagdy G (2008) Patterns of mood changes throughout the reproductive cycle in healthy women without premenstrual dysphoric disorder. Prog Neuropsychopharmacol Biol Psychiatry 32:1782–1788

    Article  PubMed  CAS  Google Scholar 

  • Grant JS, Davis LL (1997) Focus on quantitative methods: selection and use of content experts for instrument development. Res Nurs Health 20:269–274

    Article  PubMed  CAS  Google Scholar 

  • Halbreich U, Borenstein J, Pearlstein T, Kahn L (2003) The prevalence, impairment, impact and burden of premenstrual dysphoric disorder (PMS/PMDD). Psychoneuroendocrinology 28(Suppl 3):1–23

    CAS  Google Scholar 

  • He Z, Chen R, Zhou Y, Geng L, Zhang Z, Chen S et al (2009) Treatment for premenstrual syndrome with vitex agnus castus: a prospective, randomized, multi-center placebo controlled study in China. Maturitas 63:99–103

    Article  PubMed  Google Scholar 

  • Heinemann LA, Minh T, Filonenko A, Uhl-Hochgraber K (2010) Explorative evaluation of the impact of severe premenstrual disorders on work absenteeism and productivity. Womens Health Issues 20:58–65

    Article  PubMed  Google Scholar 

  • Johnson SR (2004) Premenstrual syndrome, premenstrual dysphoric disorder, and beyond: a clinical primer for practitioners. Obstet Gynecol 104:845–859

    Article  PubMed  Google Scholar 

  • Kayatekin ZE, Alex N, Sabo A, Halbreich U (2008) Levetriacetam for treatment of premenstrual dysphoric disorder: a pilot, open label study. Arch Womens Ment Health 11:207–211

    Article  PubMed  Google Scholar 

  • Lawshe CH (1975) A quantitative approach to content validity. Pers Psychol 28:563–575

    Article  Google Scholar 

  • Nourjah P (2008) Premenstrual syndrome among teacher training university students in Iran. J Obstet Gynaecol India 58:49–52

    Google Scholar 

  • Nunnally JC, Bernstein IH (1994) Psychometric theory. McGraw-Hill, New York

    Google Scholar 

  • Pearlstein T, Steiner M (2008) Premenstrual dysphoric disorder: burden of illness and treatment update. J Psychiatry Neurosci 33:291–301

    PubMed  Google Scholar 

  • Polit DF, Beck CT, Owen SV (2007) Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 30:459–467

    Article  PubMed  Google Scholar 

  • Rabinson RL, Swindle RW (2000) Premenstrual symptoms severity: impact on social function and treatment seeking behaviors. J Womens Health Gend-Based Med 9:757–768

    Article  Google Scholar 

  • Reed SC, Levin FR, Evans SM (2008) Changes in mood, cognitive performance and appetite in the luteal and follicular phase of the menstrual cycle in women with and without PMDD (premenstrual dysphoric disorders). Horm Behav 54:185–193

    Article  PubMed  CAS  Google Scholar 

  • Shahpourian F, Mahmoudi Z, Bastani F, Parsai S, Hoseini F (2006) Premenstrual syndrome (PMS) and the related symptoms among students of Iran University of Medical Sciences (IUMS) [Persian]. J of Nursing of Iran Univ of Med Sci 18:57–66

    Google Scholar 

  • Speroff L, Fritz MA (2005) Clinical gynecology endocrinology and infertility. Lippincott, New York

    Google Scholar 

  • Steiner M, Macdougal M, Brown E (2003) The Premenstrual Symptoms Screening Tool (PSST) for clinicians. Arch Womens Ment Health 6:203–209

    Article  PubMed  CAS  Google Scholar 

  • Steiner M, Peer M, Palova E, Freeman EW, Macdougall M, Soares CN (2011) The Premenstrual Symptoms Screening Tool revised for adolescents (PSST-A): prevalence of severe PMS and premenstrual dysphoric disorder in adolescents. Arch Womens Ment Health 14:77–81

    Article  PubMed  Google Scholar 

  • Taghizadeh M, Ghofranipour F, Nikpour B, Faghizadeh S (2003) Study of the frequency of signs, symptoms and self-medication method for premenstrual syndrome (PMS) [Persian]. Daneshvar Medicine 10:19–26

    Google Scholar 

  • Takeda T, Tasaka K, Sakata M, Murata Y (2006) Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in Japanese women. Arch Womens Ment Health 9:209–212

    Article  PubMed  CAS  Google Scholar 

  • Talaei A, Fayazi Bordbar MR, Nasiraei M, Dadgar S, Samari AA (2009) Epidemiology of premenstrual syndrome (PMS) in students of Mashhad University of Medical Sciences [Persian]. Iranian J Obste, Gynecol Ferti 12:15–22

    Google Scholar 

  • Tschudin S, Bertea PC, Zemp E (2010) Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample. Arch Womens Ment Health 13:485–494

    Article  PubMed  Google Scholar 

  • Tschudin S, Bitzer J, Zemp E (2007) Premenstrual syndrome in Switzerland assessed by Premenstrual Symptoms Screening Tool [abstract]. J Psychosom Obstet Gynecol 28:S51

    Google Scholar 

  • Yankers K (1997) The association between premenstrual dysphoric disorder and other mood disorders. J Clin Psychiatry 58:19–25

    Google Scholar 

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Correspondence to Ali Montazeri.

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Hariri, F.Z., Moghaddam-Banaem, L., Siah Bazi, S. et al. The Iranian version of the Premenstrual Symptoms Screening Tool (PSST): a validation study. Arch Womens Ment Health 16, 531–537 (2013). https://doi.org/10.1007/s00737-013-0375-6

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  • DOI: https://doi.org/10.1007/s00737-013-0375-6

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