Abstract
The purpose of this study was to classify the clinical subtypes of core premenstrual disorders during the International Society for Premenstrual Disorders’ second consensus meeting. Multiple iterations were used to achieve consensus between a group of experts; these iterations included a two-generational Delphi technique that was preceded and followed by open group discussions. The first round was to generate a list of all potential clinical subtypes, which were subsequently prioritized using a Delphi methodology and then finalised in a final round of open discussion. On a six-point scale, 4 of the 12 potential clinical subtypes had a mean score of ≥5.0 following the second iteration and only 3 of the 4 still had a mean score of ≥5.0 after the third iteration. The final list consisted of these three subtypes and an additional subtype, which was introduced and agreed upon, in the final iteration. There is consensus amongst experts that core premenstrual disorder is divided into three symptom-based subtypes: predominantly physical, predominantly psychological and mixed. A proportion of psychological and mixed subtypes may meet the DSM-IV diagnostic criteria for premenstrual dysphoric disorder.
Similar content being viewed by others
References
Brook RH, Appel FA (1973) Quality of care assessment: choosing a method for peer review. N Engl J Med 288:1323
Fink A, Kosecoff J, Chassin M, Brook R (1984) Consensus methods: characteristics and guidelines for use. Am J Public Health 74(9):979–983
Hasson F, Keeney S, McKenna H (2000) Research guidelines for the Delphi survey technique. J Adv Nurs 32:1008–1015
Hsu CC, Sandford BA (2007). The Delphi technique: making sense of a consensus. Practical Assessment, Research & Evaluation 12(10):
Jones J, Hunter D (1995) Consensus method for medical and health services research. BMJ 311:376–380
Linstone HA, Turoff M (1975) The Delphi method: techniques and applications. Addison-Wesley, Massachussets
O’Brien PMS, Bäckström T, Brown C, Dennerstein L, Endicott J, Epperson CN et al (2011) Towards a consensus on diagnostic criteria, measurement and trial design of the premenstrual disorders: the ISPMD Montreal consensus. Arch Women Ment Health 14:13–21
Payne K, Nicholls SG, McAllister M, Macleod R, Ellis I, Donnai D, Davies LM (2007) Outcome measures for clinical genetics services: a comparison of genetics healthcare professionals and patients’ views. Health Policy 84:112–122
Powell C (2003) The Delphi technique: myths and realities. J Adv Nurs 41:376–382
Sackman H (1975) Delphi critique. Lexington, Boston
World Health Organization (1992) ICD-10 classifications of mental and behavioural disorder clinical descriptions and diagnostic guidelines. World Health Organization, Geneva
Yates SL, Morley S, Eccleston C, de Williams AC (2005) A scale for rating the quality of psychological trials for pain. Pain 117:314–325
Conflict of interest
There are no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
Khaled M.K. Ismail and Tracy Nevatte are joint first authors.
Rights and permissions
About this article
Cite this article
Ismail, K.M.K., Nevatte, T., O’Brien, S. et al. Clinical subtypes of core premenstrual disorders: a Delphi survey. Arch Womens Ment Health 16, 197–201 (2013). https://doi.org/10.1007/s00737-012-0326-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00737-012-0326-7