Premenstrual syndrome, premenstrual dysphoric disorder, and coping strategies in women with menstrual migraine
Clinical Scorecard: Coping Mechanisms and Severity of Premenstrual Syndrome and Dysphoric Disorder in Women Experiencing Menstrual Migraine
At a Glance
Category Detail
Condition Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) in Women with Menstrual Migraine
Key Mechanisms Coping strategies impact headache severity and PMS symptom burden.
Target Population Women aged 18 to 45 years with a confirmed diagnosis of migraine.
Care Setting Headache clinics in Egypt.
Key Highlights
Women with menstrual migraine (MM) have higher PSST and HIT-6 scores compared to non-MM. PMDD diagnosed in 5.6% of women with MM and 1.9% without MM. Higher PSST scores and lower awareness and acceptance coping strategies correlate with increased headache burden.
Guideline-Based Recommendations
Diagnosis
Use the International Classification of Headache Disorders, 3rd edition (ICHD-3) for migraine classification. Assess PMS and PMDD using the Premenstrual Symptoms Screening Tool (PSST).
Management
Evaluate coping strategies using the Premenstrual Coping Measure (PMCM).
Monitoring & Follow-up
Regularly assess headache impact using the Headache Impact Test-6 (HIT-6).
Risks
Increased headache burden associated with PMDD and maladaptive coping strategies.
Patient & Prescribing Data
Women with menstrual migraine and premenstrual symptoms.
Coping strategies may influence perceived headache severity.
Clinical Best Practices
Encourage the use of adaptive coping strategies to manage PMS symptoms. Monitor headache impact regularly to adjust management plans.
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