월경전증후군의 이해와 치료: 인지행동적 접근을 중심으로
Understanding and Treatment of Premenstrual Syndrome: Focusing on Cognitive Behavioral Approach
초록
월경전증후군(premenstrual syndrome)은 생리주기의 황체기에 주기적으로 겪는 다양한 행동적 및 신체적 증상들로 이루어진다. 이는 가임기 여성 수백만 명이 경험하고 있으며 커다란 사회경제적 손실을 초래한다. 그러나 이 문제를 겪는 여성들은 본인과 주변사람들, 그리고 의사를 비롯한 건강전문가들의 몰이해와 주의결여 탓으로 적절한 도움을 받지 못하는 경우가 허다하다. 이에 본 연구에서는 건강심리학자들이 건강심리현장에서 월경전증후군을 인지하고 타전문가들과 협력하여 적극적으로 도움을 제공하는데 필요한 최신 이론과 치료접근법을 개관하였다. 비약물요법으로 운동과 식습관 등의 생활습관변화를 권하면서 개관연구들에서 효과가 높게 평가된 인지행동치료를 적용할 것을 제안하였다. 인지행동치료를 월경전증후군에 어떻게 적용할 것인지, 또 구체적으로 어떠한 기법을 어떻게 사용할 것인지 축어록을 예시하면서 설명하였다. 마지막으로 현재 논의가 진행되고 있는 쟁점들을 논하였다.
- keywords
- 월경전증후군, 월경전불쾌장애, 인지행동치료, premenstrual syndrome, premenstrual dysphoric disorder, cognitive behavioral treatment
Abstract
Premenstrual syndrome(PMS) is characterized by psychological and/or physical symptoms during the luteal phase of the menstrual cycle. PMS affects a large segment of women of reproductive age and its social economical cost is high. Women with this problem rarely obtain appropriate professional help due to their and others' around them including their health professionals' lack of understanding and concern on PMS. The primary goal of this paper is to help professionals in the field of PMS, that are clinics, community health center, hospitals, etc., understand the etiology and clinical pictures of PMS and offer its treatment. A comprehensive treatment plan which focuses on cognitive behavioral treatment that encourages a healthy lifestyle and change in cognition of menstrual symptoms and helps develop appropriate ways to cope with the obstacles, frustrations and discomforts of daily life may relieve symptoms in most women. The application of cognitive behavioral treatment was discussed and the details of cognitive behavioral techniques were explained and illustrated by examples. Lastly, current controversial issues were discussed.
- keywords
- 월경전증후군, 월경전불쾌장애, 인지행동치료, premenstrual syndrome, premenstrual dysphoric disorder, cognitive behavioral treatment
참고문헌
강현정 (1998). 인지행동치료와 이완훈련이 월경전증후군의 감소에 미치는 효과. 전북대학교 석사학위 청구논문.
고선규, 권정혜 (2004). 인지행동치료와 이완훈련이 월경전증후군의 감소에 미치는 효과. 인지행동치료, 4, 1-10.
구본건, 이 경우, 이영규, 권장연, 한혁동, 김대현 (1990). 월경전 증후군의 임상적 고찰. 대한산과학회지, 33, 1436-1444.
박혜연, 안창일 (2004). 월경 전 불쾌 증상 집단의 신체 감각에 대한 인지 특성: 미혼여성들을 대상으로. 한국심리학회지: 임상, 23, 891-903.
Abel, K. M., & Kulkarni, J. (2006). Depression in women: Hormonal influences. In D. Castle, J. Kulkarni, & K. M. Abel (Eds.), Mood and anxiety disorders in women (pp. 116-135). New Yo가: Cambridge University Press.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Apgar, B. (2000). Premenstrual syndrome and the placebo response. American Family Physician. 61, 850.
Blake, F. (1995). Cognitive therapy for premenstrual syndrome. Cognitive and Behavioral Practice, 2, 167-185.
Blanchard, D. B., & Kim, M. (2005). The effect of the definition of menstrually-related headache on the response to biofeedback treatment. Applied Psychophysiology and Biofeedback, 30, 53.
Burt, V. K., & Hendrick, V. C. (1997). Concise guide to women's mental health (pp.11-24). Washington, DC: American Psychiatric Press.
Choi, P. Y. L. (1995). The menstrual cycle and premenstrual syndrome: What is this news on the menstrual cycle and premenstrual syndrome? Society of Science of Medicine, 41, 759-760.
Chrisler, J. C., Johnston, I. K., Champagne, N. M., & Preston, K. E. (1994). Menstrual joy: The construct and its consequences. Psychology of Women Quarterly, 18, 375-387.
Christensen, A. P., & Oei, T. P. S. (1995). The efficacy of cognitive behaviour therapy in treating premenstrual dysphoric changes. Journal of Affective Disorders, 33, 57-63.
Dalton, K. (1964). The Premenstrual Syndrome. Springfield, IL: Thomas.
Deuster, P. A., Adera, T., & South-Paul, J. (1999). Biological, social, and behavioral factors associated with premenstrual syndrome. Archives of Family Medicine, 8, 122-128.
Endicott, J., & Harrison, W. (1990). Daily Record of Problems Form. New York: Department of Research Assessment and Training, New York State Psychiatric Institute.
Endicott, J., Nee, J., & Harrison, W. (2006). Daily record of severity of problems: Reliability and validity, Archives of Womens Mental Health, 9, 41-49.
Endicott, J., Schacht, S., & Halbreich, U. (1982). Daily Rating Form. New York: Research Assessment and Training Unit.
Epperson, C. N., Wisner, K. I., & Yamomoto, B. (1999). Gonadal steroids in the treatment of mood disorders. Psychosomatic Medicine, 61, 676-697.
Frank, R. T. (1931). The hormonal causes of premenstrual tension. Archives of Neurological Psychiatry, 26, 1053-1057.
Freeman, E. W., DeRubein, R. J., & Rickels, K. (1996). Reliability and validity of a daily diary for premenstrual syndrome. Psychiatry Research, 65, 97-106.
Freeman, E. W., & Rickels, K. (1999). Characteristics of placebo responses in medical tratment of premenstrual syndrome. Americal Journal of Psychiatry, 156, 1403-1408.
Golding, J. M., Taylor, J. L., Menard, L., & King, M. J. (2000). Prevalence of sexual abuse history in a sample of women seeking treatment for premenstrual syndrome, Journal of Psychosomatic Obstetrics and Gynaecology, 21, 69-80.
Goodale, I. L., Domar, A. D., & Benston, H. (1990). Alleviation of premenstrual syndrome symptoms with relaxation response. Obstetrics and Gynecology, 75, 649-655.
Hsiao, M. & Liu, C. (2007). Unusual manifestations of premenstrual syndrome. Psychiatry and Clinical Neurosciences, 61, 120-123.
Ishiwata, N., Uesugi, S., Uehara, M., Melby, M., & Watanabe, S. (2004). Effects of Soy Isoflavones on Premenstrual Sydrome. The Journal of Nutrition, 134, 1281.
Janowsky, D. S., Rausch J. L., & Davis J. M. (2002). Historical studies of premenstrual tension up to 30 years ago: implications for future research. Current Psychiatry Report, 4, 411-418.
Kirkby, R. J. (1994). Changes in Premenstrual Symptoms and Irrational Thinking Following Cognitive–Behavioral Coping Skills Training. Journal of Consulting and Clinical Psychology, 62, 1026-1032
Kornstein, S. G., & Smith, K. C. (2004). Antidepressant treatment of premenstrual syndrome and premenstrual dysphoric disorder. Primary Psychiatry, 11, 53-57.
Lande︠n, M., & Eriksson, E. (2003). How does premenstrual dysphoric disorder relate to depression and anxiety disorders? Depression and Anxiety, 17, 122-129.
Ling, F. W. (2000). Recognizing and treating premenstrual dysphoric disorder in the obstetric, gynecologic, and primary care practices. Journal of Clinical Psychiatry, 61(Suppl. 12), 9-16.
Macdougall, M., Born, L., Krasnik, C. E., & Steiner, M. (2006). Premenstrual syndromes. In J. E. Fisher & W. T. O'Donohue (Eds.), Practitioner's guide to evidence-based psychotherapy (pp. 550-566). New York: Springer Science+Business Media
Marv n, M. L., & Cortes-Iniestra, S. (2001). Women's beliefs about the prevalence of premenstrual syndrome and biases in recall of premenstrual changes. Health Psychology, 20, 276-280.
Moos, R. (1968). The development of a menstrual distress questionnaire. Psychosomatic Medicine, 30, 853-867.
Morse, C. A., Dennerstein, L., Farrell, E. M., & Varnavides, K. (1991). A comparison of hormone therapy, coping skills training and relaxation for the relief of premenstrual syndrome. Journal of Behavioral Medicine, 14, 469-489.
Mortola, J. F., Girton, L., Beck, L., & Yen, S. C. (1990). Diagnosis of premenstrual syndrome by a simple, prospective, and reliable instrument: the calendar of premenstrual experiences. Obstetrics and Gynecology, 76, 302-307.
Pealstein, T., Joilat, M. J., Brown, E. B., & Miner, C. M. (2003). Recurrence of symptoms of premenstrual dysphoric disorder after the cessation of luteal-phase fluoxetine treatment. American Journal of Obstetrics and Gynecology, 188, 887-895.
Pearlstein, T., & Steiner M. (2000). Non-antidepressant treatment of premenstrual syndrome. Journal of Clinical Psychiatry, 61, Suppl. 12:22-27.
Pearlstein, T., Yonkers, K. A., Fayyad, R., & Gillespie, J. A. (2005). Pretreatment pattern of symptom expression in premenstrual dysphoric disorder. Journal of Affective disorders, 85, 275-282.
Rapkin, A. (2003). A review of treatment of premenstrual syndrome and premenstrual dysphoric disorder. Psychoneuroendocri- nology, 28, 39-53.
Schmidt, P. J., & Rubinow, D. R. (1993). Parallels between premenstrual syndrome and psychiatric illness. In S. Smith & I. Schiff (Eds.), Modern management of premenstrual syndrome (pp. 71-81). New York: Norton.
Steege, J. F., & Blumenthal, J. A. (1993). The effects of aerobic exercise on premenstrual symptoms in middle-aged women: A preliminary study. Journal of Psychosomatic Research, 37, 127-133.
Steiner M., Macdougall M., & Brown, E. (2003). The premenstrual symptoms screening tool(PSST) for clinicians. Archives of Women's Mental Health 6, 203-209.
Steiner, M., Pearlstein, T., Cohen, L. S., Endicott, J., Kornstein, S. G., Carla, R., David, R. L., & Yonkers, K. (2006). Expert guidelines for the treatment of severe PMS, PMDD, and comorbidities: The role of SSRIs, Journal of Womens Health, 15, 57.
Steiner, M., Steiner, D., & Ba'Pham. (2005). Validation of a revised visual analog scale for premenstual mood symptoms: Results from prospective and retrospective trials. Canadian Journal of Psychiatry, 50, 327-332.
Ussher, J. M. (2002). Processes of appraisal and coping in the development and maintenance of Premenstrual Dysphoric Disorder. Journal of Community and Applied Social Psychology, 12, 309-322.
Vickers, K., & McNally, R. J. (2004). Is premenstrual dysphoria a variant of panic disorder?: A review. Clinical Psychology Review, 24, 933-956.
Wittchen, H. U., Perkonigg, A., & Pfister, H. (2003). Trauma and PTSD-an overlooked pathogenic pathway for premenstrual dysphoric disorder? Archives of Women's Mental Health, 6, 293-297.
World Health Organization. (1992). International Classification of Diseases (10th ed.). (ICD-10). Geneva: WHO.
Yonkers, K. A., Bradshaw, K. D., & Halbreich, U. (2000). Oestrogens, progestins and mood. In M. Steiner, K. A. Yonkers, & E. Eriksson (Eds.), Mood disorders in women (pp. 207-232). London, United Kingdom: Martin Dunitz.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수