DSM-IV
In 1994, the American Psychiatric Association included Premenstrual Dysphoric Disorder (PMDD) in Appendix B of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), titled “Criteria Sets and Axes Provided for Further Study.” This placement indicated that, while PMDD was recognized as a potential clinical condition, it required additional research before being officially classified as a distinct mental disorder.
📖 DSM-IV → DSM-V
The DSM-IV criteria for PMDD emphasized the timing, nature, and severity of symptoms, as well as the importance of distinguishing PMDD from other mood disorders. Specifically, the criteria required that:
Symptoms occur in the late luteal phase of most menstrual cycles during the past year and remit within a few days after the onset of menses.
At least five symptoms must be present, including at least one of the following: markedly depressed mood, marked anxiety, marked affective lability, or persistent and marked anger or irritability.
Other symptoms could include decreased interest in usual activities, difficulty concentrating, lethargy, changes in appetite, hypersomnia or insomnia, a sense of being overwhelmed, and physical symptoms such as breast tenderness or bloating.
The symptoms must cause significant interference with work, school, usual social activities, or relationships.
The disturbance is not merely an exacerbation of another disorder.
These criteria must be confirmed by prospective daily ratings during at least two symptomatic cycles.
For a detailed overview of the DSM-IV criteria for PMDD, you can refer to the following source:
This document provides an in-depth analysis of PMDD's classification and the rationale behind its inclusion in DSM-V as a distinct diagnostic category.
📌 Sources: 1. Epperson, C. N. et al. Premenstrual Dysphoric Disorder: Evidence for a New Category for DSM-5. Download PDF
2. National Institutes of Health. The Role of Reproductive Hormones in PMDD. Read on NCBI