A. | In the menstruation cycles during the past year, the following symptoms were present during the week prior to menstruation, began to remit within a few days after the onset of menstruation, and disappeared in the week postmenstruation. | |||||||
 | Five symptoms, including one of (1), (2), (3), or (4) are necessary for diagnosis | |||||||
1 | Depressive mood/feelings of hopelessness | Â | Â | Â | Â | |||
2 | Anxiety/tension | Â | Â | Â | Â | Â | Â | |
3 | Tearful/feeling suddenly sad | Â | Â | Â | Â | Â | ||
4 | Anger/irritability/increased interpersonal conflicts | Â | Â | Â | ||||
5 | Decreased interest in work, school, or hobbies | Â | Â | Â | ||||
6 | Difficulty in concentrating | Â | Â | Â | Â | Â | ||
7 | Easily fatigued/lethargy | Â | Â | Â | Â | Â | ||
8 | Overeating/specific food cravings | Â | Â | Â | Â | |||
9 | Hypersomnia/Insomnia | Â | Â | Â | Â | Â | ||
10 | Feeling out of control | Â | Â | Â | Â | Â | Â | |
11 | Physical symptoms such as breast tenderness or weight gain | Â | Â | |||||
B. | The disturbance interferes with work, school, usual social activities, or relationships with others. | |||||||
C. | The disturbance is not an exacerbation of another disorder; such as another depressive disorder or panic disorder. | |||||||
D. | Criteria must be confirmed using a prospective daily rating scale during at least two consecutive symptomatic cycles. (The diagnosis may be made provisionally prior to this confirmation.) |