Premenstrual Dysphoric Disorder: Knowledge, Attitude and Practice Among Egyptian Females: Results of Surveying Two Centers in the Delta Region

Eman Ibrahim Abd Elrehim1, Ahmed Yousef2, Mohamed Bendary3, Rania El-Kurdy4, *
, Aisha Ghanem Abd El Lateef5, Rasha Ezzat Elsayed6, Ayman Al Hosainey Abd Almaksoud7, Ayman Hamdan-Mansour8
1 Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Cairo, Egypt
2 Department of Public Health and Community Medicine, Damietta Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3 Department of Epidemiology and Biostatistics, National Cancer Institute, Cairo University, Cairo, Egypt
4 Department of Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt
5 Department of Psychiatry, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
6 Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
7 Department of Psychiatry, Damietta Faculty of Medicine, Al-Azhar University, Cairo, Egypt
8 School of Nursing, The University of Jordan, Amman, Jordan

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© 2024 The Author(s). Published by Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Faculty of Nursing, Mansoura University, Al-Gomhoria Street, Mansoura, Dakahlia, Egypt; Tel: 00201006577020; E-mail:



To assess the prevalence of Premenstrual Dysphoric Disorder (PMDD) and assess knowledge, attitude, and practice regarding Egyptian females.


This study used a cross-sectional, descriptive design to collect data from a gynecological outpatient clinic at Al-Azhar University Hospital in Damietta and the Obstetrics and Gynecology Specialty Center in Mansoura University Hospital. The study was conducted from April 2022 to August 2022. A self-administered questionnaire and screening tools were used for data collection. The tools used were the Premenstrual Symptoms Screening Tool (PSST), attitudes and practices related to PMDD care. Multivariate logistic regression analysis was conductedto predict PMDD knowledge.

Results & Discussion

The prevalence of PMDD was 10% among the 150 women who agreed to participate in this study. About 47% (n = 70) of the women had good PMDD knowledge. High educational level was a significant predictor of knowledge about PMDD. The majority of females (98%) believed that PMDD awareness is essential and that PMDD symptoms are caused by life stressors. Around half of the women who are diagnosed with PMDD (47.0% of the 10% of those diagnosed with PMDD) reported discussing the disorder with family members, and about one-third thought that this conversation was extremely beneficial. Husbands and friends were the most common source of social support (42.9%). Only 20% discussed the issue with a doctor, majority of who(66.7%) were psychiatrists.


PMDD is prevalent among Egyptian females; however, they have adequate knowledge and a positive attitude toward PMDD. There is a need to establish a maternal mental consultation at the reproductive and maternal health care unit to prevent and promote mental well-being and contact with PMDD and similar female mental problems.


The majority of the participants reported having adequate knowledge of PMDD and a positive attitude toward the significance of raising awareness of it. The significant predictor of PMDD knowledge was university education. Talking to family and friends was useful to overcome the symptoms of PMDD.

Keywords: Premenstrual dysphoric disorder, Knowledge, Attitudes, Practice, Egyptian females, Delta region.