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A.
In most menstrual cycles during the past year, five (or more) of the
following
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symptoms
were present for most of the time during the last week of the luteal phase,
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began
to remit within a few days after the onset of the follicular phase, and
were
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absent
in the week postmenses, with at least one of the symptoms being either (1),
(2),
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(3), or (4):
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(1)
markedly depressed
mood,
hopelessness or self-deprecating thoughts
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(2)
marked anxiety, tension, feelings of being
"keyed up," or "on edge"
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(3)
marked affective
lability
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(4)
persistent and marked anger or irritability or increased interpersonal conflicts
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(5) decreased interest in usual activities (e.g., work,
school, friends, hobbies)
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(6)
subjective sense of difficulty in concentrating
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(7) lethargy, easy fatigability, or marked
lack of energy
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(8)
marked change
in appetite,
overeating, or specific food cravings
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(9) hypersomnia or insomnia
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(10)
a subjective sense of being overwhelmed or out of control
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(11)
physical
symptoms: e.g., breast
tenderness, headaches, joint pain and "bloating."
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