Mental health problems among adolescent inpatients with menstrual cycle irregularity

Objective: to study the clinical structure of comorbid psychiatric disorders among pediatric gynecological inpatients with menstrual cycle irregularity. Material and methods. An examination was made in 69 adolescent girls (mean age 15.9±0.8 years) who came to a gynecological hospital with complaints of menstrual cycle irregularity and gave consent to take part in the investigation. All the patients underwent clinical and psychopathological examination using the structured diagnostic interview of the Mini International Neuropsychiatric Interview for Children and Adolescents and the teenage questionnaire of T. Achenbach Youth SelfReport. Results. The prevalence of comorbid psychiatric disorders was 61%. Comorbid psychiatric disorders were represented by two clinical subgroups, including anxiety-depressive and dysmorphophobic disorders (40% and 60% of comorbid psychiatric disorders). Among the dysmorphophobia, cases that met the criteria for eating disorders (34%), over variants with signs of body dysmorphic disorder (26%) prevailed. Comparative analysis using the T. Achenbach’s questionnaire YSR showed that comorbid psychiatric disorders among adolescent girls with menstrual cycle irregularity in the general medical network included more severe anxiety-depressive disorders and relatively "mild" clinical variants of body dysmorphic disorder and eating disorders.