经前情绪障碍(PMDD)是PMS中最严重的形式，表现为愤怒、易激惹、精神紧张。
Premenstrual dysphoric disorder (PMDD) is the most severe form of PMS, with the prominence anger, irritability, and internal tension.
对可能患有经前期综合征或经前情绪障碍的患者需要从以下几方面进行评估：病史、体格检查、化学检查、全血检查及血清tsh。
The assessment of patients with possible PMS or PMDD should begin with the history, physical examination, chemistry profile, complete blood count, and serum TSH.
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