Amaç: Reprodüktif dönemdeki pek çok kadın premenstrüel dönem boyunca emosyonel ve fiziksel semptomları yaşantılamaktadır. Öfke, irritabilite ve agresif tavır bu tablo içinde sık görülen belirtilerden kabul edilmektedir. Biz bu çalışmada PMDB kriterlerini karşılayan kadınlarda sosyodemografik, ailesel ve reprodüktif dönem özellikleri ile öfke arasındaki ilişkiyi incelemenin yanında öfkenin sunum tarzı ve ifadesi ile ilgili ayrıntıları da incelemeyi amaçladık. Yöntem: Çalışmaya katılma kriterlerini karşılayan 45 Premenstrüel Disforik Bozukluklu kadın ile 45 sağlıklı kadının sosyodemografik, ailesel ve reprodüktif dönem özellikleri kaydedildi. Tüm kadınlara Sürekli Öfke-Öfke İfade Tarzı Ölçeği (STAS) ve Premenstrüel Sendrom Ölçeği (PMSÖ) uygulandı. Bulgular: PMDB’lu bireylerde öfke alt ölçek puanları ile sosyodemografik, ailesel ve reprodüktif dönem özellikleri arasında hem negatif hem de pozitif yönde korelasyonlar tespit edildi. Sürekli öfke alt ölçek puanı ile PMSÖ toplam puanı, depresif duygulanım ve sinirlilik alt ölçek puanları arasında hafif-orta düzeyde pozitif korelasyon, yorgunluk alt ölçeği ile öfke içe alt ölçeği arasında da yine hafif-orta düzeyde pozitif korelasyon olduğu görüldü. Sonuç: Sonuç olarak PMDB’lu kadınlarda öfke ile ilişkili faktörlerin araştırılması, öfkenin genetik yanının değerlendirilmesi, tedavilerin belirlenip klinisyenlerin kullanımına sunulabilmesi için hayvan çalışmaları, klinik çalışmalar ve farmakolojik araştırmaların detaylandırılarak artırılması gerekliliği gözden kaçırılmamalıdır

Objective: The majority of women during the reproductive period experience emotional and physical symptoms premenstrually. Premenstrual Dysphoric Disorder is a severe form of this phenomenon, with emotional symptoms such as fatique, anger/irritability, anxiety/tension, sleeplessness and physical symptoms such as breast tenderness, swelling, sweating in hand and foot, weight gain, headache, nausea, constipation or diarrhea and eating disorders. Anger, irritability and agressive behavior are considered as the most frequent symptoms in such a presentation. Anger, which is an emotion that impacts human life adversely in many aspects and induces uncontrolled behavior frequently, may accompany the symptoms of Premenstrual Dysphoric Disorder ( PMDD). The aim of the present study was to investigate the relation between anger levels and sociodemographic, familial and reproductive period features in women meeting the criteria of Premenstrual Dysphoric Disorder in addition to investigate details on the expression of modality of anger. Methods: In 45 women group meeting the criteria of PMDD; those who were between the ages of 18-40, who were not using oral contraception, who did not undergo any gynecological surgical operation and did not have any other physical or psychological disorder and 45 healthy women were included in the study. Sociodemographic (age, marital status, education level, occupation, income status, history of substance abuse), familial (family history of psychiatric illness and premenstrual dysphoric disorder) and reproductive period characteristics (age at menarche, parity and parity history, history of miscarriage, abortion and postpartum illness) of the women participating in the study were recorded. All subjects were administered Structured Clinical Interview For DSM-IV Axis I Disorders (SCID- I), The State- Trait Anger Scale (STAS) and Premenstrual Syndrome Scale (PMSS). Mathematical mean, Standard deviation, minimum and maximum values, Student t Test, were used to evaluate the sociodemographic, clinical and the reproductive period characteristics of the subjects. In order to determine the relation between sociodemographic, familial and reproductive period characteristics and trait anger - anger expression styles Pearson and Spearman correlation analysis was performed. Results: In women with PMDB, mild positive correlation was found between the number of births with anger subscale scores. There was a mild relationship in negative direction between the level of trait anger subscale scores and occupation. The trait anger scores were found higher in individuals without a regular job and lower in students. There was no correlation between age at menarche, age, total education period, marital status, smoking and alcohol consumption and presentation style of anger. Mild-to-moderate positive correlation was found between subscale score of trait anger and total score in PMSO, between depressed mood and irritability subscale scores, between fatigue subscale and anger subscale scores. Conclusions: In conclusion, many factors may be associated with anger in women with PMDD. The need for increasing in detailed animal studies, clinical trials and pharmacological research for examination of factors associated with anger in obesity, heart disease and some psychosomatic diseases, evaluation of the genetic aspect of anger, determining and presenting treatments available to clinicians should not be overlooked. In addition, as reproductive age is a very important factor in maintaning the existence of human beings, we believe that detection of details that improve the quality of life in women of reproductive age will increase the quality of life of all humanity.