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Premenstrual symptoms and associated factors in female students in Saudi Arabia

A cross-sectional study

Bibliographic Data

ID22071045
AuthorsVanitha Innocent Rani (King Khalid University, corresponding author), Akshaya Saikannan (Vinayaka Missions University), Abeer S Aseeri (King Khalid University), Eman Baleegh Meawad Elsayed (Mansoura University), Gehan EL Nabawy Ahmed Moawad (King Khalid University), Rasha Gamal Ahmed Abdelgawwad (Menoufia University), Amutha Chellathurai (King Khalid University), Kamaldeen Nasrin Nisha (King Khalid University), Mona M Abd El-Maksoud (King Khalid University), Safaa Ibrahem Shattla (Armed Forces Hospital), Francis Moses Rajappa (St Xavier’s College)
Year2025
Volume13
Pages1699948-1699948
Publication date2025-12-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1699948
PMID41446532
OpenAlexW7110079856
LanguageEN
Citations received1
References cited18

Background Premenstrual syndrome (PMS) is a common condition affecting the physical, psychological, and behavioral health of reproductive-aged women. This study aimed to assess the association between sociodemographic and menstrual characteristics and the severity of PMS symptoms among female students. Methods A cross-sectional study was conducted among 370 female college students. Data were collected through a structured questionnaire covering sociodemographic factors, menstrual characteristics, and PMS symptoms across three domains: physiological, psychological, and behavioral. Descriptive statistics, ANOVA, and multiple linear regression analyses were performed to identify associated factors. Results Departments (94.6%). The majority had a normal BMI (65.4%), and 76.5% reported moderate menstrual flow. ANOVA results indicated significant associations between PMS symptoms and BMI, marital status, menstrual cycle length, and menstrual flow. In the regression models, overweight or obese students demonstrated significantly lower physiological ( β = −0.283, p = 0.031), psychological ( β = −0.348, p = 0.018), and behavioral symptom scores ( β = −0.481, p < 0.001) compared with underweight peers. Students with heavy menstrual flow reported higher symptom scores across all domains (physiological: β = 0.931, p < 0.001). Overweight or obese students exhibited lower symptom scores compared to their underweight peers ( β = −0.283, p = 0.031). Additionally, students from non-healthcare departments demonstrated significantly higher psychological symptoms ( β = −0.744, p = 0.001), and those who experienced early menarche (≤13 years) showed more behavioral symptoms ( β = 0.424, p = 0.013) than healthcare students. Conclusion PMS symptoms among female students are significantly influenced by BMI, menstrual flow characteristics, department of study, and age at menarche. These findings highlight the importance of targeted health education and support programs that consider these factors to effectively manage PMS symptoms in this population

Alternative medicine · Health education · MEDLINE · Menstrual cycle · Menstruation · Public health · Menopause: Health Impacts and Treatments · Menstrual Health and Disorders · Ovarian function and disorders

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  • The social determinants of mental health and disorder

    Open Access•J B Kirkbride, Deidre M Anglin et al.•World Psychiatry•2024

  • Are Psychological Distress and Resilience Associated with Dietary Intake Among Australian University Students

    Open Access•Megan Whatnall, Amanda J Patterson et al.•International Journal of…•2019

  • Sexual and reproductive health knowledge, perceptions and experiences of women in Saudi Arabia

    Open Access•Noura Alomair, Samah Alageel et al.•Ethnicity and Health•2021

  • WHO World Mental Health Surveys International College Student Project

    Open Access•Randy P Auerbach, WHO WMH-ICS Collaborators et al.•Journal of Abnormal Psychology•2018

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo

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