A Cross – Sectional Study: The Correlation Between Premenstrual Syndrome and Quality of Life Among Midwifery Students at Universitas Pendidikan Ganesha
DOI:
https://doi.org/10.55606/jikki.v6i1.8639Keywords:
Correlation Study, Midwifery Students, Premenstrual Syndrome, Quality of Life, WHOQOL – BREFAbstract
Premenstrual syndrome (PMS) is a common condition among women of reproductive age, characterized by recurrent physical, emotional and behavioral symptoms during the luteal phase of the menstrual cycle. These symptoms may negatively affect academic performance and quality of life (QoL), particularly among midwifery students. This study aimed to examine the correlation between PMS severity and quality of life among midwifery students. A cross – sectional study was conducted among midwifery students using the Premenstrual Syndrome Scale (PMSS) and the WHOQOL – BREF questionnaire. PMS severity and QoL domains – physical health, psychological health, social relationship and environment – were analyzed using Pearson correlation with significance level of p < 0,05. The findings showed that 9,52% of participants had poor QoL, 60,71% had moderate QoL and 29,76% had good QoL. PMS severity was significantly and negatively correlated with all QoL domains ( p = 0,001). The strongest correlation was observed in the physical domain ( r = -0,605), followed by psychological health (r = -0,574), social relationship ( r = -0,459) and environment ( r = -0,405). These results indicate that higher PMS severity is associated with lower QoL scores among midwifery students. PMS significantly affects the quality of life of midwifery students, especially in physical and psychological aspects. Early management and supportive interventions are essential to improve students well – being and academic performance.
References
Andualem, F., Melkam, M., Takelle, G. M., Nakie, G., Tinsae, T., Fentahun, S., Rtbey, G., Seid, J., Gedef, G. M., Bitew, D. A., & Godana, T. N. (2024). Prevalence of premenstrual syndrome and its associated factors in Africa: A systematic review and meta-analysis. Frontiers in Psychiatry, 15(January), 1–11. https://doi.org/10.3389/fpsyt.2024.1338304
Chauhan, A., Juneja, K., Tyagi, N., & Agarwal, V. (2024). Impact of premenstrual syndrome (PMS) on quality of life among adolescent girls of rural area of Gautam Buddh Nagar: A cross sectional study. Indian Journal of Community Health, 36(5), 697–702. https://doi.org/10.47203/IJCH.2024.v36i05.011
Cheng, M., Jiang, Z., Yang, J., Sun, X., Song, N., Du, C., Luo, Z., & Zhang, Z. (2025). The role of neuroinflammation and stressors in premenstrual syndrome/premenstrual dysphoric disorder: A review. Frontiers in Endocrinology, 16(March), 1–17. https://doi.org/10.3389/fendo.2025.1561848
Chou, P., Morse, C., Xu, H., & Wiebrecht, A. (2009). A controlled trial of Chinese herbal medicine for premenstrual syndrome. Deutsche Zeitschrift für Akupunktur, 52(1), 53–54. https://doi.org/10.1016/j.dza.2009.02.011
Dilbaz, B., & Aksan, A. (2021). Premenstrual syndrome, a common but underrated entity: Review of the clinical literature. Journal of the Turkish German Gynecology Association, 22(2), 139–148. https://doi.org/10.4274/jtgga.galenos.2021.2020.0133
Hantsoo, L., & Payne, J. L. (2023). Towards understanding the biology of premenstrual dysphoric disorder: From genes to GABA. Neuroscience & Biobehavioral Reviews, 149, 105168. https://doi.org/10.1016/j.neubiorev.2023.105168
Ikeda, Y., Egawa, M., Hiyoshi, K., Ueno, T., Ueda, K., Becker, C. B., Takahashi, Y., Nakayama, T., & Mandai, M. (2020). Development of a Japanese version of the Daily Record of Severity of Problems for diagnosing premenstrual syndrome. Women’s Health Reports, 1(1), 11–16. https://doi.org/10.1089/whr.2019.0004
Lahnsteiner, A., Hidalgo-Lopez, E., Noachtar, I., Hausinger, T., Gnaiger, A., Griesbach, K., Scutelnic, D., Risch, A., & Pletzer, B. A. (2025). Genetic contributions to premenstrual symptoms: Revisiting the role of the ESR1 gene. medRxiv, 2025.01.13.25320449. https://doi.org/10.1101/2025.01.13.25320449
Liguori, F., Saraiello, E., & Calella, P. (2023). Premenstrual syndrome and premenstrual dysphoric disorder’s impact on quality of life, and the role of physical activity. Medicina (Lithuania), 59(11). https://doi.org/10.3390/medicina59112044
Magnay, J. L., O’Brien, S., Gerlinger, C., & Seitz, C. (2018). A systematic review of methods to measure menstrual blood loss. BMC Women’s Health, 18(1), 1–13. https://doi.org/10.1186/s12905-018-0627-8
Modzelewski, S., Oracz, A., Żukow, X., Iłendo, K., Śledzikowka, Z., & Waszkiewicz, N. (2024). Premenstrual syndrome: New insights into etiology and review of treatment methods. Frontiers in Psychiatry, 15(April), 1–39. https://doi.org/10.3389/fpsyt.2024.1363875
Nexha, A., Caropreso, L., de Azevedo Cardoso, T., Suh, J. S., Tonon, A. C., & Frey, B. N. (2024). Biological rhythms in premenstrual syndrome and premenstrual dysphoric disorder: A systematic review. BMC Women’s Health, 24(1). https://doi.org/10.1186/s12905-024-03395-3
Nworie, K. M. (2018). Premenstrual syndrome: Etiology, diagnosis and treatment – A mini literature review. Journal of Obstetrics and Gynecological Investigations, 1(1), 41–46. https://doi.org/10.5114/jogi.2018.78010
Okamoto, M., Matsumura, K., Takahashi, A., Kurokawa, A., Watanabe, Y., Narimatsu, H., & Yoshida, H. (2024). The association between menstrual symptoms and presenteeism: A cross-sectional study for women working in central Tokyo. International Journal of Environmental Research and Public Health, 21(3). https://doi.org/10.3390/ijerph21030313
Padmavathi, P., Sankar, R., Kokilavani, N., Dhanapal, K., & Ashok, B. (2014). Validity and reliability study of Premenstrual Syndrome Scale (PMSS). International Journal of Advances in Nursing Management, 2(1). https://doi.org/10.5958/2454-2652
Rani, R. (2020). A study to assess the effect of premenstrual syndrome on quality of life among college students at Chennai. International Journal of Health Sciences and Research, 10(6), 110. Retrieved from http://www.ijhsr.org
Rondung, E., Oliveira, S., & Esteves, F. (2023). Validity and reliability of the WHOQOL-BREF in a pregnant population. Health and Quality of Life Outcomes, 21(1), 1–11. https://doi.org/10.1186/s12955-023-02166-2
Situmorang, M., & Anastasya, M. (2024). Analysis of the relationship between stress and dysmenorrhea in female students. International Journal on ObGyn and Health Sciences, 2(3), 125–133. https://doi.org/10.35335/obgyn.v2i3.182
Soliman, F., Essa, H., & Elbialy, A. (2022). The effect of premenstrual syndrome among adolescent nursing female students on their quality of life. Tanta Scientific Nursing Journal, 24(1), 252–273. https://doi.org/10.21608/tsnj.2022.221605
Syafila, S., Imrar, I. F., & Simanungkalit, S. F. (2024). Factors related to the incidence of primary dysmenorrhea in adolescent females at SMAIT Raflesia Depok in 2024. Amerta Nutrition, 8(3SP), 190–199. https://doi.org/10.20473/amnt.v8i3SP.2024.190-199
Thiyagarajan, D. K., Basit, H., & Jeanmonod, R. (2024). Physiology, menstrual cycle. In StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK500020/
Tiranini, L., & Nappi, R. E. (2022). Recent advances in understanding and management of premenstrual dysphoric disorder/premenstrual syndrome. Faculty Reviews, 11. https://doi.org/10.12703/r/11-11
Victor, F. F., Souza, A. I., Barreiros, C. D. T., Barros, J. L. N. de, Silva, F. A. C. da, & Ferreira, A. L. C. G. (2019). Quality of life among university students with premenstrual syndrome. Revista Brasileira de Ginecologia e Obstetricia, 41(5), 312–317. https://doi.org/10.1055/s-0039-1688709
Wang, Q., Keijser, R., Chen, Y., Yu, H., Hysaj, E., Hägg, S., Valdimarsdóttir, U. A., Bertone-Johnson, E., Aleknaviciute, J., & Lu, D. (2025). Premenstrual disorders and quality of life in Sweden. JAMA Network Open, 8(9), e2533823. https://doi.org/10.1001/jamanetworkopen.2025.33823
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
