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Cohort study, 2026

Is there a link between excessive anxiety and mood changes during the menstrual cycle?

Among female medical students during COVID, those who had a tendency to focus excessively on small details had more depression, sleep problems, and some perceived menstrual changes. However, this was just an observation, not proof of cause and effect.

Early or limited evidence 293 female medical students during COVID-19 pandemic in March 2021

What they did

293 female medical students answered questionnaires in March 2021 about how much they worry excessively, their depression symptoms, sleep problems, and changes in their periods. Researchers looked for connections between these measures.

What they found

Higher tendencies to worry excessively were linked to more depression and sleep complaints. Perceived changes in period flow showed some connection, but irregular periods were not strongly linked to excessive worry.

What it means for you

During COVID stress, female medical students who tend to worry excessively also reported more depression, sleep issues, and some menstrual changes. This was just an observation, so we do not know if anxiety caused the period changes or if something else is happening. The period connections were weak. These results are specific to medical students and may differ for others.

293

female medical students

≤13 vs ≥14

anxiety score cut-offs

2021

survey year

About the study

Original title
Aberrant salience associated with menstrual cycle, mood, and sleep alterations - A cross-sectional study in female medical students during the COVID-19 pandemic
Authors
Polese D, Mazzetta A, Costanzi F et al.
Journal
Journal of affective disorders
Year
2026
Study design
Cohort study
Participants
293
What was tested
None

Topics