---
title: What factors most affect premenstrual syndrome in teenage girls?
description: Poor sleep quality was the strongest factor. Girls with poor sleep had 9 times higher risk of PMS than girls with good sleep.
url: https://niyora.com/research/papers/analysis-of-the-dominant-factors-affecting-premenstrual-syndrome-pms-in-female-2025/
---

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- What factors most affect premenstrual syndrome in teenage girls?

Survey study, 2025

# What factors most affect premenstrual syndrome in teenage girls?

Poor sleep quality was the strongest factor. Girls with poor sleep had 9 times higher risk of PMS than girls with good sleep.

 Early or limited evidence

76 female adolescents aged 15 to 18 years at an Islamic boarding school in Purwokerto, Indonesia

## What they did

Cross-sectional study of 76 girls aged 15 to 18 at an Islamic boarding school in Indonesia. They completed questionnaires and researchers used logistic regression to analyze the data.

## What they found

Girls with poor sleep quality had 9 times higher risk of developing PMS than girls with good sleep quality, even after accounting for stress levels and physical activity (odds ratio 9.110, 95% confidence interval 2.601 to 31.913, p value 0.001).

## What it means for you

Sleep quality is strongly linked to PMS risk. However, this study was cross-sectional, so we cannot prove that poor sleep causes PMS. The study was conducted at one school in Indonesia, so results may not apply elsewhere.

76

female students studied

9 times

higher risk with poor sleep

9.110

odds ratio for sleep and PMS

## About the study

Original title Analysis of The Dominant Factors Affecting Premenstrual Syndrome (PMS) in Female Students of The Pesantren Darussalam Purwokerto Authors Awaliyatun Istiqomah, Siti Haniyah, Tin Utami Journal Viva Medika Jurnal Kesehatan Kebidanan dan Keperawatan Year 2025 Study design Survey study Participants 76 What was tested None - observational study Open access Yes Read the paper [doi.org/10.35960/vm.v17i3.1592](https://doi.org/10.35960/vm.v17i3.1592) Original abstract

The transition from childhood to adulthood known as puberty is a transformative phase marked by the growth of reproductive organs, which impacts physical and mental evolution, and changes in social roles. One of the major physiological changes in the reproductive organs during this period is the onset of menstruation. At the time of menstruation until menstruation begins, women generally experience several symptoms. This is called premenstrual syndrome, which occurs cyclically 7-10 days before menstruation and disappears 4 days after menstruation. The main cause behind PMS is hormonal instability, especially the disharmony between estrogen and progesterone, and variations in serotonin levels. The purpose of this study was to determine the dominant factors that influence Premenstrual syndrome (PMS) in female students at the Darussalam Islamic Boarding School in Purwokerto. This type of research is quantitative research using a descriptive research method with a cross-sectional research design, because this research was conducted by means of an approach, observation or data collection at one time. The research sample involved a group of 76 female adolescents aged 15 to 18 years. Various questionnaires were used for data collection, such as SPAF, PSS, GPA, and PSQI. Logistic regression test was used for data analysis. The results showed a significant p value of 0.001 < 0.05, indicating a relationship between. The results showed that students with poor sleep quality had a 9 times higher risk of developing PMS than students with good sleep quality, even after considering factors such as stress levels and physical activity (p value = 0.001; OR = 9.110; 95% CI = 2.601-31.913).

Reproduced under CC-BY-SA.

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Work and productivity](https://niyora.com/research/topics/life-area-work/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)

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