--- title: How does PMS affect test anxiety in nursing students? | Niyora description: PMS was linked to higher test anxiety both directly and indirectly through delaying sleep and reduced ability to pay attention. The indirect pathway through s url: https://niyora.com/research/papers/bedtime-procrastination-and-attention-as-serial-mediators-between-premenstrual-2026/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - How does PMS affect test anxiety in nursing students? Survey study, 2026 # How does PMS affect test anxiety in nursing students? PMS was linked to higher test anxiety both directly and indirectly through delaying sleep and reduced ability to pay attention. The indirect pathway through sleep delays and attention difficulties accounted for 50% of the link between PMS and test anxiety. Moderate study design 791 female nursing students from 8 medical and health colleges in China ## What they did Researchers surveyed 791 female nursing students from 8 colleges in China. Students filled out questionnaires about PMS symptoms, how often they delayed sleep, ability to focus, and test anxiety. Researchers analyzed the connections between these factors. ## What they found PMS was connected to higher test anxiety both directly and through delayed sleep and attention problems. The pathway through delayed sleep and reduced attention accounted for 50% of the total effect of PMS on test anxiety. ## What it means for you For nursing students with PMS, the symptoms may increase test anxiety both directly and by disrupting sleep and focus. Addressing sleep and attention problems might help reduce test anxiety in students with PMS. This is a cross-sectional study of students in China, so results may not apply to all populations. 791 students studied 50% of PMS-test anxiety link through sleep and attention ## About the study Original title Bedtime Procrastination and Attention as Serial Mediators Between Premenstrual Syndrome and Test Anxiety in Nursing College Students: A Multicenter Cross-Sectional Study Authors Li Y, Liu M, Ji C Journal Psychology research and behavior management Year 2026 Study design Survey study Participants 791 What was tested None Open access Yes Read the paper [doi.org/10.2147/prbm.s620453](https://doi.org/10.2147/prbm.s620453) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Anxiety and tension](https://niyora.com/research/topics/symptom-anxiety/)[Cognition, concentration and memory](https://niyora.com/research/topics/symptom-cognition/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Survey study, 2023 Do women with PMS have slower reaction times and mood changes than others? Survey study, 2023 How common are PMS and PMDD among college girls, and what are their symptoms? Randomised trial, 2023 Does a smartphone app for heart rate variability biofeedback reduce premenstrual and depressive symptoms? Cohort study, 2010 How do anxiety disorders differ across different life stages? Randomised trial, 2026 Does aerobic or resistance exercise reduce anxiety in women with PMS? Study, 2026 What are premenstrual syndrome and premenstrual dysphoric disorder? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗