--- title: How do PMS, pain sensitivity, and sleep connect in women with fibromyalgia? description: Worse PMS was linked to worse sleep and higher pain sensitivity in this group. Pain sensitivity may partly explain why PMS severity affects sleep, but the rel url: https://niyora.com/research/papers/central-sensitization-sleep-disturbances-and-premenstrual-syndrome-a-nursing-2026/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - How do PMS, pain sensitivity, and sleep connect in women with fibromyalgia? Survey study, 2026 # How do PMS, pain sensitivity, and sleep connect in women with fibromyalgia? Worse PMS was linked to worse sleep and higher pain sensitivity in this group. Pain sensitivity may partly explain why PMS severity affects sleep, but the relationships are complex. Early or limited evidence 359 women with fibromyalgia in Cairo, Egypt ## What they did Surveyed 359 women with fibromyalgia at hospitals in Cairo, Egypt. Researchers assessed PMS severity using the Premenstrual Syndrome Scale, sleep quality using the Pittsburgh Sleep Quality Index, and central sensitization (heightened pain sensitivity) using the Central Sensitization Inventory. They examined how these three factors relate to each other. ## What they found Women reported poor sleep quality (mean score 8.16), high PMS severity (mean score 122.54), and moderate pain sensitivity (mean score 51.75). Worse PMS was strongly linked to higher pain sensitivity (correlation 0.487) and worse sleep (correlation -0.543). Higher pain sensitivity was also linked to worse sleep (correlation -0.467). Mathematical analysis suggested that pain sensitivity partially explained the link between PMS and poor sleep. ## What it means for you In women with fibromyalgia, PMS, poor sleep, and pain sensitivity are interconnected. Better understanding these connections could help develop better treatments. This study only included women with fibromyalgia in Egypt, so findings may not apply to women without fibromyalgia or in other regions. 122.54 Mean PMS severity score 8.16 Mean sleep quality score -0.543 Correlation between PMS and sleep ## About the study Original title Central Sensitization, Sleep Disturbances and Premenstrual Syndrome: A Nursing Perspective in Fibromyalgia Authors Elsokary EA, Hamed AEM, Hamza MF et al. Journal Pain management nursing : official journal of the American Society of Pain Management Nurses Year 2026 Study design Survey study Participants 359 What was tested None (observational study) Read the paper [doi.org/10.1016/j.pmn.2026.07.023](https://doi.org/10.1016/j.pmn.2026.07.023) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Cognitive behavioral therapy](https://niyora.com/research/topics/treatment-cbt/)[Psychotherapy, counselling and education](https://niyora.com/research/topics/treatment-psychotherapy/)[Chronic pain and fibromyalgia](https://niyora.com/research/topics/comorbidity-chronic-pain/) 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 Systematic review, 2025 Does teaching adolescent girls about their menstrual cycle and health help reduce period pain and PMS? Survey study, 2025 Can a chatbot help monitor PMS symptoms over time? Randomised trial, 2025 Does cognitive-behavioral hypnotherapy reduce period pain and PMS symptoms? Randomised trial, 2025 Can combined therapy reduce emotional effects of PMS in teenage girls? Survey study, 2025 What is premenstrual syndrome and how can it be managed in adolescent girls? Randomised trial, 2022 Does cognitive-behavioral hypnotherapy reduce menstrual pain in women with severe PMS? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗