--- title: Does climate change stress and anxiety increase premenstrual syndrome symptoms in nursing students? description: Nursing students who felt stressed and anxious about climate change were more likely to have premenstrual symptoms. The eco-anxiety appeared to play a connect url: https://niyora.com/research/papers/climate-change-related-stress-and-premenstrual-symptoms-among-nursing-students-2026/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Does climate change stress and anxiety increase premenstrual syndrome symptoms in nursing students? Survey study, 2026 # Does climate change stress and anxiety increase premenstrual syndrome symptoms in nursing students? Nursing students who felt stressed and anxious about climate change were more likely to have premenstrual symptoms. The eco-anxiety appeared to play a connecting role. Early or limited evidence 400 female nursing students at Matrouh University ## What they did A survey of 400 female nursing students who answered questionnaires about climate change knowledge, awareness, stress, eco-anxiety, and premenstrual symptoms. Data were collected between January 2022 and June 2025. ## What they found 53.2% of students experienced moderate climate change-related stress and 28.6% experienced severe stress. About 54.9% experienced eco-anxiety at moderate to severe levels (46.2% moderate, 8.7% severe). The analysis showed that eco-anxiety played a connecting role between climate change stress and premenstrual symptoms. ## What it means for you Environmental worry may be linked to worse premenstrual symptoms in nursing students, but the study can't prove that worry causes PMS. The findings are from one university and one type of student. 53.2% Moderate climate-related stress 28.6% Severe climate-related stress 54.9% Experienced eco-anxiety ## About the study Original title Climate change-related stress and premenstrual symptoms among nursing students: the moderating role of climate change awareness and the mediating role of eco-anxiety Authors Aly NAEM, El-Shanawany SM, Ghanem MA et al. Journal BMC nursing Year 2026 Study design Survey study Participants 400 Open access Yes Read the paper [doi.org/10.1186/s12912-026-04812-8](https://doi.org/10.1186/s12912-026-04812-8) Original abstract Background: Nursing students are future nurses. They are more susceptible to the physiological and psychological implications of climate change because of their participation in climate activities. Aim: To assess the relationships among nursing students' climate change awareness, climate change-related stress and eco-anxiety; and the associations between their climate change-related stress and their eco-anxiety and premenstrual syndrome. Methods: A cross-sectional correlational study was conducted on a convenience sample of 400 female nursing students at Matrouh University via self-report questionnaires about climate change knowledge and awareness, perceived stress, eco-anxiety and premenstrual syndrome. The data were collected from January 2022 to June 2025. Hierarchical multiple regression analysis was performed to analyze the effects of the mediating and moderating variables. Results: Nursing students demonstrated satisfactory levels of knowledge and high levels of awareness of climate change. High climate change awareness among nursing students was coupled with moderate (53.2%) to severe (28.6%) climate change-related stress, whereas 54.9% of the students experienced moderate (46.2%) to severe (8.7%) levels of eco-anxiety. Regression analysis revealed that the relationship between nursing students' climate change-related stress and eco-anxiety was moderated via climate change awareness as a moderating factor. Eco-anxiety played a mediating role in the relationship between climate change-related stress and premenstrual syndrome among nursing students. Conclusion: Nursing students suffer from mental stress related to climate change, including climate change-related stress and eco-anxiety, due to increased climate change awareness. Climate change-related stress and eco-anxiety increased the prevalence of premenstrual syndrome among nursing students. Reproduced under CC-BY. ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Anxiety and tension](https://niyora.com/research/topics/symptom-anxiety/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Relationships and partners](https://niyora.com/research/topics/life-area-relationships/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Stigma, attitudes and culture](https://niyora.com/research/topics/life-area-stigma-culture/) 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, 2014 What factors cause PMS in teenage girls? Survey study, 2026 What dietary, lifestyle, and psychological factors are associated with PMS in young women? Survey study, 2025 What psychological and personal factors predict which university students will develop premenstrual syndrome? Survey study, 2025 Is PMS connected to mental health problems and lifestyle choices? Cohort study, 2017 How does stress relate to premenstrual symptoms? Cohort study, 2016 Does stress affect premenstrual symptoms in students? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗