--- title: What factors affect PMS severity in teenage girls? | Niyora description: Sleep patterns, stress, attitudes about menstruation, and limiting exposure to chemicals all affected PMS severity. Together these factors explained 37% of th url: https://niyora.com/research/papers/effects-of-sleep-pattern-stress-menstrual-attitude-and-behavior-that-reduces-2019/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - What factors affect PMS severity in teenage girls? Survey study, 2019 # What factors affect PMS severity in teenage girls? Sleep patterns, stress, attitudes about menstruation, and limiting exposure to chemicals all affected PMS severity. Together these factors explained 37% of the differences in PMS severity. Early or limited evidence 192 female middle school students in South Korea ## What they did Researchers surveyed 192 middle school girls in Korea about their sleep patterns, stress levels, attitudes toward menstruation, and behaviors that reduce chemical exposure, then looked at how these factors related to PMS severity. ## What they found 79.2% of girls had intermediate sleep patterns. Menstrual pain severity, use of pain medications, family history of PMS, overall stress, and behaviors reducing chemical exposure all significantly affected PMS severity. These five factors together explained 37% of PMS severity differences. ## What it means for you Stress, sleep, and chemical exposure may contribute to PMS in teenagers, but many other unknown factors also matter since only 37% of PMS severity was explained. This was a convenience sample of Korean middle school students, so results may not apply to all teenagers or adult women. 79.2 intermediate sleep pattern 37 variation in PMS severity explained 192 girls studied ## About the study Original title Effects of Sleep Pattern, Stress, Menstrual Attitude, and Behavior That Reduces Exposure to Endocrine Disrupting Chemicals on Premenstrual Syndrome in Adolescents Authors Kim HJ, Choi SY, Min H Journal Korean journal of women health nursing Year 2019 Study design Survey study Participants 200 What was tested None Open access Yes Read the paper [doi.org/10.4069/kjwhn.2019.25.4.423](https://doi.org/10.4069/kjwhn.2019.25.4.423) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Dysmenorrhea and period pain](https://niyora.com/research/topics/condition-dysmenorrhea/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)[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, 2023 What factors make premenstrual syndrome worse in nursing students? Survey study, 2025 What psychological and personal factors predict which university students will develop premenstrual syndrome? Survey study, 2024 Did COVID-19 stress cause changes in menstrual cycles? Survey study, 2023 What factors make PMS worse in college students? Survey study, 2021 Did COVID-19 stress make PMS worse for young women? Survey study, 2006 What menstrual problems do adolescent girls experience? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗