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Survey study, 2021

Do medical students with premenstrual syndrome have higher anxiety and depression?

Yes. Medical students with PMS had significantly higher depression and anxiety scores than those without PMS.

Early or limited evidence 300 medical students in Iran

What they did

Cross-sectional study of 300 medical students at Ilam University in Iran, followed over 3 menstrual cycles from August to December 2016. Researchers used questionnaires to measure depression, anxiety, and PMS symptoms.

What they found

137 women (44.7%) met criteria for PMS. Depression scores were higher in the PMS group (7.72±5.93) versus the non-PMS group (5.86±4.88) (p=0.003). Anxiety scores were also higher in the PMS group (44.47±7.21) versus non-PMS group (42.32±5.74) (p=0.004). PMS was more common in women aged 20-25 and in unmarried women.

What it means for you

Anxiety and depression are more common in women with PMS, especially in younger unmarried students. However, this study does not prove whether PMS causes anxiety and depression, whether they contribute to PMS, or whether they share common causes. The study is from one university in Iran only.

300

medical students studied

44.7%

with premenstrual syndrome

7.72 vs 5.86

depression score with vs without PMS

About the study

Original title
Investigating Anxiety and Depression in Medical Students with Premenstrual Syndrome
Authors
Razhan Chehreh, Batol Solaimannzhad, Zolaykha Karamelahi et al.
Journal
Journal of Family Medicine and Health Care
Year
2021
Study design
Survey study
Participants
300
What was tested
None
Open access
Yes
Original abstract

Background: Premenstrual syndrome (PMS) is a common disorder in women that decreases their emotional, behavioral, and physical functioning. It also affects their family relationships and social and educational activities. Recognizing the factors associated with PMS can be helpful in planning to alleviate the complication. The aim of this study was to investigate the anxiety and depression in medical students with premenstrual syndrome. Method: In this cross-sectional study, 300 students at Ilam University of Medical Sciences took part during three menstrual cycles from August to December in 2016. The participants were selected through convenient sampling. For data gathering, PSST screening questionnaires, Beck Depression Inventory, and Spielberger Anxiety Scale were utilized. Data analyses were done using T-test, Chi-square, and ANOVA in SPSS 19 (P<0.05). Results: Totally, 137 participants (44.7%) had premenstrual syndrome. This syndrome is more common in the age range 20-25 (61.9%) in unmarried girls (72.4%). Mean menstrual cycle length and bleeding duration were not significantly different between the two groups. The mean score of depression in students with and without PMS was 7.72±5.93 and 5.86±4.88 respectively. In addition, the mean score of anxiety in students with and without PMS was 44.47±7.21 and 42.32±5.74 respectively. Therefore, the two groups were significantly different in terms of depression (p=0.003) and anxiety (p=0.004). Conclusion: The symptoms of anxiety and depression are more common among young and unmarried students with premenstrual syndrome.

Reproduced under CC-BY.

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