--- title: Is severe PMS associated with insomnia risk in working women? description: The study could not find a statistically significant link. However, women with severe PMS had nearly 5 times higher odds of insomnia, suggesting a real trend url: https://niyora.com/research/papers/premenstrual-syndrome-severity-and-insomnia-risk-in-indonesia-working-women-a-2026/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Is severe PMS associated with insomnia risk in working women? Survey study, 2026 # Is severe PMS associated with insomnia risk in working women? The study could not find a statistically significant link. However, women with severe PMS had nearly 5 times higher odds of insomnia, suggesting a real trend that needs further research. Early or limited evidence 62 female employees aged 18-35 in Jakarta, Indonesia ## What they did Cross-sectional observational study of 62 female employees from two financial-sector companies in Jakarta (September-October 2018), aged 18-35 years. Researchers assessed PMS severity using a validated PMS severity scale and insomnia risk using the Insomnia Severity Index (ISI). ## What they found Premenstrual symptoms were reported by all 62 participants. 92.7% reported mild-to-moderate PMS and 7.3% reported severe-to-very-severe PMS. Insomnia was detected in 48.4% of participants. PMS severity did not reach statistical significance (p=0.189), but the odds ratio for insomnia in the severe PMS subgroup was 4.77 (95% CI: 0.49-46.3). ## What it means for you Although this study did not prove that severe PMS causes insomnia, the odds ratio suggests a possible link worth studying further. The main limitation is the very small number of women with severe PMS, which made it impossible to draw firm conclusions. 62 Female employees studied 48.4% Had insomnia 4.77 Odds ratio for insomnia in severe PMS ## About the study Original title Premenstrual Syndrome Severity and Insomnia Risk in Indonesia Working Women: A Cross-Sectional Analysis Authors Felia Endah Sari, Joice Viladelvia Kalumpiu Journal Jurnal Multidisiplin Madani Year 2026 Study design Survey study Participants 62 What was tested None (observational study) Open access Yes Read the paper [doi.org/10.55927/mudima.v6i8.111](https://doi.org/10.55927/mudima.v6i8.111) Original abstract Sleep disturbance carries a substantial global burden, and insomnia stands out as the most prevalent manifestation, affecting between one-third and one-half of the adult population. Women bear a disproportionately greater burden, largely owing to cyclical reproductive hormonal changes throughout the menstrual cycle. Premenstrual syndrome (PMS) is hypothesized to impair sleep via three converging pathways: reduced luteal-phase serotonin synthesis, aberrant allopregnanolone modulation of GABA-A receptors, and circadian pacemaker disruption. A cross-sectional observational study enrolled 62 female employees from two financial-sector companies in Jakarta during September–October 2018. Instruments included a sociodemographic questionnaire, a validated PMS severity scale, and the Insomnia Severity Index (ISI). Fisher exact test was used for bivariate analysis (p < 0.05). Young adults aged 18–35 years comprised 85.5% of participants. Premenstrual symptoms were universal; 92.7% reported mild-to-moderate and 7.3% severe-to-very-severe intensity. ISI-defined insomnia was detected in 48.4% of participants. Neither age (p = 1.000) nor PMS severity (p = 0.189) reached statistical significance; however, the odds ratio for insomnia in the severe PMS subgroup was 4.77 (95% CI: 0.49–46.3). No significant associations were demonstrated, most likely because an underpowered severe-PMS subgroup precluded reliable detection. The magnitude of the odds ratio signals a clinically meaningful trend warranting prospective investigation with objective sleep measurement and systematic confounder control. Reproduced under CC-BY. ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Neurosteroids (allopregnanolone)](https://niyora.com/research/topics/treatment-neurosteroids/)[Work and productivity](https://niyora.com/research/topics/life-area-work/)[Quality of life and daily functioning](https://niyora.com/research/topics/life-area-quality-of-life/) 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, 2026 Does exercise help college women with period problems and mental health? Survey study, 2026 What factors are linked with period pain in teenage girls in Ethiopia? Survey study, 2025 Can a smartphone app help diagnose and monitor PMS? Study, 2022 What mood and thinking changes are linked to premenstrual sleep and eating problems? Study, 2026 How can lifestyle changes help reduce premenstrual syndrome? Survey study, 2025 What is premenstrual syndrome and how can it be managed in adolescent girls? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗