--- title: Are premenstrual dysphoric disorder symptoms, stress, and sleep quality linked in female nursing students? description: Yes, there was a clear link between more premenstrual dysphoric disorder symptoms and higher stress, and between stress and worse sleep. url: https://niyora.com/research/papers/the-relationship-between-premenstrual-dysphoric-symptoms-perceived-stress-and-2025/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Are premenstrual dysphoric disorder symptoms, stress, and sleep quality linked in female nursing students? Survey study, 2025 # Are premenstrual dysphoric disorder symptoms, stress, and sleep quality linked in female nursing students? Yes, there was a clear link between more premenstrual dysphoric disorder symptoms and higher stress, and between stress and worse sleep. Moderate study design 144 female nursing students in Saudi Arabia ## What they did A cross-sectional survey of 144 female nursing students in Saudi Arabia measured their premenstrual dysphoric disorder symptoms, perceived stress, and sleep quality. ## What they found Moderate levels of premenstrual symptoms were common. Moderate sleep problems were also common. Stress levels were high, with 63.9% of students reporting moderate stress and 14.6% reporting severe stress. There was a clear positive link between premenstrual symptoms and perceived stress: as premenstrual symptoms increased, stress increased. There was also a link between stress and sleep problems: higher stress was associated with worse sleep. ## What it means for you For nursing students, worse premenstrual symptoms and higher stress go together, and stress is also linked to sleep problems. The study only measured things at one point in time and was limited to nursing students in one country, so the results may not apply to all women or all settings. 144 female nursing students surveyed 63.9% with moderate stress 14.6% with severe stress ## About the study Original title The Relationship Between Premenstrual Dysphoric Symptoms, Perceived Stress, and Sleep Quality Among Nursing Students: A Cross-Sectional Study Authors Innab A, Alenezi A, Khaled A et al. Journal Healthcare (Basel, Switzerland) Year 2025 Study design Survey study Participants 144 What was tested None; this was observational study Open access Yes Read the paper [doi.org/10.3390/healthcare13222862](https://doi.org/10.3390/healthcare13222862) Original abstract Premenstrual dysphoric disorder (PMDD) is a psychological condition that significantly influences female students' behavior, cognitive ability, and mental health status. It has a critical role in mental health and well-being and in the academic success and professional performance of nursing students. Objectives: This study aimed to assess the relationship between PMDD, perceived stress levels and sleep quality among female nursing students in Saudi Arabia. Methods: This study utilized a cross-sectional, correlational, descriptive design. The sample size was 144 students, and we used a convenience sampling technique. Data were collected using the following tools: Demographics and Gynecological Data Sheet, Premenstrual Symptoms Screening Tool, Pittsburgh Sleep Quality Index, and Perceived Stress Scale. Results: The levels of premenstrual symptoms and sleep disturbances among the participants can be regarded as moderate, whereas the level of perceived stress was found to be at its highest level, with 63.9% of participants experiencing a moderate level and 14.6% reporting severe stress. There was a significant positive correlation between premenstrual symptoms and perceived stress (r = 0.39, p = 0.005). Thus, as premenstrual symptoms increase, so does perceived stress. Additionally, there is a noteworthy correlation between perceived stress and sleep disturbance (r = 0.28, p = 0.04), indicating that higher levels of stress are associated with more sleep disturbances. Conclusions: PMDD symptoms have a detrimental influence on female students' emotional state; thus, mental health experts play an important role in identifying variables that mitigate the severity of PMDD among female's students. Reproduced under CC-BY. ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[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/) 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 What dietary, lifestyle, and psychological factors are associated with PMS in young women? Survey study, 2023 What factors make PMS worse in college students? Survey study, 2019 What lifestyle and sleep habits are linked to PMS in teenage girls? Survey study, 2026 Is PMDD linked to sleep problems, diet, and academic stress in female medical students? Survey study, 2024 How common is PMDD among medical students, and is it linked to stress? Survey study, 2023 Does childhood trauma increase the risk of PMDD? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗