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Survey study, 2026

Is there a link between how severe PMS is and mood swings?

Yes. The worse the PMS, the worse the mood tends to be. There was a statistically significant but weak to moderate link between PMS severity and mood.

Early or limited evidence Third-year medicine students at Hang Tuah University, Surabaya (sample size not stated)

What they did

Cross-sectional study with third-year medicine students at one university in Indonesia. Students completed questionnaires measuring PMS severity and mood using two standard tools: the Shortened Premenstrual Assessment Form and the Four-Dimensional Mood Scale.

What they found

55.3% of respondents experienced moderate PMS, and 82.5% reported fairly good mood. Statistical testing showed a significant association between PMS and mood changes (p<0.001), with a weak to moderate negative correlation (r=-0.379), meaning more severe PMS was linked to worse mood.

What it means for you

PMS severity and mood are linked. Women with worse PMS tend to have worse moods. The study is limited to medicine students at one university, so findings may not apply to all women.

55.3%

experienced moderate PMS

p < 0.001

statistical significance of PMS-mood link

r = -0.379

correlation between PMS and mood

About the study

Original title
The Relationship Between Premenstrual Syndrome and Mood Swings Based on Questionnaires SPAF and FDMS in Faculty Students Third Year of Medicine
Authors
Ratu Fathya Aulia Putri, Sadya Wendra, Herin Setianingsih et al.
Journal
Journal Of Social Research
Year
2026
Study design
Survey study
What was tested
None assessed
Open access
Yes
Original abstract

Premenstrual Syndrome (PMS) is a collection of physical, emotional, and behavioral symptoms that appear during the luteal phase and can affect daily activities, including academic and emotional functioning. This study aims to determine the relationship between PMS and mood changes based on the SPAF and FDMS questionnaires among third-year Faculty of Medicine students. This study uses an observational analytical design with a cross-sectional approach and was conducted at the Faculty of Medicine, Hang Tuah University, Surabaya. Primary data were obtained through the distribution of the Shortened Premenstrual Assessment Form (SPAF) questionnaire to assess PMS levels and the Four-Dimensional Mood Scale (FDMS) to measure mood conditions. The results showed that most respondents experienced moderate PMS (55.3%) and were in a fairly good mood (82.5%). Bivariate analysis using the Spearman correlation test showed a significant association between PMS and mood changes (p < 0.001), with a negative relationship and a weak–moderate correlation strength (r = ?0.379). This indicates that the more severe the level of PMS, the worse the mood tends to be. The conclusion of this study is that there is a relationship between the level of PMS and mood changes based on the SPAF and FDMS questionnaires among third-year Faculty of Medicine students. These findings underscore the importance of promotive and preventive efforts, including education on PMS management, stress management, and reproductive health monitoring to support the physical and emotional well-being of female students.

Reproduced under CC-BY-SA.

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