---
title: Is the Premenstrual Symptoms Screening Tool valid in Serbian?
description: Yes. The Serbian version works well and is reliable. All items measured what they were supposed to measure.
url: https://niyora.com/research/papers/translation-cultural-adaptation-and-psychometric-validation-of-the-premenstrual-2026/
---

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- Is the Premenstrual Symptoms Screening Tool valid in Serbian?

Survey study, 2026

# Is the Premenstrual Symptoms Screening Tool valid in Serbian?

Yes. The Serbian version works well and is reliable. All items measured what they were supposed to measure.

 Moderate study design

350 female health sciences students in Serbia with PMS

## What they did

Translated and adapted the screening tool to Serbian. 350 female university students in health sciences who had PMS symptoms in the past 12 months completed the Serbian version and a depression-anxiety scale. Tested validity and reliability.

## What they found

Tool had good internal consistency: Cronbach's alpha 0.927, McDonald's omega 0.896. All items were significant (CI-TC coefficients greater than 0.40). Tool correlated well with depression and anxiety scale, confirming it measures what intended.

## What it means for you

The Serbian screening tool can be used to identify PMS in Serbian-speaking women. Limited to university health sciences students, so may not apply to all women or older age groups. Young women only.

350

women studied

0.927

Cronbach's alpha

0.896

McDonald's omega

## About the study

Original title Translation, Cultural Adaptation, and Psychometric Validation of the Premenstrual Symptoms Screening Tool (PSST) in Serbian Authors Mihajlovic D, Dunjic M, Sulovic N et al. Journal Diagnostics (Basel, Switzerland) Year 2026 Study design Survey study Participants 350 What was tested Validation study of the Serbian translation Open access Yes Read the paper [doi.org/10.3390/diagnostics16101564](https://doi.org/10.3390/diagnostics16101564) Original abstract

Background/Objectives: The signs and symptoms of premenstrual syndrome (PMS) can be similar to those of various other illnesses and conditions. To facilitate the detection and categorization of PMS symptoms, specific questionnaires have been developed. The aim of this study was to translate and culturally adapt the Premenstrual Symptoms Screening Tool (PSST) for the Serbian-speaking population and assess its validity and reliability. Material and Methods: Our convenience sample included 350 Serbian-speaking female health sciences students from one of the Serbian universities who had PMS symptoms at least once during the past 12 months. They completed a general socio-epidemiologic questionnaire, the PSST, and the Depression, Anxiety and Stress Scale-21 (DASS-21). The PSST was translated according to the recommended methodology, and its psychometric characteristics (internal consistency, construct, discriminant validity and convergent validity) were tested. Results: There were no major changes in the items during the process of translation or validation. The Cronbach's alpha coefficient for the whole scale was 0.927, whereas if an item was deleted, it was >0.8 for all the items. The McDonald's omega coefficient was 0.896, indicating good internal consistency. The CI-TC coefficients were greater than 0.40 for all the items, indicating that all items were significant elements of the PSST. Exploratory factor analysis extracted three factors. Confirmatory factor analysis revealed adequate values for all model fit estimators. The PSST significantly correlated with the DASS-21, which confirmed its adequate convergent validity. Conclusions: The Serbian version of the PSST showed good validity and therefore can be used as a screening tool for PMS in Serbian-speaking young women.

Reproduced under CC-BY.

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Stigma, attitudes and culture](https://niyora.com/research/topics/life-area-stigma-culture/)

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