Prevalence of Premenstrual Syndrome in Undergraduate MBBS Students and their Work-related Quality of Life
PMS in MBBS students
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https://doi.org/10.54169/ijocp.v3i01.68Keywords:
PMS, PMDD, MBBS, Medical StudentDimensions Badge
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Copyright (c) 2023 Riya Jain, Sayanti Paul, Arghya Pal

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Aims & Objectives: Premenstrual syndrome (PMS) refers to physical and emotional symptoms that occur in the late luteal phase of menstruation. Premenstrual dysphoric disorder (PMDD) is primarily a psychiatric disorder with more severe symptoms as compared to PMS. The main aim of the study is to find the prevalence of PMS and PMDD in undergraduate medical students and its effect of work-related quality of life (WrQOL). Materials & Methods: The study followed a cross-sectional and a prospective design. Students were cross-sectionally assessed with Premenstrual Symptoms Screening Tool (PSST). Students who screened positive for severe PMS on PSST were asked to keep a prospective record using Daily record of severity of problems scale (DRSP) and WrQOL scale. Results: 228 students participated in the cross-sectional assessment. The prevalence of severe PMS and PMDD in our sample was found to be 29.4% and 6.1% respectively. Students who had medical comorbidities had higher chances of reporting of PMS and PMDD. Of 47 students who agreed for prospective record-keeping on DRSP, 10 students fulfilled the criteria for severe PMS. WrQOL was significantly poorer in students with PMS. Discussion: Though there was significant drop-out in the prospective assessments, the results of the cross-sectional assessments were on expected lines. However, there is a need for more stringent prospective studies on this topic. Conclusion: PMS and PMDD is highly prevalent and often co-occur with medical comorbidities and is associated with poor WrQOL.Abstract
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Paul S, Pal A. Premenstrual syndrome and premenstrual dysphoric disorder: A review of their history with an eye on future. Ann Indian Psychiatry [Internet]. 2023 [cited 2023 Mar 15];6(4):393. Available from: https://www.anip.co.in/article.asp?issn=2588-8358;year=2022;volume=6;issue=4;spage=393;epage=397;aulast=Paul ICD-10 Version:2016 [Internet]. [cited 2016 Apr 16]. Available from: http://apps.who.int/classifications/icd10/browse/2016/en Home | APA DSM-5 [Internet]. [cited 2016 Jan 31]. Available from: http://www.dsm5.org/Pages/Default.aspx Direkvand-Moghadam A, Sayehmiri K, Delpisheh A, Satar K. Epidemiology of Premenstrual Syndrome (PMS)-A Systematic Review and Meta-Analysis Study. J Clin Diagn Res [Internet]. 2014 Feb 3 [cited 2021 Dec 23];8(2):106. Available from: /pmc/articles/PMC3972521/ Prevalence and severity of premenstrual symptoms among Iranian female university students - PubMed [Internet]. [cited 2023 Mar 15]. Available from: https://pubmed.ncbi.nlm.nih.gov/19402278/ Takeda T, Tasaka K, Sakata M, Murata Y. Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in Japanese women. Arch Womens Ment Health [Internet]. 2006 Jul 9 [cited 2023 Mar 15];9(4):209–12. Available from: https://link.springer.com/article/10.1007/s00737-006-0137-9 Dutta A, Sharma A. Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in India: A systematic review and meta-analysis. Heal Promot Perspect [Internet]. 2021 [cited 2023 Mar 15];11(2):161. Available from: /pmc/articles/PMC8233671/ Kahyaoglu Sut H, Mestogullari E. Effect of Premenstrual Syndrome on Work-Related Quality of Life in Turkish Nurses. Saf Health Work [Internet]. 2016 Mar [cited 2019 Aug 18];7(1):78–82. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27014495 HYLAN TR, SUNDELL K, JUDGE R. The Impact of Premenstrual Symptomatology on Functioning and Treatment-Seeking Behavior: Experience from the United States, United Kingdom, and France. J Womens Health Gend Based Med [Internet]. 1999 Oct [cited 2019 Jan 23];8(8):1043–52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10565662 Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool (PSST) for clinicians. Arch Womens Ment Health [Internet]. 2003 Aug 1 [cited 2019 Jan 23];6(3):203–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12920618 Endicott J, Nee J, Harrison W. Daily Record of Severity of Problems (DRSP): reliability and validity. Arch Womens Ment Health [Internet]. 2006 Jan 15 [cited 2019 Jan 23];9(1):41–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16172836 Easton S, Laar D Van. User Manual for the Work-Related Quality of Life (WRQoL) Scale: A Measure of Quality of Working Life. 2018 [cited 2019 Jan 23]; Available from: https://researchportal.port.ac.uk/portal/en/publications/user-manual-for-the-workrelated-quality-of-life-wrqol-scale(38db9f62-d8c3-4f80-8559-5b74de164383).html Mishra A, Banwari G, Yadav P. Premenstrual dysphoric disorder in medical students residing in hostel and its association with lifestyle factors. Ind Psychiatry J [Internet]. 2015 [cited 2023 Mar 15];24(2):150. Available from: /pmc/articles/PMC4866342/ Majeed-Saidan MMA, AlKharraz N, Kaaki K, AlTawil N, Alenezy S, Ahamed SS. Prevalence of Premenstrual Syndrome Levels and Its Management Among Female Students of Medical and Non-Medical Colleges in Riyadh. Cureus [Internet]. 2020 Nov 20 [cited 2023 Mar 15];12(11). Available from: /pmc/articles/PMC7681758/ Maity S, Wray J, Coffin T, Nath R, Nauhria S, Sah R, et al. Academic and Social Impact of Menstrual Disturbances in Female Medical Students: A Systematic Review and Meta-Analysis. Front Med. 2022 Feb 15;9:165. Halbreich U. Premenstrual Dysphoric Disorders, Anxiety, and Depressions: Vulnerability Traits or Comorbidity. Vol. 52, Archives of General Psychiatry. 1995. p. 606. Steiner M, Pearlstein T, Cohen LS, Endicott J, Kornstein SG, Roberts C, et al. Expert guidelines for the treatment of severe PMS, PMDD, and comorbidities: The role of SSRIs. J Women’s Heal. 2006 Jan;15(1):57–69. Da Silva CML, Gigante DP, Minten GC. Premenstrual symptoms and syndrome according to age at menarche in a 1982 birth cohort in southern Brazil. Cad Saude Publica. 2008 Apr;24(4):835–44.
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