The Effect of Female College Student's Stress Level on Premenstrual Syndrome

Kim, Eun Young;Bae, Ju Han

  • 투고 : 2014.05.03
  • 심사 : 2014.09.03
  • 발행 : 2014.10.31


The purpose of this study is to understand the relationship between female college students' stress level and premenstrual syndrome so that it can provide baseline data on how to cope with the syndrome. The study subjects are 250 female college students in Gyungbook area. This study chose 199 appropriate subjects and collected data. As per general menstrual phases, this study investigated the age when one had her first period, regularity and duration of period, and amount of bleeding. It used a measurement tool to measure stress level and premenstrual syndrome. Most of the subjects experienced their first period before the age of 13. The menstrual period was irregular with the duration of less than 7 days. 123 subjects had normal amount of bleeding. 121 subjects were experiencing high level of stress over 2.4. The correlation between the level of stress and premenstrual syndrome factors showed significant static correlation for each factor. Especially, the correlation between digestive system and response of autonomic nervous system was .996 and negative emotion and behavioral change was .635, and negative emotion and pain was .614 which were relatively high. The regression analysis of factors of premenstrual syndrome depending on the subjects' stress level indicated that response of autonomic nervous system had the biggest effect in the low stress group while behavioral change, negative emotion, pain, decreased concentration, water congestion, response of autonomic nervous system, and skin change had the biggest effect in the high stress group with statistical significance. Based on the result, it can be said that higher premenstrual stress is closely related to the premenstrual syndrome one experiences for some female college students.


Stress Index;Premenstrual Syndrome;Menstrual Phase;Circadian Rhythm


  1. Rizz D, Mosallam M, Alyan S, Nagelkerke N. Prevalence and impact of premenstural syndrome in adolescent schoolgirls in the United Arab Emirates. Acta Obstetricia et Gynecologica 2006; 85(3): 589-598.
  2. Janca A, Hiller W. ICD-10 checklists-a tool for clinicians' use of the ICD-10 classification of mental and behavioral disorders. Compr Psychiatry. 1996; 37: 180-187.
  3. Takeda T, Tasaka K, Sakata M, Murata Y. Prevalence of premenstrual dysphoric disorder in Japanese women. Arch Womens Ments Health 2006; 9: 209-212.
  4. Kim HO, Lim SW, Woo HY, Kim KH. Premenstrual syndrome and dysmenorrhea in Korean adolescent girls. Kor J Obstet Gynecol 2008; 51(11): 1322-1329.
  5. Jeong BS, Lee C, Lee JH, Seo MK, Han OS, Kim CY. Prevalence of premenstrual syndrome and premenstrual dysphoric disorder among korean college women. Kor J Neuropsychiatr. 2001; 40(4): 551-558.
  6. Cosgrove L, Riddle B. Construction of feminity and experiences of menstrual distress. Women Health, 2003; 38(3):37-58.
  7. Shin MA. A structural model of premenstrual symptom in female college students. Hanyang Univ. Unpublished doctoral dissertation. 2005
  8. News Weekly. Premenstrual syndrome places heavy health and economic burdens on society through reduced work productivity and increased healthcare wisits and costs. PharmacoEconomics & Outcomes News 2003; 42(3): 7-9.
  9. Koo BW, Lee KW. Lee YG, Kwon JY, Han HD, Kim DH. A clinical study of premenstrual syndrome. Obstet Gynecol Sci 1990; 33: 1436-1444.
  10. Kim HJ, Kim YS, Lim EM. A study on correlation between stress and menstruation among lowincome women. J Kor Orien Gynecol 2009; 22(4): 136-149.
  11. Kim MJ. Relationship between stress and menstrual patterns of female college students in Seoul. J Ewha Nurs 2007; 41: 99-118.
  12. Jang HJ, Multicorrelation study on the change of menstrual cycle affected by stress and obesity. J Kor Orien Gynecol 2009; 22(4): 102-109.
  13. Cho JH, Kim DI, Kang HC. The correlation analysis of factors related to PMS through survey. J Kor Orien Gynecol 2006; 19(4): 174-204.
  14. Moos RH. The development of menstrual distress questionnaire. Psychosom Med. 1968; 30: 853-867.
  15. Son YJ, You MA. Relationships between psychological factors and premenstrual syndrome symptoms in academic female high school. Kor J Health Promol Dis Prev 2008; 8(1); 8-16.
  16. Chau JPC, Chang AM, Effects of an educational programme on adolescents with premenstrual syndrome. Health Educ Res 1999; 14(6): 817-830.
  17. Kim HW, Kwon MK. A study of menstruation of middle school students. Kor J Women Health Nurs 2005; 11(2): 148-155.
  18. Shin MA, Jeong MH. The relationship between premenstrual syndrome and sex role of college students. J Kor Acad Community Health nurs 2006; 17(1): 125-133.
  19. Cha JH, Kim YS, Lim EM. A study on menstrual pattern and dysmenorrhea related factors of firstyear women college students. J Kor Orien Gynecol 2010; 23(4): 117-129.
  20. Choi D, Lee DY, Lehert P, Lee IS, Kim SH, Dennerstein L. The impact of premenstural symptoms on activities of daily life in korean women. J Psychosom Obstet Gynaecol 2010; 31(2): 10-15.
  21. Kim IH, Park HS, Lee HH, Chung SH. Premenstural syndrome and dysmenorrhea in the career somen at busheon city. Korean J Obstet Gynecol 2011; 54(9): 523-528.
  22. Hwang HJ, Kim YM. A study of premenstrual syndrome and the nutritional intake of college women residing in Busan metropolital city. Korean J Community Nutr 2002; 7(6): 731-740.
  23. Kim HO, Lim SW, WooHY, Kim KH. Premenstual syndrome and dysmenorrhea in korean adolescent girls. Korean J Obstet and Gynecology 2008; 51(11): 1322-1329.