---
title: Can machine learning predict which young women will have PMS?
description: Yes. A computer model could identify women with PMS with fair accuracy. Key predictors were personality traits and life experiences, particularly neuroticism,
url: https://niyora.com/research/papers/interpretable-machine-learning-models-for-identifying-premenstrual-syndrome-and-2025/
---

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- Can machine learning predict which young women will have PMS?

Randomised trial, 2025

# Can machine learning predict which young women will have PMS?

Yes. A computer model could identify women with PMS with fair accuracy. Key predictors were personality traits and life experiences, particularly neuroticism, mindfulness level, history of painful periods, emotional abuse, and frequent painkiller use.

 Moderate study design

3447 young adult women

## What they did

Researchers analyzed data from 3447 young adult women. All participants were classified as having PMS or not based on a screening score of 6 points on the Premenstrual Syndrome Scale. The data were divided into training and validation sets. Five different machine learning algorithms were tested to predict PMS.

## What they found

The random forest algorithm performed best, with an accuracy score of 0.782. Among the women studied, 1474 had PMS and 1973 did not. Neuroticism was most strongly associated with PMS, followed by lower mindfulness, history of dysmenorrhea, history of emotional abuse, and use of analgesics.

## What it means for you

This study shows that personality traits and past trauma are linked to PMS, not just physical factors. A machine learning model could help identify women at risk. However, the study is observational and collected data from only one point in time, so it cannot prove these factors cause PMS.

3447

young women analyzed

0.782

accuracy score of best model

1474

women with PMS

## About the study

Original title Interpretable Machine Learning Models for Identifying Premenstrual Syndrome and Related Factors in Young Adult Women Authors Lin X, Zhao X, Zeng Y et al. Journal Research Square Year 2025 Study design Randomised trial Participants 3,447 What was tested None Open access Yes Read the paper [doi.org/10.21203/rs.3.rs-7522395/v1](https://doi.org/10.21203/rs.3.rs-7522395/v1) Original abstract

Abstract Background Premenstrual syndrome (PMS) is a public health problem with widespread impact, influenced by the multiple factors. Young adult women, as a high-risk group for PMS, can benefit from early identification of key factors related to PMS. This study aimed to construct a machine learning model for identifying PMS among young adult women and explore the complex relationships between associated factors and PMS. Method A secondary analysis was performed using cross-sectional data from 3447 young adult women. Using a score of 6 points on the Premenstrual Syndrome Scale (PSS) as the cutoff, all participants were divided into the PMS group and the non-PMS group. The dataset was randomized into a training set and a validation set in 75% and 25% proportions. Five machine learning algorithms were used to develop models and the output of performed-best model was interpreted using SHapley Additiveex Planations (SHAP). Results There were 1474 women in PMS group and 1973 women in non-PMS group. Among five machine learning models, the random forest model performed best, with an AUC of 0.782. Neuroticism was most strongly associated with PMS, followed by mindfulness, history of dysmenorrhea, emotional abuse, and use of analgesic. Conclusion The results suggested that the random forest model was an effective tool for identifying PMS among young adult women, and neuroticism could serve as a crucial predictive indicator. Furthermore, interventions such as mindfulness training, dysmenorrhea management, and addressing early trauma may hold significant potential in preventing and managing PMS.

Reproduced under CC-BY.

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Dysmenorrhea and period pain](https://niyora.com/research/topics/condition-dysmenorrhea/)[Mindfulness and meditation](https://niyora.com/research/topics/treatment-mindfulness/)

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