---
title: Do sleep and emotion regulation explain why depression is linked to worse premenstrual symptoms?
description: Yes, both poor sleep and difficulty regulating emotions partly explain why women with depression also experience more severe premenstrual symptoms. These fact
url: https://niyora.com/research/papers/poor-sleep-and-emotion-dysregulation-mediate-the-association-between-depressive-2020/
---

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- Do sleep and emotion regulation explain why depression is linked to worse premenstrual symptoms?

Survey study, 2020

# Do sleep and emotion regulation explain why depression is linked to worse premenstrual symptoms?

Yes, both poor sleep and difficulty regulating emotions partly explain why women with depression also experience more severe premenstrual symptoms. These factors appear to mediate the connection between mood problems and menstrual cycle symptoms.

 Early or limited evidence

265 women aged 18 to 25, not seeking treatment

## What they did

Cross-sectional study of 265 women aged 18 to 25. They reported on depressive symptoms, sleep quality, emotion regulation difficulties, and premenstrual symptoms experienced over the past month. Researchers analyzed whether poor sleep and poor emotion regulation explained the connection between depression and premenstrual symptoms.

## What they found

Women with greater depressive symptoms reported more severe premenstrual symptoms. Both poor sleep and ineffective emotion regulation were found to partly explain this relationship. Poor sleep may enhance premenstrual symptoms through its effects on physical and emotional functioning, while poor emotion regulation may worsen how women perceive or experience somatic and mood symptoms during the premenstrual period.

## What it means for you

If you have depression and worse premenstrual symptoms, improving sleep and emotional coping skills might help reduce symptoms. However, this study measured everything at one time point in a limited sample of young, non-treatment-seeking women, so findings need to be confirmed with larger groups, more diverse ages, and forward-looking studies.

265

women in study

18-25

age range

1 month

period of symptom recall

## About the study

Original title Poor sleep and emotion dysregulation mediate the association between depressive and premenstrual symptoms in young adult women Authors Meers JM, Bower JL, Alfano CA Journal Archives of women's mental health Year 2020 Study design Survey study Participants 265 What was tested None; observational study of associations between depression and menstrual symptoms Read the paper [doi.org/10.1007/s00737-019-00984-2](https://doi.org/10.1007/s00737-019-00984-2)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Mood swings and emotion regulation](https://niyora.com/research/topics/symptom-emotional-regulation/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Relationships and partners](https://niyora.com/research/topics/life-area-relationships/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)

Research tells you what helps on average. Niyora helps on the day it hits.

Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor.

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Case-control study, 2020

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Randomised trial, 2020

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