--- title: How do relationship difficulties and emotional control affect the link between PMS and poor sleep? description: Both relationship difficulties and how people manage emotions affect the link between PMS and sleep problems. When women suppress emotions more, PMS affects s url: https://niyora.com/research/papers/premenstrual-symptoms-and-sleep-quality-among-pakistani-women-the-mediating-role-2025/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - How do relationship difficulties and emotional control affect the link between PMS and poor sleep? Study, 2025 # How do relationship difficulties and emotional control affect the link between PMS and poor sleep? Both relationship difficulties and how people manage emotions affect the link between PMS and sleep problems. When women suppress emotions more, PMS affects sleep differently. Moderate study design 115 women in Pakistan ## What they did 115 women in Pakistan completed questionnaires about PMS symptoms, sleep quality, relationship difficulties, and emotional regulation. Researchers looked at how these factors connected. ## What they found Relationship difficulties partially explained how PMS leads to sleep problems. Emotional regulation, specifically suppressing emotions, also played a role. When women suppressed emotions less, PMS had a greater effect on sleep quality. ## What it means for you Relationships and emotional management both matter for sleep in women with PMS. Helping women manage emotions and supporting their relationships might improve sleep. The main limitation is this was a one-time survey, so we cannot determine what caused what. 115 women surveyed ## About the study Original title Premenstrual Symptoms and Sleep Quality among Pakistani Women: The Mediating Role of Interpersonal Relationships and Moderating Role of Emotional Regulation Authors Huma Iqbal, Hina Javed Rana, Maryam Hussain et al. Journal Applied Psychology Review Year 2025 Study design Study Participants 115 What was tested None (observational study) Open access Yes Read the paper [doi.org/10.32350/apr.41.04](https://doi.org/10.32350/apr.41.04) Original abstract Research indicates that due to premenstrual symptoms, women experience disturbed interpersonal relationships, adverse emotional regulation, and markedly impaired quality of sleep. The present study aimed to determine the mediating role of interpersonal difficulties and moderating role of emotional regulation between PMS and sleep quality. Urdu translated versions of Premenstrual Syndrome Scale, Emotional Regulation Scale, Interpersonal Difficulties Scale and Pittsburgh Sleep Quality Index were used. Sample size of 115 was selected based on G-Power Analysis. Study found interpersonal difficulties to be partially mediating (β=.02, p<.05) and emotion regulation (suppression) to be moderating (β= -.004, p<.05) between PMS and sleep quality. Furthermore, it was found that the effect of PMS on sleep quality remains significant at lower suppression levels. The study has important implication in understanding the role of psychological factors in improving sleep quality of females experiencing PMS. Reproduced under CC-BY. ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[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/) 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. ## Related studies Survey study, 2020 Do sleep and emotion regulation explain why depression is linked to worse premenstrual symptoms? Cohort study, 2024 Is there a link between sleep and menstrual problems in teenage girls? Survey study, 2026 What dietary, lifestyle, and psychological factors are associated with PMS in young women? Survey study, 2026 Does fear of childbirth explain why women with PMS are more likely to develop postpartum depression? Study, 2026 What coping strategies help women manage PMS symptoms? Survey study, 2026 How do pain, sleep quality, and appetite change across the menstrual cycle? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗