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Case-control study, 2004

Is job stress linked to having premenstrual symptoms?

Yes, in this large survey of military women, high job stress was the strongest factor linked to premenstrual symptoms, with almost three times the risk compared to women without symptoms, but since this is an observational survey it cannot prove that stress causes the symptoms.

Early or limited evidence 6026 active-duty US military women of reproductive age

What they did

Researchers combined two large mail surveys of active-duty US military women from all service branches, covering 6026 women of reproductive age. They compared women who reported premenstrual symptoms or pain in the past 3 months (cases) to those who did not (controls), looking at psychosocial and lifestyle factors after adjusting for demographic differences.

What they found

Premenstrual symptoms were reported by nearly 2 of every 3 reproductive-age women. Women with symptoms were more likely to report other menstrual problems, 2 or more current medical conditions, migraines, and more healthcare visits in the past year. After accounting for the protective effects of taking Depo-Provera and ever being pregnant, the strongest predictors of symptoms were younger age, trying to lose weight, heavier drinking, poorer self-perceived health, and especially high job stress, which showed an almost 3-fold increase in risk.

What it means for you

Work stress may be closely tied to premenstrual symptoms, possibly linked through depression, but this study only looked at military women at one point in time with no control group for cause and effect, so it cannot prove stress causes symptoms and may not apply to all women.

6026

Women surveyed

2 of 3 women

Reported premenstrual symptoms

almost 3-fold

Increased risk with high job stress

About the study

Original title
Psychosocial and lifestyle correlates of premenstrual symptoms among military women
Authors
Hourani LL, Yuan H, Bray RM
Journal
Journal of women's health (2002)
Year
2004
Study design
Case-control study
Participants
3
What was tested
None, this was an observational survey, not a treatment study

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