---
title: Do sleep problems and stress increase PMS symptoms in nursing students?
description: Yes. Students with poor sleep had a 6-fold higher risk of severe PMS, and those with high academic stress had a 29-fold higher risk.
url: https://niyora.com/research/papers/relationship-between-sleep-quality-and-academic-stress-with-premenstrual-2025/
---

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- Do sleep problems and stress increase PMS symptoms in nursing students?

Survey study, 2025

# Do sleep problems and stress increase PMS symptoms in nursing students?

Yes. Students with poor sleep had a 6-fold higher risk of severe PMS, and those with high academic stress had a 29-fold higher risk.

 Early or limited evidence

79 final-year nursing bachelor's students in Jakarta, Indonesia

## What they did

Surveyed 79 final-year nursing bachelor's students about sleep quality, academic stress, and PMS in November 2024 using online questionnaires.

## What they found

A clear link was found between poor sleep and PMS. Students with poor sleep quality had 6 times higher risk of severe PMS. There was also a clear link between high academic stress and PMS. Students with high academic stress had 29 times higher risk of severe PMS.

## What it means for you

Better sleep and reduced stress might help reduce severe PMS in students. Both sleep and stress are modifiable factors students can work on. The study was done in one nursing school in Jakarta with a relatively small sample, so results may not apply to all students or settings.

79

students surveyed

6-fold

higher PMS risk with poor sleep

29-fold

higher PMS risk with high stress

## About the study

Original title RELATIONSHIP BETWEEN SLEEP QUALITY AND ACADEMIC STRESS WITH PREMENSTRUAL SYNDROME IN FINAL-YEAR NURSING STUDENTS Authors Kayla Syakira Rangkuti, Rita Ismail, Lina Ayu Marcelina et al. Journal JKEP Year 2025 Study design Survey study Participants 79 Open access Yes Read the paper [doi.org/10.32668/jkep.v10i1.1985](https://doi.org/10.32668/jkep.v10i1.1985) Original abstract

Premenstrual Syndrome (PMS) is a common condition among menstruating women, often influenced by factors such as sleep quality and stress levels. Final-year female students are particularly vulnerable to sleep disturbances and academic stress. This study analyzes the relationship between sleep quality and academic stress with PMS among final-year nursing students at UPN “Veteran” Jakarta. A Cross-Sectional design was used, and data was collected in November 2024. The study involved 188 final-year students: Bachelor of Nursing (79 respondents), Diploma in Nursing (45 respondents), and Professional Nurse Education Program (64 respondents), selected through Stratified Convenience Sampling. Pittsburgh Sleep Quality Index (PSQI), Student-Life Stress Inventory (SLSI), and Shortened Premenstrual Assessment Form (SPAF) were used to measure sleep quality, academic stress, and PMS. Data were collected via online questionnaires and analyzed using the chi-square test. Results revealed a significant relationship between sleep quality (p = 0.000; OR = 5,989) and academic stress (p = 0.000; OR = 28,761) with PMS. Students with poor sleep quality had a 6-fold higher risk of severe PMS, while those with high academic stress had a 29-fold higher risk. This study emphasizes the importance of maintaining healthy lifestyles, such as improving time management to enhance sleep quality and adopting coping strategies to reduce academic stress, thereby minimizing PMS complaints

Reproduced under CC-BY-SA.

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Relationships and partners](https://niyora.com/research/topics/life-area-relationships/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)

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