--- title: What factors influence PMS severity in adolescent girls? | Niyora description: Mental health is the strongest factor. Girls with higher mental health problems, lower positive beliefs about PMS and fewer enabling resources have more sever url: https://niyora.com/research/papers/the-correlation-between-basnef-model-constructs-mental-health-and-severity-of-2026/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - What factors influence PMS severity in adolescent girls? Survey study, 2026 # What factors influence PMS severity in adolescent girls? Mental health is the strongest factor. Girls with higher mental health problems, lower positive beliefs about PMS and fewer enabling resources have more severe PMS. Early or limited evidence 221 eighth- and ninth-grade girls in Shiraz, Iran ## What they did A cross-sectional study of 221 eighth- and ninth-grade girls in Shiraz, Iran in 2025. Researchers used questionnaires to measure knowledge, beliefs, attitudes, subjective norms, and enabling factors using the BASNEF model, mental health using the DASS-21, and PMS severity using the PSST. Data were analyzed using structural equation modeling. ## What they found PMS severity was positively correlated with knowledge (r=0.223, p<0.01) and mental health problems (r=0.778, p<0.01), and negatively correlated with positive beliefs (r=-0.318, p<0.01) and enabling factors (r=-0.237, p<0.01). No significant correlation was found with attitudes or subjective norms. Mental health, enabling factors, and knowledge had the highest total effects on PMS. ## What it means for you Mental health is the strongest factor affecting PMS severity in adolescent girls. Girls with depression, anxiety or stress have much more severe PMS. Interventions should focus on mental health support, building positive beliefs about PMS, and providing enabling resources. However, this is cross-sectional, so causation is unclear, and results are from one city in Iran. 221 eighth- and ninth-grade girls studied 0.778 mental health correlation with PMS severity -0.318 positive beliefs correlation with PMS severity ## About the study Original title The Correlation between BASNEF Model Constructs, Mental Health, and Severity of Premenstrual Syndrome in Adolescents: A Structural Equation Modeling Authors Karimi M, Etebari M, Sharifi MH et al. Journal International journal of school health Year 2026 Study design Survey study What was tested None - knowledge, beliefs and mental health were assessed Open access Yes Read the paper [doi.org/10.30476/intjsh.2026.108896.1572](https://doi.org/10.30476/intjsh.2026.108896.1572) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)[Stigma, attitudes and culture](https://niyora.com/research/topics/life-area-stigma-culture/) 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 Systematic review, 2025 Does teaching adolescent girls about their menstrual cycle and health help reduce period pain and PMS? Randomised trial, 2026 Does yoga or foot reflexology work better for teenage PMS? Survey study, 2025 What do adolescent girls in Pakistan know and think about PMS? Survey study, 2025 What psychological and personal factors predict which university students will develop premenstrual syndrome? Survey study, 2024 Does a psychosomatic relaxation package help adolescent girls with PMS? Survey study, 2024 How much do Indonesian 9th graders know about PMS and what are their attitudes? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗