Exploring the Relationship Between Perceived Stress and Menstrual Health in Undergraduates Across Different Academic Disciplines

Authors

  • Anamya Tomar Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun
  • Deepshikha Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun
  • Sai Chandan Das KIMS, KIIT University, Bhubaneswar, Odisha https://orcid.org/0000-0003-1186-3963
  • Ruchi Juyal Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun https://orcid.org/0000-0002-1089-6475
  • Gagndeep Kaur Uttar Pradesh University of Medical Sciences, Saifai
  • Rajnish Jain IPCA Laboratories limited, Mumbai, Maharashtra https://orcid.org/0000-0002-2125-4013

DOI:

https://doi.org/10.47203/IJCH.2025.v37i02.019

Keywords:

Perceived stress, Menstrual Health Problems, GHQ -12, PSS 14, Undergraduates

Abstract

Background: Menstrual disorders are associated with high stress in females. The current study was carried out to assess the extent of perceived stress and its impact on the menstrual health among female students enrolled in various undergraduate courses, both medical and non-medical. Methods: A cross-sectional study was conducted, with the objective to find out the association of stress with menstruation health problems. Around 300 participants were selected, from MBBS, Nursing, and Paramedical/Engineering/Management. Two scales PSS-14 and GHQ-12 were used to detect emotional disturbances and level of stress. Results: The mean Perceived Stress Scale (PSS) score was 26.24 ± 6.411, with a minimum score of 11 and a maximum score of 47 among the study subjects. Maximum perceived stress was observed among nursing students, followed by students in other courses. The prevalence of Menstruation Disorders was recorded at 69.3% with the highest proportions observed among nurses. Among participants experiencing menstrual health problems, 31 (14.9%) reported no stress, while 177(85.1%) reported high stress levels. The results indicate a significant association between menstrual health problems and stress levels (?² = 4.405, p = 0.04). Conclusion: Early evaluation of stress among students will help reduce psychiatric morbidity and can also improve their academic performances.

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References

Maity S, Wray J, Coffin T, Nath R, Nauhria S, et al. Academic and social impact of menstrual disturbances in female medical students: a systematic review and meta-analysis. Front Med (Lausanne). 2022; 9:821908.

Alhammadi MH, Albogmi AM, Alzahrani MK, Shalabi BH, Fatta FA, AlBasri SF. Menstrual cycle irregularity during examination among female medical students at King Abdulaziz University, Jeddah, Saudi Arabia. BMC Womens Health. 2022;22(1):367.

Lee SS, Kim DH, Nam GE, Nam HY, Kim YE, Lee SH, et al. Association between metabolic syndrome and menstrual irregularity in middle-aged Korean women. Korean J Fam Med. 2016;37(1):31–6.

Rafique N, Al-Sheikh MH. Prevalence of menstrual problems and their association with psychological stress in young female students studying health sciences. Saudi Med J. 2018;39(1):67–73.

Padda J, Khalid K, Hitawala G, Batra N, Pokhriyal S, Mohan A, et al. Depression and its effect on the menstrual cycle. Cureus. 2021;13(7):e16532.

Maekawa M, Miyamoto A, Ariyoshi H, Miura K. A survey of the menstrual status of female college students. Healthcare (Basel). 2023;11(8):1108.

Montero-López E, Santos-Ruiz A, García-Ríos MC, Rodríguez-Blázquez M, Rogers HL, Peralta-Ramírez MI. The relationship between the menstrual cycle and cortisol secretion: daily and stress-invoked cortisol patterns. Int J Psychophysiol. 2018; 131:67–72.

Rafique N., Al-Sheikh M.H. Prevalence of menstrual problems and their association with psychological stress in young female students studying health sciences. Saudi Med. J. 2018; 39:67

Chhikara A, Jain M, Vats S, Kashoo FZ, Chahal A, Guliya S, et al. Role of yoga in minimizing stress and anxiety in women experiencing dysmenorrhea. J Lifestyle Med. 2023;13(2):90–6.

Itani R, Soubra L, Karout S, Rahme D, Karout L, Khojah HMJ. Primary dysmenorrhea: pathophysiology, diagnosis, and treatment updates. Korean J Fam Med. 2022;43(2):101–8.

Singh R, Sharma R, Rajani H. Impact of stress on menstrual cycle: a comparison between medical and non-medical students. Saudi J Health Sci. 2015;4(2):115–9.

Nagma S, Kapoor G, Bharti R, Batra A, Batra A, Aggarwal A, et al. To evaluate the effect of perceived stress on menstrual function. J Clin Diagn Res. 2015;9(3):QC01–3.

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.

Firth J. Levels and sources of stress in medical students. BMJ. 1986;292(6529):1177–80.

Yusoff MSB. The validity of two Malay versions of the General Health Questionnaire (GHQ) in detecting distressed medical students. ASEAN J Psychiatry. 2010;11(2):135–42.

Abdelmoty HI, Youssef MA, Abdallah S, Sherif A, Abdelrahman D, Mahmoud MO. Menstrual patterns and disorders among secondary school adolescents in Egypt: a cross-sectional survey. BMC Womens Health. 2015;15:70.

Shriram V, Bhimani N, Aundhakar N, Zingade U, Kowale A. A study of perceived stress among I MBBS medical students. J Educ Teach Health Sci. 2015;2(1):8–12.

Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM. A prospective analysis of stress and academic performance in the first two years of medical school. Med Educ. 1999;33(4):243–50.

Wolf TM, Faucett JM, Randall H, Balson PM. Graduating medical students’ ratings of stresses, pleasures, and coping strategies. J Med Educ. 1988;63(8):636–42.

MacLeod RD, Parkin C, Pullon S, Robertson G. Early clinical exposure to people who are dying: learning to care at the end of life. Med Educ. 2003;37(1):51–8.

Omidvar S, Begum K. Menstrual pattern among unmarried women from South India. J Nat Sci Biol Med. 2011;2(2):174–9.

Aref N, Rizwan F, Abbas MM. Frequency of different menstrual disorders among female medical students at Taif Medical College. World J Med Sci. 2015;12(2):109–14.

Karout N, Hawai SM, Altuwaijri S. Prevalence and pattern of menstrual disorders among Lebanese nursing students. East Mediterr Health J. 2012;18(4):346–52.

Ekpenyong CE, Davis KJ, Akpan UP, Daniel NE. Academic stress and menstrual disorders among female undergraduates in Uyo, South Eastern Nigeria – the need for health education. Afr J Reprod Health. 2011;15(4):193–8.

Nwankwo TO, Aniebue UU, Aniebue PN. Menstrual disorders in adolescent school girls in Enugu, Nigeria. J Pediatr Adolesc Gynecol. 2010;23(6):356–61.

Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhea. Am J Obstet Gynecol. 1982;144(6):655–60.

Al-Dabal BK, Koura MR, Al-Sowielem LS, Barayan SS. Dysmenorrhea and associated risk factors among university students in Eastern Province of Saudi Arabia. Middle East J Fam Med. 2014;12(1):25–35.

Mei Z, et al. Work and family stress is associated with menstrual disorders but not with fibrolytic changes: cross-sectional findings in Chinese working women. J Occup Health. 2010;52(6):361–6.

Sharma K. A comparative study of level of stress due to menstruation cycle among physically active and non-active females at DRC College. Indian J Health Wellbeing. 2014;4(10):4–7.

Wang L, Wang X, Wang W, Chen C, Ronnennberg AG, Guang W, et al. Stress and menstrual disorders in a population of Chinese women. Public Health. 2004;118(11):1021–6.

Clarvit SR. Stress and menstrual dysfunction in medical students. Psychosomatics. 1988;29(4):404–9.

Sood M, Ambigga D, Azlinawati, Daher AM, Razali S, Nawawi H, et al. Poor correlation of stress levels and menstrual patterns among medical students. J Asian Behav Stud. 2012;2(6):59–66.

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Published

2025-04-30

How to Cite

1.
Tomar A, Deepshikha, Das SC, Juyal R, Kaur G, Jain R. Exploring the Relationship Between Perceived Stress and Menstrual Health in Undergraduates Across Different Academic Disciplines. Indian Journal of Community Health [Internet]. 2025 Apr. 30 [cited 2025 Jul. 9];37(2):295-301. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/3203

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