Premenstrual syndrome and its association with emotional dysregulation: a comparison between medical and non medical students

Suganthi Selvarajan, Hiba Ajmal


Background: Premenstrual syndrome is a disorder of menstrual cycle that encompasses varied symptoms ranging from physical, emotional to psychological. Depression and anxiety were considered to be two of the most severely disabling, amongst the varied emotional symptoms, as found by Gotts et al. This study was to find if the stressful life of medicos further dampened their ability to regulate their emotions during PMS.

Methods: This was a comparative cross sectional study was carried out between July and October 2018. Female students of first three years studying on Govt. Kilpauk Medical College and JBAS College, Teynamet, were recruited for the study after obtaining written informed consent.

Results: The mean PMS score among medicos is 93.791 and the mean PMS score among non-medicos is 88.473. Since the mean score of both the groups is higher than the cut off for PMS as per the PMS Scale, there is occurrence of PMS in both the groups. Further comparing the PMS scores of case and control, the case group consisting of medicos had a higher prevalence compared to the non-medicos.

Conclusions: Since there is significant prevalence of PMS among medicos, early diagnosis is crucial. The people with PMS can be given cognitive behavioural therapy. Advising women with PMS to take vitamin B6 can also help in managing this abnormal mood regulatory menstrual disease. Pyridoxine is known to provide great results in the treatment of PMS.


Premenstrual syndrome, Expressive supression, Cognitive reappraisal

Full Text:



Rumana AM, Sudharani M, Kallupurackal SX, Ramya V, Nagendren GMR, Suryakantha AH. Prevalence of Premenstrual Syndrome among Medical Students. Natl J Community Med. 2017;8(6):292-4.

Sekigawa I, Naito T, Hira K, Mitsuishi K, Ogasawara H, Hashimoto H, et al. Possible mechanisms of gender bias in sle: a new hypothesis involving a comparison of sle with atopy. Lupus. 2004;13(4):217-22.

Di Giulio G, Reissing ED. Premenstrual dysphoric disorder : prevelance, diagnostic considerations, and controversies. J Psychosom Obstet Gynaecol. 2006;27:201-10.

Gotts G, Moese CA, Dennerstein L. Premenstrual complaints: an idioasyncratic syndrome. J Psychosom Obstet Gynaecol. 1995;16(1):29-35.

Gratz KL, Roemer L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure and Initial validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behavioral Assessment. 2004;26(1):41-54.

Chocano-Bedoya PO, Bertone-Johnson ER. Premenstrual syndrome. In: Goldman MB, Roisi R, Rexrode KM, editors. Women and Health. USA: Elsevier; 2013: 68–82.

Badkur D, Singh S, Chauhan DS, Sinha A. Premenstrual syndrome and its association with menstrual profile among female students of colleges in Ujjain city, Madhya Pradesh, India. Int J Res Med Sci. 2018;6:2726-31.

Anandha Lakshmi S, Saraswathi I, Saravanan A, Ramamchandran C. Prevalence of premenstrual syndrome and dysmenorrhoea among female medical students and its association with college absenteeism. Int J Biol Med Res. 2011;2(4):1011-6.

Thakre SB, Thakre SS, Ughade S, Thakre AD. Urban-Rural Differences in Menstrual Problems and Practices of Girl Students in Nagpur, India. Indian Pediatrics. 2012;49:733-6.

Ramya S, Rupavani K, Bupathy A. Effect of educational program on premenstrual syndrome in adolescent school girls. Int J Reprod Contracept Obstet Gynecol. 2014;3:168-71.

Singh A, Kiran D, Singh H, Nel B, Singh P, Tiwari P. Prevalence and severity of dysmenorrhea: a problem related to menstruation, among first and second year female medical students. Indian J Physiol Pharmacol. 2008;52(4):389-97.

Padmavathi P, Shankar R, Kokilavani N, Dhanapal K, Ashok B. Validity and Reliability Study of Premenstural Syndrome Scale (PMSS). IJANM. 2014;2(1):4-5.

Gross JJ, John OP. Individual Differences in Two Emotion Regulation Processes: Implication for Affect, Relationships, and Well- Being. J Personality Soc Psychol. 2003;85(2):348-62.

Abdulghani HM, Alkanhalal AA, Mahmoud eS, Ponnamperuma GG, Alfaris EA. Stress and its Effects on Medical Students: A cross sectional study at a college of Medicine in Saudi Arabia. J Health Popul Nutr. 2011;29(5):516-52.

Al-Batanony MA, AL-Nohair SF. Prevalence of Premenstrual Syndrome and Its Impact on Quality of Life among University Medical Students, Al Qassim University, KSA. Public Health Res. 2014;4(1):1-6.

Ayla A, Dayi A, Binbay T. Prevalence of Premenstrual Syndrome and Its Relationship to Depressive Symptoms in First-Year University Students. Saudi Med J. 2017;38(11):1125–31.