ArticleBMC psychiatry2021
Premenstrual dysphoric disorder and childhood maltreatment, adulthood stressful life events and depression among Lebanese university students: a structural equation modeling approach.
Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Associations Between Different Subtypes of Adverse Childhood Experiences with Reproductive Mood Disorders-a Scoping Review.Current psychiatry reports · 2026Article
- Linkages between lifestyle practices, dietary habits, and premenstrual syndrome among college students.PLOS global public health · 2026Article
- Dietary, Lifestyle, and Psychological Factors Associated with Premenstrual Syndrome Among Female University Students in Saudi Arabia: A Cross-Sectional Study.International journal of women's health · 2026Article
- Premenstrual Disorders, Their Severity Patterns, and Predictors Among Female University Students in Western Uganda: A Cross-Sectional Study.Health science reports · 2025Article
- The role of trait anger, rumination, and locus of control in the relationship between trauma, stress, and premenstrual disorders.Scientific reports · 2025Article
- Comparison of the effect of teaching coping skills and acupressure on premenstrual stress: a randomized controlled trial.Discover mental health · 2025Article
- Impact of childhood trauma history on premenstrual syndrome in women of reproductive age: A cross-sectional study.Journal of evaluation in clinical practice · 2025Article
- Youth Mental Health in Crisis: Understanding the Relationship Between Mental Health and Physical Pain in Lebanon's Youth - A Scoping Review.International journal of public health · 2025Article
- Understanding the Interplay Between Premenstrual Dysphoric Disorder (PMDD) and Female Sexual Dysfunction (FSD).Cureus · 2024Review
- Mediating effect of suicidal ideation in the association between child abuse and premenstrual syndrome among female adults.BMC women's health · 2024Article
- Associations between Diet and Changes in Pain Levels among Young Women with Premenstrual Syndrome-A Preliminary Study during the COVID-19 Pandemic.Journal of clinical medicine · 2023Article
- The role of the hypothalamic-pituitary-adrenal axis in depression across the female reproductive lifecycle: current knowledge and future directions.Frontiers in endocrinology · 2023Review
- Childhood adversity predicts stronger premenstrual mood worsening, stress appraisal and cortisol decrease in women with Premenstrual Dysphoric Disorder.Frontiers in endocrinology · 2023Article
- Top 100 Cited Papers on Premenstrual Syndrome/Premenstrual Dysphoric Disorder: A Bibliometric Study.Frontiers in psychiatry · 2022Review
- Prevalence of premenstrual syndrome and its associations with dietary and other lifestyle factors among university female students in Dubai: A cross-sectional study.Women's health (London, England)Article
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Abstract
backgroundPremenstrual Syndrome (PMS) is a cyclic sequence of physical and behavioral symptoms that arise in the second half of the menstrual cycle. The extreme type of PMS is Premenstrual Dysphoric Disorder (PMDD). The current study aims at examining 1) the effects of childhood maltreatment and current life's stressful events on PMDD, and 2) the mediating role of depression in these associations among Lebanese university female students.
methodsThis cross-sectional study was conducted between February and March 2021 during the COVID-19 pandemic. Lebanese students were recruited using a snowball technique from all national universities in Lebanon via an auto-administrated online survey. Structural equation modeling was performed to examine the structural relationship between childhood maltreatment and life's stressful events, depression and PMDD.
resultsHigher life's stressful events (Beta = 0.18; p < 0.001), physical (Beta = 0.19; p < 0.001), sexual (Beta = 0.18; p < 0.001) and psychological (Beta = 0.33; p < 0.001) abuse were significantly associated with higher depression. Moreover, higher sexual (Beta = 0.11; p = 0.021) and psychological (Beta = 0.11; p = 0.040) abuse and higher depression (Beta = 0.37; p < 0.001) were significantly associated with higher PMDD. The indirect relationships between psychological abuse/sexual abuse, depression and PMDD showed that depression mediated the association between both psychological (Beta = 0.22; p = 0.001) and sexual (Beta = 0.38; p = 0.004) abuse and PMDD.
conclusionThis work presents a unique analysis using the structural equation model that enlightens the effect of childhood maltreatment, particularly sexual and psychological abuse on PMMD symptoms, with depression playing the role of a mediating factor. It would be interesting to test, in future studies, whether there are other mediating factors besides depression that could be indirect indicators of PMDD.
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