ArticleBJOG : an international journal of obstetrics and gynaecology2025
Job Stress, Psychological Distress, and Menstruation-Related Symptoms in Female Workers: A Cross-Sectional Study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Effect of long-term intake ofFrontiers in nutrition · 2026Trial
- Sociodemographic, reproductive, and psychiatric factors associated with menstrual distress in Indonesian women: findings from an online survey using the MEDI-Q.BMC women's health · 2026Article
- The association of workplace psychosocial factors on premenstrual dysphoric disorder: A six-month prospective study on Japanese female workers.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Job Stress, Psychological Distress, and Menstruation-Related Symptoms in Female Workers: A Cross-Sectional Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Impact of Perceived Unfairness, Uncertainty, and Life Stress on Urban Residents' Health in China: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
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Funding
Abstract
objectiveThis study examined the relative contributions of mediation and interaction by psychological distress to the association between job stressors and menstruation-related symptoms.
designA cross-sectional study.
settingOnline survey in August 2023. POPULATION: Japanese full-time female employees aged 20-44 not taking contraceptives.
methodsFour-way decomposition analysis was used to estimate the relative contributions of psychological distress (mediation and interaction) to the potential pathways from job stressors and menstruation-related symptoms.
main outcome measuresThe Menstrual Distress Questionnaire assessed menstruation-related symptoms before and during menstruation.
resultsOf 1818 participants, 995 (54.7%) demonstrated severe menstruation-related symptoms. Multivariable logistic regression showed that high job demands (OR = 1.50, 95% CI: 1.27-1.84) and low coworker support (OR = 1.57, 95% CI: 1.22-2.02) were associated with menstruation-related symptoms whereas job control and supervisor support were not. Relative excess risks due to interaction with psychological distress indicated were positive and large in coworker support (RERI = 1.04, 95% CI: -0.34-2.41). In the four-way decomposition analysis, the pure indirect effect (48.4%) and controlled direct effect (37.8%) accounted for a large part in job demands. In contrast, the proportion attributable interaction (44.1%) dominated the total effect and controlled direct effect (15.6%) accounted for fewer effects in coworker support.
conclusionsPsychological distress appeared to be an important determinant of menstruation-related symptoms in relation to job stressors. This study suggested that reducing job demands and improving coworker support accompanied with mental health care can mitigate the adverse effect of job stressors on menstruation-related symptoms.
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