Evidence map›Paper›PMID 41204184›Full record

ArticleBMC women's health2025

Development and validation of a premenstrual symptom screening tool for working women in relation to absenteeism.

Chihiro Takenoshita, Kisho Shimizu, Miho Iida, Fumiaki Taka, Eri Maeda, Songee Jung, Kyoko Nomura

Abstract readValidation Study
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chihiro TakenoshitaDepartment of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Hondo 1-1-1, Akita-shi, Akita, 0108543, Japan.
Kisho ShimizuFaculty of Medicine, Akita University, Hondo 1-1-1, Akita-shi, Akita, 010-8543, Japan.
Miho IidaDepartment of Preventive Medicine and Public Health, Keio University School of Medicine, Shinanomachi 35, Shinjuku-ku, Tokyo, 1608582, Japan.ORCID 0000-0001-5527-7574
Fumiaki TakaDepartment of Social Psychology, Faculty of Sociology, Toyo University, Hakusan 5-28-20 , Bunkyo-ku, Tokyo, 112-8606, Japan.ORCID 0000-0003-2125-5128
Eri MaedaDepartment of Public Health, Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan.ORCID 0000-0002-6858-3754
Songee JungDepartment of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Hondo 1-1-1, Akita-shi, Akita, 0108543, Japan.ORCID 0000-0002-9086-8334
Kyoko NomuraDepartment of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Hondo 1-1-1, Akita-shi, Akita, 0108543, Japan. knomura@med.akita-u.ac.jp.ORCID 0000-0003-1453-4540

Funding

The Ministry of Education, Culture, Sports, Science and Technology, Japan (Grants for Scientific Research B) Number 21H03192
6 · The paper itself

Abstract

objectiveThis study aimed to develop and validate a screening tool tailored for working women to comprehensively assess premenstrual symptoms-including physical, psychological, and work-related domains-and to examine its reliability, validity, and association with absenteeism.

methodsIn October 2021, a multidisciplinary expert panel comprising a gynecologist, a psychosomatic physician, a psychologist, occupational health specialists, and data scientists developed a set of 47 original items. We then recruited 3,239 working women with menstruation via an internet research company and administered these items to assess PMS-related symptoms. For scale development, we conducted exploratory and confirmatory factor analyses, along with evaluations using Cronbach's alpha, receiver operating characteristic analysis, and logistic regression analysis.

resultsOf the participants, 331 women had experienced PMS (10%), and 393 women had taken sick leave because of PMS-associated symptoms (12%). Exploratory factor analyses with maximum likelihood and Promax rotation identified four domains with 27 items, including "Somatic symptoms'' (Cronbach's α = 0.93), "Psychological symptoms" (Cronbach's α = 0.94), "Lack of work efficiency" (Cronbach's α = 0.93), and "Abdominal symptoms" (Cronbach's α = 0.95). Using a split-half sample for the confirmatory factor analysis, the four-factor solution demonstrated acceptable model fit (RMSEA = 0.077, CFI = 0.928). The Average Variance Extracted values ranged from 0.54 to 0.68 across the four domains, and in all cases, the square root of AVE exceeded the corresponding inter-factor correlations, supporting the discriminant validity using the Fornell-Larcker criterion. We also confirmed the developed scale's criterion validity using existing PMS screening criteria and its concurrent validity through moderate correlation coefficients with Copenhagen Burnout Inventory scores. The receiver operating characteristic curve yielded a moderate construct ability for work absenteeism, including a sensitivity of 78%, a specificity of 57%, and an area under the curve of 0.735.

conclusionA moderately reliable and valid new scale for PMS for working women was developed with efficacy for screening for work absenteeism.

Indexed as

AbsenteeismMass ScreeningPremenstrual SyndromeWomen, WorkingAdultFactor Analysis, StatisticalFemaleHumansMiddle AgedPsychometricsReproducibility of ResultsSick LeaveSurveys and QuestionnairesAbsenteeismBurnoutPremenstrual syndromeScale developmentWomen workers

Identifiers

PMID41204184
PMCPMC12595664

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.