Evidence map›Paper›PMID 42121611›Full record

ArticleHealthcare (Basel, Switzerland)2026

Relationships Between Sleep Quality, Perceived Stress, and Premenstrual Syndrome Among Medical and Nursing Students: A Cross-Sectional Study in Palestine.

Malak Abu Khashan, Shahd Aldarak, Marwa Zahdeh, Ayah Alawneh, Nada Abo Dyak, Shahd Qazae, Shahd Ghanem, Mohammad N S Al-Mohtaseb, Hadeel Ayesh, Abdallah Alwawi and 1 more

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Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Malak Abu KhashanFaculty of Medicine, Al-Quds University, Jerusalem P.O. Box 3523, Palestine.ORCID 0009-0007-7139-6486
Shahd AldarakDepartment of Medicine, Faculty of Medicine and Allied Medical Sciences, An-Najah National University, Nablus P.O. Box 7, Palestine.
Marwa ZahdehFaculty of Medicine, Al-Quds University, Jerusalem P.O. Box 3523, Palestine.ORCID 0000-0002-5376-8991
Ayah AlawnehDepartment of Medicine, Faculty of Medicine and Allied Medical Sciences, An-Najah National University, Nablus P.O. Box 7, Palestine.ORCID 0009-0007-3210-9122
Nada Abo DyakDepartment of Medicine, Faculty of Medicine and Allied Medical Sciences, An-Najah National University, Nablus P.O. Box 7, Palestine.
Shahd QazaeFaculty of Medicine, Al-Quds University, Jerusalem P.O. Box 3523, Palestine.
Shahd GhanemFaculty of Medicine, Mansoura University, Mansoura 35516, Egypt.
Mohammad N S Al-MohtasebAlexandria Faculty of Medicine, Alexandria University, Alexandria 21526, Egypt.
Hadeel AyeshFaculty of Medicine, Al-Quds University, Jerusalem P.O. Box 3523, Palestine.ORCID 0000-0002-2913-901X
Abdallah AlwawiFaculty of Health Professions, Al-Quds University, Jerusalem P.O. Box 3523, Palestine.ORCID 0000-0002-1264-241X
Azzam ZrinehFaculty of Medicine, Al-Quds University, Jerusalem P.O. Box 3523, Palestine.ORCID 0009-0008-0382-4327

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPremenstrual syndrome (PMS) significantly impacts daily functioning among women of reproductive age. Medical and nursing students face exceptional stressors that may exacerbate PMS, yet the interrelationships between sleep quality, perceived stress, and PMS remain understudied in Middle Eastern contexts. This study aimed to investigate the relationships between sleep quality, perceived stress, and self-reported PMS symptoms among Palestinian female medical and nursing students, to assess their prevalence and severity, and to examine variations across sociodemographic and lifestyle factors.

methodsThis cross-sectional correlational study recruited 708 female medical and nursing students from three Palestinian universities. Validated Arabic instruments assessed sleep quality (PSQI), perceived stress (PSS-10), and PMS symptoms (A-PMSS). Analyses included Spearman's correlations, non-parametric tests (Mann-Whitney U Test, Kruskal-Wallis Test), and multivariable linear regression.

resultsNearly all participants (98%) reported some degree of self-reported PMS symptoms at any severity level, with 76% experiencing moderate-to-severe symptoms. Poor sleep quality (PSQI > 5) affected 62.1%, while 94.5% reported moderate-to-high perceived stress. Significant positive correlations were identified between PSQI and PMS (rho = 0.295,

conclusionsThis study reveals a substantial burden of PMS, poor sleep quality, and stress among Palestinian female medical and nursing students. Perceived stress and sleep quality were independently associated with PMS severity. These findings highlight need for integrated wellness programs in healthcare education for Palestinian students.

Indexed as

healthcare educationmedical studentsnursing studentsperceived stresspremenstrual syndromesleep quality

Identifiers

PMID42121611
PMCPMC13163972

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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.