Vol. 11 No. 12 (2025): December
Open Access
Peer Reviewed

The Impact of Sleep Quality on Premenstrual Syndrome Among Females in Three Districts of Agam Regency, West Sumatra

Authors

Rara Mulia Sari , Winati Nurhayu , Iffa Afiqa Khairani , Andy Darmawan

DOI:

10.29303/jppipa.v11i12.13021

Published:

2025-12-25

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Abstract

Premenstrual Syndrome (PMS) significantly impacts reproductive-age females, yet the interplay of lifestyle factors in rural contexts remains under-researched. This study aimed to analyze the relationship between sleep quality and PMS severity among females in Agam Regency, West Sumatra. A quantitative survey was conducted with 124 participants selected via purposive sampling. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Premenstrual Symptoms Screening Tool (PSST), then analyzed using Linear Models (LM) in R. Results showed that 84.67% of respondents reported poor sleep quality. LM analysis revealed that poor sleep quality significantly predicted severity across all PMS categories: PMDD (p = 0.0054), psychological/somatic symptoms (p = 0.0013), and daily dysfunction (p = 0.0007). Additionally, higher BMI was linked to increased PMDD symptoms (p = 0.0290), while stress significantly influenced daily functional impairment (p = 0.0234). In conclusion, poor sleep quality is a primary predictor of severe PMS, exacerbated by high BMI and stress. These findings suggest that sleep hygiene and stress management are critical non-pharmacological interventions for improving menstrual health in rural populations.

Keywords:

BMI Female Premenstrual Symptoms Screening Tool sleep quality stress

References

Alwafa, R. A., Badrasawi, M., & Hamad, R. H. (2021). Prevalence of premenstrual syndrome and its association with psychosocial and lifestyle variables: a cross-sectional study from Palestine. BMC Women's Health, 21(1), 233. https://doi.org/10.1186/s12905-021-01374-6 DOI: https://doi.org/10.1186/s12905-021-01374-6

Andira, A. D., Usman, A. M., & Wowor, T. J. . (2022). Hubungan penggunaan gadget terhadap kualitas tidur pada mahasiswa keperawatan di Universitas Nasional. Jurnal Promotif Preventif, 4(2), 51–56. https://doi.org/10.47650/jpp.v4i2.354 DOI: https://doi.org/10.47650/jpp.v4i2.354

Badan Pusat Statistik Kabupaten Agam. (2022). Kabupaten Agam dalam angka 2022. BPS Kabupaten Agam. https://agamkab.bps.go.id/

Baker, F. C., Kahan, T. L., Trinder, J., & Colrain, I. M. (2007). Sleep quality and the sleep electroencephalogram in women with severe premenstrual syndrome. Sleep, 30(10), 1283–1291. https://doi.org/10.1093/sleep/30.10.1283 DOI: https://doi.org/10.1093/sleep/30.10.1283

Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4 DOI: https://doi.org/10.1016/0165-1781(89)90047-4

Byun, E., Lerdal, A., Gay, C. L., & Lee, K. A. (2016). How adult caregiving impacts sleep: A systematic review. Current sleep medicine reports, 2(4), 191-205. https://doi.org/10.1007/s40675-016-0058-8 DOI: https://doi.org/10.1007/s40675-016-0058-8

Carpi, M. (2025). The Pittsburgh Sleep Quality Index: a brief review. Occupational Medicine, 75(1), 14-15. https://doi.org/10.1093/occmed/kqae121 DOI: https://doi.org/10.1093/occmed/kqae121

Cheng, S. H., Shih, C. C., Yang, Y. K., Chen, K. T., Chang, Y. H., & Yang, Y. C. (2013). Factors associated with premenstrual syndrome—A survey of new female university students. The Kaohsiung journal of medical sciences, 29(2), 100-105. https://doi.org/10.1016/j.kjms.2012.08.017 DOI: https://doi.org/10.1016/j.kjms.2012.08.017

Dilbaz, B., & Aksan, A. (2021). Premenstrual syndrome, a common but underrated entity: review of the clinical literature. Journal of the Turkish German Gynecological Association, 22(2), 139. https://doi.org/10.4274/jtgga.galenos.2021.2020.0133 DOI: https://doi.org/10.4274/jtgga.galenos.2021.2020.0133

Drigas, A., & Mitsea, E. (2021). Metacognition, stress-relaxation balance & related hormones. Int. J. Recent Contributions Eng. Sci. IT, 9(1), 4-16. https://doi.org/10.3991/ijes.v9i1.19623 DOI: https://doi.org/10.3991/ijes.v9i1.19623

Driver, H. S., & Sloan, E. P. (2017). Sleep and sleep disorders in women. In S. Chokroverty (Ed.), Sleep disorders medicine: Basic science, technical considerations and clinical aspects (pp. 1159–1174). Springer. https://doi.org/10.1007/978-1-4939-6578-6_57 DOI: https://doi.org/10.1007/978-1-4939-6578-6_53

Ediati, A. (2023). Gangguan suasana hati terkait menstruasi : Gambaran problem psikologis dan intervensinya. Collabryzk Journal for Scientific Studies, 2(No 2), 41–51. https://doi.org/10.58959/cjss.v2i1.20

Estiani, K., & Djokosujono, K. (2020). Hubungan asupan gizi dengan kejadian premenstrual syndrome. Jurnal Ilmu Kesehatan Masyarakat, 9(02), 73–81. https://doi.org/10.33221/jikm.v9i02.523 DOI: https://doi.org/10.33221/jikm.v9i02.523

Fauziah, F., Putra, Y., & Muazinah, B. (2023). Hubungan kejadian premenstrual syndrome (PMS) dengan kualitas tidur pada remaja putri di SMPN 3 Unggul Ingin Jaya Kabupaten Aceh Besar. Jurnal Anestesi, 1(2), 200-222. https://doi.org/10.55606/anestesi.v1i2.578 DOI: https://doi.org/10.59680/anestesi.v1i2.578

Feinstein, L., McWhorter, K. L., Gaston, S. A., Troxel, W. M., Sharkey, K. M., & Jackson, C. L. (2020). Racial/ethnic disparities in sleep duration and sleep disturbances among pregnant and non‐pregnant women in the United States. Journal of sleep research, 29(5), e13000. https://doi.org/10.1111/jsr.13000 DOI: https://doi.org/10.1111/jsr.13000

Hantsoo, L., Rangaswamy, S., Voegtline, K., Salimgaraev, R., Zhaunova, L., & Payne, J. L. (2022). Premenstrual symptoms across the lifespan in an international sample: data from a mobile application. Archives of Women's Mental Health, 25(5), 903-910. https://doi.org/10.1007/s00737-022-01261-5 DOI: https://doi.org/10.1007/s00737-022-01261-5

Itriyeva, K. (2022). Premenstrual syndrome and premenstrual dysphoric disorder in adolescents. Current problems in pediatric and adolescent health care, 52(5), 101187. https://doi.org/10.1016/j.cppeds.2022.101187 DOI: https://doi.org/10.1016/j.cppeds.2022.101187

Jaffer, U., Sharminaz, S., Zulkafli, N. F., Omar, M., Che Mohd Nassir, C. M. N., Ahmed, M. A., & Osman, R. A. H. (2024). Screen time and sleep quality: A narrative review of digital device usage and its impact on wellbeing. International Journal of Education, Psychology and Counselling, 9(56), 1068–1079. https://doi.org/10.35631/IJEPC.956067 DOI: https://doi.org/10.35631/IJEPC.956067

Jeon, B., & Baek, J. (2023). Menstrual disturbances and its association with sleep disturbances: a systematic review. BMC Women’s Health, 23(1), 1–19. https://doi.org/10.1186/s12905-023-02629-0 DOI: https://doi.org/10.1186/s12905-023-02629-0

Rini, M. K., & Huriah, T. (2020). Prevalensi dan Dampak Kecanduan Gadget Pada Remaja: Literature Review. Jurnal Keperawatan Muhammadiyah, 5(1). https://doi.org/10.30651/jkm.v5i1.4609 DOI: https://doi.org/10.30651/jkm.v5i1.4609

Kim, S., Kim, S. M., Han, S., Hong, J. S., & Seo, J. S. (2023). Level of psychological and somatic symptoms predict perimenopausal syndrome severity better than Obstetric and psychiatric history do among Korean women. Psychiatry Investigation, 20(1), 18. https://doi.org/10.30773/pi.2022.0249 DOI: https://doi.org/10.30773/pi.2022.0249

Kohyama, J. (2021). Which is more important for health: sleep quantity or sleep quality?. Children, 8(7), 542. https://doi.org/10.3390/children8070542 DOI: https://doi.org/10.3390/children8070542

Liu, X., Li, R., Wang, S., & Zhang, J. (2024). Global, regional, and national burden of premenstrual syndrome, 1990–2019: an analysis based on the Global Burden of Disease Study 2019. Human Reproduction, 39(6), 1303-1315. https://doi.org/10.1093/humrep/deae081 DOI: https://doi.org/10.1093/humrep/deae081

Lutfiyati, A., Hutasoit, M., Nirmalasari, N., Studi, P., Fakultas, K., Universitas, K., Achmad, J., & Yogyakarta, Y. (2021). The association between sleep quality with premenstrual syndrome in SMAN 1 Godean, Sleman District. Jurnal Kesehatan Madani Medika, 12(01), 8–13. https://doi.org/10.36569/jmm.v12i1.142 DOI: https://doi.org/10.55426/jksi.v12i1.144

Mighani, S., Taghizadeh Shivyari, F., Razzaghi, A., Amerzadeh, M., Ranjbaran, M., Samavat, M., & Javadi, M. (2025). Association between sleep quality and premenstrual syndrome in young women in a cross-sectional study. Scientific Reports, 15(1), 6260. https://doi.org/10.1038/s41598-025-90581-4 DOI: https://doi.org/10.1038/s41598-025-90581-4

Nisa, J., Hidayah, S. N., & Izzah, N. S. K. (2024). Premenstrual syndrome based on physical activity, body mass index and blood pressure in adolescent girls. Jurnal Kesehatan Reproduksi, 10(3). https://doi.org/10.22146/jkr.77308 DOI: https://doi.org/10.22146/jkr.77308

Paraswati, A. A., Sufyan, D. L., Puspitasari, I. D., & Simanungkalit, S. F. (2022). Status gizi dan asupan lemak dengan gejala premenstrual syndrome pada remaja SMK Tunas Grafika Informatika. Ghidza: Jurnal Gizi Dan Kesehatan, 6(1), 38–46. https://doi.org/10.22487/ghidza.v6i1.242 DOI: https://doi.org/10.22487/ghidza.v6i1.242

Pedro, A. O., Brandão, J. D. P., de Oliveira Silva, S. B., Lapa, M. G., & Castilho, V. C. (2025). Impact of age on premenstrual syndrome prevalence and severity: A population‐based survey in Brazil. International Journal of Gynecology & Obstetrics, 168(3), 1221-1228. https://doi.org/10.1002/ijgo.15895 DOI: https://doi.org/10.1002/ijgo.15895

Sancho-Domingo, C., Carballo, J. L., Coloma-Carmona, A., & Buysse, D. J. (2021). Brief version of the Pittsburgh Sleep Quality Index (B-PSQI) and measurement invariance across gender and age in a population-based sample. Psychological assessment, 33(2), 111-121. http://dx.doi.org/10.1037/pas0000959 DOI: https://doi.org/10.1037/pas0000959

Senolinggi, M. A., Mewengkang, M., & Wantania, J. (2015). Hubungan antara usia menarche dengan usia menopause pada wanita di Kecamatan Kakas Sulawesi Utara tahun 2014. E-CliniC, 3(1). https://doi.org/10.35790/ecl.3.1.2015.6754 DOI: https://doi.org/10.35790/ecl.3.1.2015.6754

Shen, Y., Lv, Q. K., Xie, W. Y., Gong, S. Y., Zhuang, S., Liu, J. Y., Mao, C. J., & Liu, C. F. (2023). Circadian disruption and sleep disorders in neurodegeneration. Translational neurodegeneration, 12(8), 1-25. https://doi.org/10.1186/s40035-023-00340-6 DOI: https://doi.org/10.1186/s40035-023-00340-6

Shuchy, S. I., Hasan, M. R., Uddin, I., Talukder, M. U., & Huq, A. K. O. (2025). Assessment of changes in premenstrual syndrome (PMS) before and after menstruation: A cross-sectional study in Tangail, Bangladesh. Journal of Public Health and Development, 23(2), 70-86. https://doi.org/10.55131/jphd/2025/230206 DOI: https://doi.org/10.55131/jphd/2025/230206

Siregar, H. S. N., Pane, A. H., Mustika, S. E., & Wardhani, K. (2022). Hubungan kualitas tidur dengan siklus menstruasi pada mahasiswi FK UISU tahun 2021. Jurnal Kedokteran STM (Sains Dan Teknologi Medik), 5(2), 101–108. https://doi.org/10.30743/stm.v5i2.319 DOI: https://doi.org/10.30743/stm.v5i2.319

Steiner, M., Macdougall, M., & Brown, E. (2003). The premenstrual symptoms screening tool (PSST) for clinicians. Archives of Women’s Mental Health, 6(3), 203–209. https://doi.org/10.1007/s00737-003-0018-4 DOI: https://doi.org/10.1007/s00737-003-0018-4

Takeda, T., Yoshimi, K., & Yamada, K. (2020). Psychometric testing of the premenstrual symptoms questionnaire and the association between perceived injustice and premenstrual symptoms: A cross-sectional study among Japanese high school students. International Journal of Women's Health, 12, 755-763. https://doi.org/10.2147/IJWH.S269392 DOI: https://doi.org/10.2147/IJWH.S269392

Yunita, F. A., & Yuneta, A. E. N. counseling on pre-menstrual syndrome (PMS) in adolescents. Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya, 9(2), 55-61. https://doi.org/10.20961/placentum.v9i2.52694 DOI: https://doi.org/10.20961/placentum.v9i2.52694

Author Biographies

Rara Mulia Sari, Institut Teknologi Sumatera

Author Origin : Indonesia

Winati Nurhayu, Institut Teknologi Sumatera

Author Origin : Indonesia

Iffa Afiqa Khairani, Institut Teknologi Sumatera

Author Origin : Indonesia

Andy Darmawan, Institut Teknologi Sumatera

Author Origin : Indonesia

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How to Cite

Sari, R. M., Nurhayu, W., Khairani, I. A., & Darmawan, A. (2025). The Impact of Sleep Quality on Premenstrual Syndrome Among Females in Three Districts of Agam Regency, West Sumatra. Jurnal Penelitian Pendidikan IPA, 11(12), 393–399. https://doi.org/10.29303/jppipa.v11i12.13021