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In young students, poor sleep quality independently predicts severe dysmenorrhea and menstrual-linked functional impairment.
A new study reports a high incidence of poor sleep quality among female undergraduates and identifies sleep disturbance as an independent predictor of severe dysmenorrhea and functional restriction. This study determined the frequency of poor sleep quality among 254 female undergraduate students and examined whether sleep problems independently predict severe dysmenorrhea and menstrual-associated daily activity disruption after adjusting for key confounders.
Sleep quality was assessed using the pittsburgh sleep quality index (PSQI), perceived stress using the perceived stress scale (PSS-10), and dysmenorrhea severity via a 0–10 visual analog scale (VAS). Functional impairment was described as a moderate or severe disruption in at least one life domain. Multivariable logistic regression analyses controlling for stress, age, body mass index, and socioeconomic status. Component-level analysis determined the independent contribution of PSQI dimensions.
Poor sleep quality was reported by 68.9% of volunteers, while 48.8% experienced severe dysmenorrhea. After adjustment, moderate sleep problems doubled the odds of severe dysmenorrhea (adjusted odds ratio [aOR] = 2.00), and severe sleep problems raised the odds more than threefold (aOR = 3.63). Severe dysmenorrhea strongly predicted menstrual-connected functional limitation (aOR = 4.81), while poor sleep quality independently remained linked with functional limitation (aOR = 1.96). Component analysis identified sleep disturbance (PSQI Component 5) as the only independent determinant of severe dysmenorrhea (aOR = 2.11).
Thus, poor sleep quality—especially sleep disturbance—is substantially linked with severe dysmenorrhea and menstrual-related functional limitation. Integrating sleep evaluation into dysmenorrhea care and determining sleep-focused interventions may help alleviate menstrual pain severity and improve daily functioning.
Healthcare (Basel)
Prevalence of Poor Sleep Quality and Its Association with Dysmenorrhea Among Female Undergraduate Students at a Health Sciences University in the UAE
Shadha Nasser Bahutair et al.
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