Investigation of the Correlation Between the Quality of Life and the Level of Coping with Premenstrual Symptoms among Female University Students
Year 2025,
Volume: 14 Issue: 1, 30 - 42, 25.06.2025
Dania Ghalayini
,
Sena Kaplan
Abstract
Aim: This descriptive study aimed to explore the relationship between coping with premenstrual symptoms (PMS) and quality of life among female university students. Subjects and Methods: The study group consists of 287 female students. The data of study was collected using the Inclusion Criteria Form, Personal Information Form, Premenstrual Coping Measure Scale (PMCM), and the SF-36 Quality of Life Scale (SF-36). Results: Among the 287 students, 87.2% experienced dysmenorrhea and had not received counseling for PMS management. In the study, it was found that the "Acceptance and Awareness of Premenstrual Changes" score decreased as age and grade increased (p<.05). Additionally, smokers had lower "Self-care" scores compared to non-smokers (p<.05). Students with a menarche age of 14 years or older and those with dysmenorrhea scored higher in the "Adjusting Energy" sub-dimension (p<.05). Our study results showed that as students' ability to cope with premenstrual symptoms improved their quality of life (p<.05). Conclusion: Based on these results, it’s recommended to organize educational workshops, health seminars, and awareness campaigns, led by healthcare professionals, to improve PMS knowledge and management.
Ethical Statement
Ethical approval was obtained from the Ankara Yildirim Beyazit University Health Science Ethics Committee (Approval date/number: October 06, 2022/14).
Supporting Institution
No funding was received for conducting this study.
References
- Abay, H., & Kaplan S. (2019). Current approaches in premenstrual syndrome management. Bezmialem Science, 7(2), 150–156. https://doi.org/10.14235/bas.galenos.2018.2358
- Abay, H., & Kaplan S. (2020). Validation and reliability of the turkish premenstrual coping measure/Premenstrual semptomlarla bas etme ölçegi’nin Türkce gecerlik ve güvenirlik çalışması. Bezmialem Science, 8(3), 289-90. https://doi.org/10.14235/bas.galenos.2019.3608
- Akın, Ö., & Erbil, N. (2024). Investigation of coping behaviors and premenstrual syndrome among university students. Current Psychology, 43, 1685-95. https://doi.org/10.1007/s12144-023-04419-1
- Al-Shahrani, A. M., Misken, E., Shroff, F., Elnour, S., Algahtani, R., Youssry, I., & Ahmed, S. (2021). Premenstrual syndrome and its impact on the quality of life of female medical students at Bisha University, Saudi Arabia. Journal of Multidisciplinary Healthcare, 14, 2373–79. https://doi.org/10.2147/JMDH.S327893
- Arafa, A. E., Senosy, S. A., Helmy, H. K., & Mohamed, A. A. (2018). Prevalence and patterns of dysmenorrhea and premenstrual syndrome among Egyptian girls (12–25 years). Middle East Fertility Society Journal, 23(4), 486-90. https://doi.org/10.1016/j.mefs.2018.01.007
- Aşcı, Ö., Süt, H. K., & Gökdemir, F. (2016). Üniversite Öğrencilerinde Premenstrüel Sendrom Prevalansı ve Risk Faktörleri. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9(3), 79–87. https://dergipark.org.tr/tr/pub/deuhfed/issue/46794/586782
- Bakir, N., & Yangın, H. B. (2019). Üniversite öğrencilerinde premenstrual sendrom ve sağlıklı yaşam biçimi davranışları arasındaki ilişki. Yaşam Becerileri Psikoloji Dergisi, 3(5), 39–51. https://dergipark.org.tr/tr/download/article-file/719761
- Cormac, J. S., Irwin, N., & Petersen, I. (2016). Recording and treatment of premenstrual syndrome in UK general practice: A retrospective cohort study. BMJ Open, 6(3), e010244. https://bmjopen.bmj.com/content/bmjopen/6/3/e010244.full.pdf?gathStatIcon=true
- Dutta, A., & Sharma, A. (2021). Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in India: A systematic review and meta-analysis. Health Promotion Perspectives, 11(2), 161-70. https://doi.org/10.34172/hpp.2021.20
- Edis, E.K., & Keten, M. (2023). Premenstrual Syndrome Experiences and Coping Levels of University Students: A Mixed Method Study. Bezmialem Science, 11(3), 308-314. https://doi.org/10.14235/bas.galenos.2023.86547
- Farrokh-Eslamlou, H., Oshnouei, S., Heshmatian, B., & Akbari, E. (2015). Premenstrual syndrome and quality of life in Iranian medical students. Sexual & Reproductive Healthcare, 6(1), 23-27. https://doi.org/10.1016/j.srhc.2014.06.009
- Fernández-Martínez, E., Onieva-Zafra, M. D., & Parra-Fernández, M. L. (2019). The impact of dysmenorrhea on quality of life among Spanish female university students. International Journal of Environmental Research and Public Health, 16(5), 713. https://doi.org/10.3390/ijerph16050713
- Goker A, Artunc-Ulkumen B, Aktenk F, Ikiz N. (2015). Premenstrual syndrome in Turkish medical students and their quality of life. Journal of Obstet Gynaecol, 35(3), 275-8. https://doi.org/10.3109/01443615.2014.948820
- Karpagavalli, G., & Rani R. (2020). A Study to assess the effect of premenstrual syndrome on quality of life among college students at Chennai. International Journal of Health Sciences and Research, 10(6), 110–15. https://www.ijhsr.org/IJHSR_Vol.10_Issue.6_June2020/17.pdf
- Keten E. E., & Keten M. (2023). Premenstrual syndrome experiences and coping levels of university students: A mixed method study. Bezmialem Science, 11(3), 308–14. https://doi.org/10.14235/bas.galenos.2023.86547
- Kısa, S., Zeyneloğlu, S., & Güler, N. (2012). Üniversite Öğrencilerinde premenstrual sendrom görülme sıklığı ve etkileyen faktörler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 1(4), 284–97. https://dergipark.org.tr/en/download/article-file/84312
- Koçyiğit, H., Aydemir, Ö., Fişek, G., Ölmez, N., & Memiş, A. (1995). The reliability and validity of Turkish version of short form 36 (SF 36). Turkish J Drugs Therap, 12(2), 102–6. https://cir.nii.ac.jp/crid/1573387451141993728?utm_medium=email&utm_source=transaction
- Kucukkelepce, D. S., Unver H., Nacar G., & Tashan, S. T. (2021). The effects of acupressure and yoga for coping with premenstrual syndromes on premenstrual symptoms and quality of life. Complementary Therapies in Clinical Practice, 42, 101282. https://doi.org/10.1016/j.ctcp.2020.101282
- Kwan, I., & Onwude, J. L. (2015). Premenstrual syndrome. BMJ Clinical Evidence. 2015, 0806. https://pmc.ncbi.nlm.nih.gov/articles/PMC4548199/pdf/2015-0806.pdf
- Marván, M. L., & Herrera V.A. (2014). Age at menarche, reactions to menarche and attitudes towards menstruation among Mexican adolescent girls. Journal of Pediatric and Adolescent Gynecology, 27(2), 61-66. https://doi.org/10.1016/j.jpag.2013.06.021
- Mohib, A., Zafar, A., Najam A., Tanveer, H., & Rehman R. (2018). Premenstrual syndrome: Existence, knowledge, and attitude among female university students in Karachi. Cureus, 10(3), e2290. https://doi.org/10.7759/cureus.2290
- Nohara, M., Momoeda, M., Kubota T., & Nakabayashi, M. (2011). Menstrual cycle and menstrual pain problems and related risk factors among Japanese female workers. Industrial Health, 49(2), 228-34. https://www.jstage.jst.go.jp/article/indhealth/49/2/49_MS1047/_pdf
- Özdel, K., Kervancıoğlu, A., Taymur İ., Efe C., Türkçapar A. F., Güriz S. O., & Turkcapar, M. H. (2015). Premenstrual symptom screening tool: A useful tool for DSM-5 premenstrual dysphoric disorder. Journal of Clinical and Analytical Medicine, 6(5), 581–85. https://doi.org/10.4328/JCAM.2314
- Özmermer, T. (2017). Şanlıurfa’da üniversite öğrencilerinde premenstrual sendrom sıklığı, baş etme yolları ve etkileyen faktörler. [Yayınlanmamış Yüksek Lisans Tezi] Harran Üniversitesi, Sağlık Bilimleri Enstitüsü, Şanlıurfa. http://acikerisim.harran.edu.tr:8080/xmlui/bitstream/handle/11513/1474/489936.pdf?sequence=1&isAllowed=y
- Ranjbaran, M., Samani, R. O., Almasi-Hashiani A., Matourypour, P., & Moini, A. (2017). Prevalence of premenstrual syndrome in Iran: A systematic review and meta-analysis. International Journal of Reproductive Biomedicine, 15(11), 679-86. https://pmc.ncbi.nlm.nih.gov/articles/PMC5780553/pdf/ijrb-15-679.pdf
- Read, J. R., Perz J., & Ussher J.M. (2014). Ways of coping with premenstrual change: Development and validation of a premenstrual coping measure. BMC Women’s Health, 14(1), 9000. https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-014-0155-0
- Sut, H. K., & Mestogullari, E. (2016). Effect of premenstrual syndrome on work-related quality of life in Turkish nurses. Safety and Health at Work, 7(1), 78–82. https://doi.org/10.1016/j.shaw.2015.09.001
- Steiner M, Macdougall M, Brown E. (2003). The premenstrual symptoms screening tool (PSST) for clinicians. Archives Womens Mental Health, 6(3), 203-9. https://doi.org/10.1007/s00737-003-0018-4
- Taro, Y., Esin, A., Bakir, A., & Aydın, C. (2001). Temel örnekleme yöntemleri. Literatür Yayınevi, ISBN:975-8431-34-X, İstanbul 94-95. https://books.google.com.tr/books/about/Temel_%C3%B6rnekleme_y%C3%B6ntemleri.html?id=zklUtwAACAAJ&redir_esc=y
- Topatan, S., & Kahraman, Ş. (2020). Premenstrual sendrom yaşayan üniversite öğrencilerinin yaşam kaliteleri ile başetme yöntemlerinin incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(1), 35–44. https://dergipark.org.tr/tr/download/article-file/1013549
- The American College of Obstetricians And Gynecologists (ACOG). (2023). Management of Premenstrual Disorders, Clincal Practice Guideline, Number 7. https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline/articles/2023/12/management-of-premenstrual-disorders
- Vatansever, B. (2019). Üniversite öğrencilerinde premenstrual sendrom semptomları ve öğrencilerin semptomlarla baş etme yöntemleri, [Yayınlanmamış Yüksek Lisans Tezi] Kırklareli Üniversitesi, Sağlık Bilimleri Enstitüsü, Kırklareli. https://acikbilim.yok.gov.tr/bitstream/handle/20.500.12812/164555/yokAcikBilim_10273514.pdf?sequence=-1&isAllowed=y
- Victor, F. F., Souza, A. I., Barreiros, C. D. T., Barros, J. L. N., Silva, F. A. C. D., Ferreira, A. L. C. G. (2019). Quality of Life among University Students with Premenstrual Syndrome. Revista Brasileira de Ginecoogia a Obstericia, 41(5), 312-17. https://doi.org/10.1055/s-0039-1688709
- Ware, J. E., & Sherbourne, C. S. (1992). The MOS 36-item short-form health survey (SF-36): I. conceptual framework and item selection. Medical Care, 30(6), 473–83. https://www.espalibrary.eu/media/filer_public/f5/31/f531ce0b-0584-476b-b46a-abe3df14d0ec/ware-mc1992.pdf
- World Health Organization (WHO). (1997). WHOQOL: Measuring quality of life. World Health Organization (WHO/MSA/MNH/PSF/97.4). https://iris.who.int/bitstream/handle/10665/63482/WHO_MSA_MNH_PSF_97.4.pdf?sequence=1&isAllowed=y
- Yazıcı, S. (2015). Perimenstrual şikayetler ve hemşirelik yaklaşımı. Sağlık Bilimleri ve Meslekleri Dergisi, 1(1), 58–67. https://dergipark.org.tr/tr/download/article-file/97954
- Yeşim, A. D., Erdemoğlu, Ç., & Özşahin Z. (2020). Üniversite öğrencilerinde menstrual semptom yaşama durumu ve yaşam kalitesine etkisi. Acibadem Universitesi Saglik Bilimleri Dergisi, 10(2), 176-181. https://journal.acibadem.edu.tr/en/download/article-file/1701788
- Yorulmaz, D. S., & Karadeniz H. (2021). Premenstrual sendrom yaşayan üniversite öğrencilerinin yakinmalarini azaltmaya yönelik kültürel uygulamalari. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi 9(2), 755–69. https://doi.org/10.33715/inonusaglik.833166
Üniversite Kız Öğrencilerinin Premenstrual Semptomlarla Başa Çıkma Düzeyleri ve Yaşam Kalitesi Arasındaki İlişkinin İncelemesi
Year 2025,
Volume: 14 Issue: 1, 30 - 42, 25.06.2025
Dania Ghalayini
,
Sena Kaplan
Abstract
Amaç: Bu tanımlayıcı çalışmada, üniversite kız öğrencilerinde premenstrual semptomlarla (PMS) başa çıkma düzeyleri ve yaşam kalitesi arasındaki ilişkinin incelenmesi amaçlanmıştır. Örneklem ve Yöntem: Çalışmaya 287 kız öğrenci dahil edilmiştir. Çalışma verileri, Dahil Edilme Kriterleri Formu, Kişisel Bilgi Formu, Premenstruel Başa Çıkma Ölçeği (PMBÖ) ve SF-36 Yaşam Kalitesi Ölçeği (SF-36) kullanılarak toplanmıştır. Bulgular: Çalışmada 287 öğrencinin %87.2’sinin dismenore yaşadığı ve PMS ile başetmede bir danışmanlık almadıkları belirlenmiştir. Çalışmada yaş ve sınıf düzeyi yükseldikçe “Premenstruel Değişikliklerin Kabulü ve Farkındalığı” puanının düştüğü bulunmuştur (p<.05). Ayrıca, sigara alışkanlığı olan öğrencilerde “Öz Bakım” puanının alışkanlığı olmayanlara göre daha düşük olduğu belirlenmiştir (p<.05). Menarş yaşı 14 ve üzeri olan öğrencilerde “Enerjiyi Ayarlama” puanının daha yüksek olduğu bulunmuştur (p<.05). Çalışma sonuçlarımız öğrencilerin premenstrual semptomlarla başetme düzeyi arttıkça yaşam kalitelerinin yükseldiğini göstermiştir (p<.05). Sonuç: Bu sonuçlara dayanarak, PMS bilgi ve yönetiminin geliştirmek için sağlık profesyonellerinin liderliğinde eğitim çalıştayları, sağlık seminerleri ve farkındalık kampanyalarının düzenlenmesi önerilir.
Ethical Statement
Bu çalışma Ankara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Etik Kurulu tarafından onaylanmıştır (Onay tarih/sayı: 06 Ekim 2022/14).
Supporting Institution
Bu çalışmanın yürütülmesi için finansal destek alınmamıştır.
References
- Abay, H., & Kaplan S. (2019). Current approaches in premenstrual syndrome management. Bezmialem Science, 7(2), 150–156. https://doi.org/10.14235/bas.galenos.2018.2358
- Abay, H., & Kaplan S. (2020). Validation and reliability of the turkish premenstrual coping measure/Premenstrual semptomlarla bas etme ölçegi’nin Türkce gecerlik ve güvenirlik çalışması. Bezmialem Science, 8(3), 289-90. https://doi.org/10.14235/bas.galenos.2019.3608
- Akın, Ö., & Erbil, N. (2024). Investigation of coping behaviors and premenstrual syndrome among university students. Current Psychology, 43, 1685-95. https://doi.org/10.1007/s12144-023-04419-1
- Al-Shahrani, A. M., Misken, E., Shroff, F., Elnour, S., Algahtani, R., Youssry, I., & Ahmed, S. (2021). Premenstrual syndrome and its impact on the quality of life of female medical students at Bisha University, Saudi Arabia. Journal of Multidisciplinary Healthcare, 14, 2373–79. https://doi.org/10.2147/JMDH.S327893
- Arafa, A. E., Senosy, S. A., Helmy, H. K., & Mohamed, A. A. (2018). Prevalence and patterns of dysmenorrhea and premenstrual syndrome among Egyptian girls (12–25 years). Middle East Fertility Society Journal, 23(4), 486-90. https://doi.org/10.1016/j.mefs.2018.01.007
- Aşcı, Ö., Süt, H. K., & Gökdemir, F. (2016). Üniversite Öğrencilerinde Premenstrüel Sendrom Prevalansı ve Risk Faktörleri. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 9(3), 79–87. https://dergipark.org.tr/tr/pub/deuhfed/issue/46794/586782
- Bakir, N., & Yangın, H. B. (2019). Üniversite öğrencilerinde premenstrual sendrom ve sağlıklı yaşam biçimi davranışları arasındaki ilişki. Yaşam Becerileri Psikoloji Dergisi, 3(5), 39–51. https://dergipark.org.tr/tr/download/article-file/719761
- Cormac, J. S., Irwin, N., & Petersen, I. (2016). Recording and treatment of premenstrual syndrome in UK general practice: A retrospective cohort study. BMJ Open, 6(3), e010244. https://bmjopen.bmj.com/content/bmjopen/6/3/e010244.full.pdf?gathStatIcon=true
- Dutta, A., & Sharma, A. (2021). Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in India: A systematic review and meta-analysis. Health Promotion Perspectives, 11(2), 161-70. https://doi.org/10.34172/hpp.2021.20
- Edis, E.K., & Keten, M. (2023). Premenstrual Syndrome Experiences and Coping Levels of University Students: A Mixed Method Study. Bezmialem Science, 11(3), 308-314. https://doi.org/10.14235/bas.galenos.2023.86547
- Farrokh-Eslamlou, H., Oshnouei, S., Heshmatian, B., & Akbari, E. (2015). Premenstrual syndrome and quality of life in Iranian medical students. Sexual & Reproductive Healthcare, 6(1), 23-27. https://doi.org/10.1016/j.srhc.2014.06.009
- Fernández-Martínez, E., Onieva-Zafra, M. D., & Parra-Fernández, M. L. (2019). The impact of dysmenorrhea on quality of life among Spanish female university students. International Journal of Environmental Research and Public Health, 16(5), 713. https://doi.org/10.3390/ijerph16050713
- Goker A, Artunc-Ulkumen B, Aktenk F, Ikiz N. (2015). Premenstrual syndrome in Turkish medical students and their quality of life. Journal of Obstet Gynaecol, 35(3), 275-8. https://doi.org/10.3109/01443615.2014.948820
- Karpagavalli, G., & Rani R. (2020). A Study to assess the effect of premenstrual syndrome on quality of life among college students at Chennai. International Journal of Health Sciences and Research, 10(6), 110–15. https://www.ijhsr.org/IJHSR_Vol.10_Issue.6_June2020/17.pdf
- Keten E. E., & Keten M. (2023). Premenstrual syndrome experiences and coping levels of university students: A mixed method study. Bezmialem Science, 11(3), 308–14. https://doi.org/10.14235/bas.galenos.2023.86547
- Kısa, S., Zeyneloğlu, S., & Güler, N. (2012). Üniversite Öğrencilerinde premenstrual sendrom görülme sıklığı ve etkileyen faktörler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 1(4), 284–97. https://dergipark.org.tr/en/download/article-file/84312
- Koçyiğit, H., Aydemir, Ö., Fişek, G., Ölmez, N., & Memiş, A. (1995). The reliability and validity of Turkish version of short form 36 (SF 36). Turkish J Drugs Therap, 12(2), 102–6. https://cir.nii.ac.jp/crid/1573387451141993728?utm_medium=email&utm_source=transaction
- Kucukkelepce, D. S., Unver H., Nacar G., & Tashan, S. T. (2021). The effects of acupressure and yoga for coping with premenstrual syndromes on premenstrual symptoms and quality of life. Complementary Therapies in Clinical Practice, 42, 101282. https://doi.org/10.1016/j.ctcp.2020.101282
- Kwan, I., & Onwude, J. L. (2015). Premenstrual syndrome. BMJ Clinical Evidence. 2015, 0806. https://pmc.ncbi.nlm.nih.gov/articles/PMC4548199/pdf/2015-0806.pdf
- Marván, M. L., & Herrera V.A. (2014). Age at menarche, reactions to menarche and attitudes towards menstruation among Mexican adolescent girls. Journal of Pediatric and Adolescent Gynecology, 27(2), 61-66. https://doi.org/10.1016/j.jpag.2013.06.021
- Mohib, A., Zafar, A., Najam A., Tanveer, H., & Rehman R. (2018). Premenstrual syndrome: Existence, knowledge, and attitude among female university students in Karachi. Cureus, 10(3), e2290. https://doi.org/10.7759/cureus.2290
- Nohara, M., Momoeda, M., Kubota T., & Nakabayashi, M. (2011). Menstrual cycle and menstrual pain problems and related risk factors among Japanese female workers. Industrial Health, 49(2), 228-34. https://www.jstage.jst.go.jp/article/indhealth/49/2/49_MS1047/_pdf
- Özdel, K., Kervancıoğlu, A., Taymur İ., Efe C., Türkçapar A. F., Güriz S. O., & Turkcapar, M. H. (2015). Premenstrual symptom screening tool: A useful tool for DSM-5 premenstrual dysphoric disorder. Journal of Clinical and Analytical Medicine, 6(5), 581–85. https://doi.org/10.4328/JCAM.2314
- Özmermer, T. (2017). Şanlıurfa’da üniversite öğrencilerinde premenstrual sendrom sıklığı, baş etme yolları ve etkileyen faktörler. [Yayınlanmamış Yüksek Lisans Tezi] Harran Üniversitesi, Sağlık Bilimleri Enstitüsü, Şanlıurfa. http://acikerisim.harran.edu.tr:8080/xmlui/bitstream/handle/11513/1474/489936.pdf?sequence=1&isAllowed=y
- Ranjbaran, M., Samani, R. O., Almasi-Hashiani A., Matourypour, P., & Moini, A. (2017). Prevalence of premenstrual syndrome in Iran: A systematic review and meta-analysis. International Journal of Reproductive Biomedicine, 15(11), 679-86. https://pmc.ncbi.nlm.nih.gov/articles/PMC5780553/pdf/ijrb-15-679.pdf
- Read, J. R., Perz J., & Ussher J.M. (2014). Ways of coping with premenstrual change: Development and validation of a premenstrual coping measure. BMC Women’s Health, 14(1), 9000. https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-014-0155-0
- Sut, H. K., & Mestogullari, E. (2016). Effect of premenstrual syndrome on work-related quality of life in Turkish nurses. Safety and Health at Work, 7(1), 78–82. https://doi.org/10.1016/j.shaw.2015.09.001
- Steiner M, Macdougall M, Brown E. (2003). The premenstrual symptoms screening tool (PSST) for clinicians. Archives Womens Mental Health, 6(3), 203-9. https://doi.org/10.1007/s00737-003-0018-4
- Taro, Y., Esin, A., Bakir, A., & Aydın, C. (2001). Temel örnekleme yöntemleri. Literatür Yayınevi, ISBN:975-8431-34-X, İstanbul 94-95. https://books.google.com.tr/books/about/Temel_%C3%B6rnekleme_y%C3%B6ntemleri.html?id=zklUtwAACAAJ&redir_esc=y
- Topatan, S., & Kahraman, Ş. (2020). Premenstrual sendrom yaşayan üniversite öğrencilerinin yaşam kaliteleri ile başetme yöntemlerinin incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(1), 35–44. https://dergipark.org.tr/tr/download/article-file/1013549
- The American College of Obstetricians And Gynecologists (ACOG). (2023). Management of Premenstrual Disorders, Clincal Practice Guideline, Number 7. https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline/articles/2023/12/management-of-premenstrual-disorders
- Vatansever, B. (2019). Üniversite öğrencilerinde premenstrual sendrom semptomları ve öğrencilerin semptomlarla baş etme yöntemleri, [Yayınlanmamış Yüksek Lisans Tezi] Kırklareli Üniversitesi, Sağlık Bilimleri Enstitüsü, Kırklareli. https://acikbilim.yok.gov.tr/bitstream/handle/20.500.12812/164555/yokAcikBilim_10273514.pdf?sequence=-1&isAllowed=y
- Victor, F. F., Souza, A. I., Barreiros, C. D. T., Barros, J. L. N., Silva, F. A. C. D., Ferreira, A. L. C. G. (2019). Quality of Life among University Students with Premenstrual Syndrome. Revista Brasileira de Ginecoogia a Obstericia, 41(5), 312-17. https://doi.org/10.1055/s-0039-1688709
- Ware, J. E., & Sherbourne, C. S. (1992). The MOS 36-item short-form health survey (SF-36): I. conceptual framework and item selection. Medical Care, 30(6), 473–83. https://www.espalibrary.eu/media/filer_public/f5/31/f531ce0b-0584-476b-b46a-abe3df14d0ec/ware-mc1992.pdf
- World Health Organization (WHO). (1997). WHOQOL: Measuring quality of life. World Health Organization (WHO/MSA/MNH/PSF/97.4). https://iris.who.int/bitstream/handle/10665/63482/WHO_MSA_MNH_PSF_97.4.pdf?sequence=1&isAllowed=y
- Yazıcı, S. (2015). Perimenstrual şikayetler ve hemşirelik yaklaşımı. Sağlık Bilimleri ve Meslekleri Dergisi, 1(1), 58–67. https://dergipark.org.tr/tr/download/article-file/97954
- Yeşim, A. D., Erdemoğlu, Ç., & Özşahin Z. (2020). Üniversite öğrencilerinde menstrual semptom yaşama durumu ve yaşam kalitesine etkisi. Acibadem Universitesi Saglik Bilimleri Dergisi, 10(2), 176-181. https://journal.acibadem.edu.tr/en/download/article-file/1701788
- Yorulmaz, D. S., & Karadeniz H. (2021). Premenstrual sendrom yaşayan üniversite öğrencilerinin yakinmalarini azaltmaya yönelik kültürel uygulamalari. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi 9(2), 755–69. https://doi.org/10.33715/inonusaglik.833166