Korean J Women Health Nurs.  2020 Sep;26(3):231-239. 10.4069/kjwhn.2020.09.10.

Do depression, fatigue, and body esteem influence premenstrual symptoms in nursing students?

  • 1Department of Nursing, Kyungnam University, Changwon, Korea


The purpose of this study was to investigate factors affecting premenstrual symptoms among nursing students, focusing on depression, fatigue, and body esteem.
The participants were 145 nursing students at a university located in Kyungnam, Korea. Data were collected from November 2 to November 30, 2019 using self-reported structured questionnaires, and analyzed using descriptive statistics, the independent t-test, analysis of variance, Pearson correlation coefficients, and multiple regression analysis.
The mean item score for premenstrual symptoms was 2.52±0.92, indicating a low level. The mean score for depression was 16.05±7.72, and 58.6% of participants were found to be non-depressed, 16.6% to be mildly depressed, 15.2% to be moderately depressed, and 9.7% to be severely depressed. The mean item score for fatigue was 4.84±0.84, indicating a moderate level, and that for body esteem was 2.94±0.44, indicating a moderate level. The premenstrual symptoms of nursing students showed a statistically significant correlation with depression (r=–.58, p<.001), fatigue (r=.33, p<.001), and body esteem (r=–.28, p<.001). The factors impacting the premenstrual symptoms of nursing students were depression (β=.47, p<.001), dysmenorrhea (β=–.18, p=.009), menstrual cycle regularity (β=.17, p=.013), and body esteem (β=–.14, p=.038). The total explanatory power of these variables was 41.0%.
The results suggest that intervention programs to relieve the premenstrual symptoms of nursing students should focus on depression, menstrual cycle regularity, dysmenorrhea, and body esteem.


Body image; Depression; Fatigue; Premenstrual syndrome; Nursing students
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