{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:56Z","timestamp":1791186956860,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome characterized by marked affective, behavioral, and physical symptoms that occur during the late luteal phase of the menstrual cycle and substantially impair daily functioning. Despite its considerable impact on the health and well\u2010being of women of reproductive age, evidence on the prevalence of probable PMDD and its associated factors among female college students in Ethiopia remains limited. This study aimed to assess the prevalence of screening\u2010positive probable PMDD and identify factors associated with it among female college students in Nekemte tow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An institution\u2010based cross\u2010sectional study was conducted among 375 randomly selected female college students, with 368 participating (response rate: 98.13%). Participants were selected using a stratified random sampling technique from twelve colleges categorized by field of study. Symptoms of probable PMDD were assessed using the Premenstrual Symptoms Screening Tool for Adolescents (PSST\u2010A), a standardized screening instrument based on DSM criteria. Multivariable logistic regression was performed to identify factors associated with screening\u2010positive probable PMDD. Variables with a\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u2009&lt;\u20090.25 in the bivariable analysis were included in the multivariable model, and statistical significance was declared at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 17.4% (95% CI: 13.6\u201321.5) of participants screened positive for probable PMDD. Students who reported cohabiting with a boyfriend had higher odds of screening positive for probable PMDD than those living with their families (AOR\u2009=\u20095.80, 95% CI: 1.31\u201325.77). Similarly, severe dysmenorrhea (AOR\u2009=\u20095.88, 95% CI: 2.72\u20139.46) and a menstrual cycle length of \u2265\u200928 days (AOR\u2009=\u20092.52, 95% CI: 1.01\u20136.26) were associated with higher odds of screening\u2010positive probable PMDD. In contrast, living with relatives (AOR\u2009=\u20090.12, 95% CI: 0.02\u20130.60) and reporting moderate menstrual bleeding (AOR\u2009=\u20090.31, 95% CI: 0.10\u20130.92) were associated with lower odds of screening\u2010positive probable PMDD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Approximately one in six female college students screened positive for probable PMDD using the PSST\u2010A screening instrument Cohabiting with a boyfriend, severe dysmenorrhea, and longer menstrual cycle length were associated with higher odds of screening\u2010positive probable PMDD, whereas living with relatives and moderate menstrual bleeding were associated with lower odds These findings highlight the need for routine screening, increased awareness of PMDD symptoms, and accessible campus\u2010based reproductive and mental health support services for female college students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73200","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T04:24:47Z","timestamp":1788841487000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Premenstrual Dysphoric Disorder Severity and Associated Factors Among Female College Students in Nekemte Town: An Institution\u2010Based Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0180-9669","authenticated-orcid":false,"given":"Buzuneh Tasfa","family":"Marine","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Faculty of Public Health Jimma University Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5045-1682","authenticated-orcid":false,"given":"Kitesa Biresa","family":"Duftu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Faculty of Public Health Jimma University Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"1","key":"e_1_2_15_2_1","first-page":"5","article-title":"Premenstrual Disorders: A Primer and Research Agenda for Psychologists","volume":"72","author":"Eisenlohr\u2010Moul T.","year":"2019","journal-title":"Clinical Psychologist"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S48426"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148653"},{"key":"e_1_2_15_5_1","volume-title":"Social Workers' Knowledge of Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD): Implications for Assessment Practices With Mothers","author":"Barry L.","year":"2016"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2021.1920315"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232935"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(13)41712-3"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-023-02334-y"},{"key":"e_1_2_15_10_1","first-page":"167","volume-title":"The Diagnostic and Statistical Manual of Mental Disorders: (DSM\u20105) Model of Impairment, in Assessing Impairment: From Theory to Practice","author":"Joyce\u2010Beaulieu D.","year":"2016"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/1596-3519.68354"},{"key":"e_1_2_15_12_1","unstructured":"C. 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