{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:40:43Z","timestamp":1790775643174,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000646","name":"Japan Society for the Promotion of Science London","doi-asserted-by":"publisher","award":["23K16350"],"award-info":[{"award-number":["23K16350"]}],"id":[{"id":"10.13039\/501100000646","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined the relative contributions of mediation and interaction by psychological distress to the association between job stressors and menstruation\u2010related symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Online survey in August 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Japanese full\u2010time female employees aged 20\u201344 not taking contraceptives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four\u2010way decomposition analysis was used to estimate the relative contributions of psychological distress (mediation and interaction) to the potential pathways from job stressors and menstruation\u2010related symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>The Menstrual Distress Questionnaire assessed menstruation\u2010related symptoms before and during menstruation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1818 participants, 995 (54.7%) demonstrated severe menstruation\u2010related symptoms. Multivariable logistic regression showed that high job demands (OR\u2009=\u20091.50, 95% CI: 1.27\u20131.84) and low coworker support (OR\u2009=\u20091.57, 95% CI: 1.22\u20132.02) were associated with menstruation\u2010related symptoms whereas job control and supervisor support were not. Relative excess risks due to interaction with psychological distress indicated were positive and large in coworker support (RERI\u2009=\u20091.04, 95% CI: \u22120.34\u20132.41). In the four\u2010way decomposition analysis, the pure indirect effect (48.4%) and controlled direct effect (37.8%) accounted for a large part in job demands. In contrast, the proportion attributable interaction (44.1%) dominated the total effect and controlled direct effect (15.6%) accounted for fewer effects in coworker support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psychological distress appeared to be an important determinant of menstruation\u2010related symptoms in relation to job stressors. This study suggested that reducing job demands and improving coworker support accompanied with mental health care can mitigate the adverse effect of job stressors on menstruation\u2010related symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.18153","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T15:55:58Z","timestamp":1743350158000},"page":"1438-1451","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Job Stress, Psychological Distress, and Menstruation\u2010Related Symptoms in Female Workers: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6097-5948","authenticated-orcid":false,"given":"Natsu","family":"Sasaki","sequence":"first","affiliation":[{"name":"Department of Mental Health Graduate School of Medicine, the University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Public Health Kitasato University School of Medicine  Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miho","family":"Egawa","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Kyoto University Graduate School of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuka","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Mental Health Graduate School of Medicine, the University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiaki","family":"Kanamori","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing Graduate School of Medicine, the University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikako","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Mental Health Graduate School of Medicine, the University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mako","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Mental Health Graduate School of Medicine, the University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Nishi","sequence":"additional","affiliation":[{"name":"Department of Mental Health Graduate School of Medicine, the University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/2392498"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3111\/13696998.2013.830974"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.13394"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.3186"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2023.101542"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12624"},{"issue":"2","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4274\/jtgga.galenos.2024.2023-3-1","article-title":"Prevalence of Premenstrual Syndrome and Related Factors Among Nurses","volume":"25","author":"Saraei M.","year":"2024","journal-title":"Journal of the Turkish German Gynecological Association"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.0322"},{"issue":"4","key":"e_1_2_11_10_1","first-page":"331","article-title":"Reproductive Hormone Sensitivity and Risk for Depression Across the Female Life Cycle: A Continuum of Vulnerability?","volume":"33","author":"Soares C. 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