{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T19:15:51Z","timestamp":1785525351059,"version":"3.56.0"},"reference-count":61,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Philosophy and Social Science Foundation of Jiangsu Higher Education Institutions of China","award":["2025SJYB0247"],"award-info":[{"award-number":["2025SJYB0247"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Premenstrual dysphoric disorder (PMDD) impairs quality of life in reproductive-aged women. Clinical nurses facing high occupational stress and irregular work schedules may be particularly vulnerable. Identifying modifiable risk factors in this population is crucial for developing effective prevention strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aimed to investigate associations between lifestyle factors, work patterns (specifically night shifts), and PMDD symptoms among Chinese female nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 1,031 Chinese female nurses. Assessments included the Chinese version of the Core Symptoms of Premenstrual Dysphoric Disorder Questionnaire (CTDP-C), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Pittsburgh Sleep Quality Index (PSQI), and Medical Staff Stressor Scale (MSSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The prevalence of PMDD symptoms was 42.4% in Chinese female nurses. Higher PMDD risk was associated with a body mass index (BMI) of 24\u201327.9 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05), weekly exercise &lt;30\u2009min (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05), a history of alcohol use (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05), and \u2265 two night shifts\/week (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). CTDP-C scores showed strong positive correlations with depression (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.702), anxiety (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.680), poor sleep quality (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.493), and occupational stress scores (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.500) (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.01). Multivariate regression confirmed BMI, exercise, alcohol use, night shift frequency, and physical health conditions as significant predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PMDD symptoms are highly prevalent among Chinese nurses, influenced by modifiable lifestyle and occupational factors. These findings highlight the need to integrate screening (night shifts, alcohol use) into occupational health exams. Nurse administrators should implement shift optimization, wellness programs, and stress management to protect reproductive mental health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10783903261466139","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:11:15Z","timestamp":1785327075000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle and Occupational Factors Associated with Premenstrual Dysphoric Disorder Symptoms in Chinese Nurses: A Cross-Sectional Study"],"prefix":"10.1177","author":[{"given":"Ying","family":"Chen","sequence":"first","affiliation":[{"name":"Nanjing University of Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meiyan","family":"Luo","sequence":"additional","affiliation":[{"name":"Shaoyang Centre Hospital, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"Yixing Hospital of Traditional Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Mao","sequence":"additional","affiliation":[{"name":"Nanjing Luhe District Hospital of Traditional Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Nanjing Medical University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Liang","sequence":"additional","affiliation":[{"name":"Second Affiliated Hospital of Nanjing Medical University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinjin","family":"Liu","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Nanjing University of Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2239-6723","authenticated-orcid":false,"given":"Yuqun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Nanjing University of Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Albsoul-Younes A. 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