{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:35:05Z","timestamp":1777944905163,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Premenstrual tension (PMT) syndrome is a combination of a disruptive set of physical and emotional symptoms that women experience cyclically before the start of each menstrual period. It may impede day-to-day activities and can vary in severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aims to investigate the factors associated with PMT and explore their influences, along with family support, on the academic performance of female university students in Bangladesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This study used a cross-sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study is based on primary data collected from 765 female students of Jahangirnagar University, Bangladesh. A well-structured questionnaire, having sociodemographic information, PMT rating scale, and APGAR family function scale. Descriptive statistics, the chi-square test, Monte Carlo approximation test, multivariable logistic regression, and structural equation modeling (SEM) were employed for data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The findings revealed that 115 (15.03%) respondents demonstrated significant PMT symptoms, of which 54% reported that PMT had an impact on their academic performance, and 67% reported experiencing physical issues. This study also found that family support negatively influences PMT (standardized path coefficient\u2009=\u2009\u22120.23). The SEM path analysis indicates that all hypothesized relationships are statistically significant at the 5% level, leading to the rejection of the corresponding null hypotheses. PMT is positively associated with academic performance and is statistically significant (\u03b2\u2009=\u20090.505,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Moreover, family support is positively related to academic performance, exhibiting a weak but significant effect (\u03b2\u2009=\u20090.083,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.045). Students with PMT were 53% less likely to belong to lower dysfunctional families (adjusted odds ratio (AOR)\u2009=\u20090.47, 95% confidence interval (CI): 0.33\u20130.66,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Students with chronic illnesses were less likely to belong to lower dysfunctional families (AOR\u2009=\u20090.53, 95% CI: 0.33\u20130.87).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings indicate that strong family support can help alleviate PMT, potentially benefiting students\u2019 academic performance. PMT is also associated with family dysfunction and chronic illness. Overall, family care and health awareness play an important role in supporting students\u2019 academic success and overall well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261429272","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T05:42:41Z","timestamp":1773380561000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the factors of premenstrual tension syndrome and their influence on academic performance among female university students in Bangladesh: A cross-sectional study"],"prefix":"10.1177","volume":"22","author":[{"given":"Md. Rayhan","family":"Kabir","sequence":"first","affiliation":[{"name":"Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh"},{"name":"Jahangirnagar University Research Society, Jahangirnagar University, Savar, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moinur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh"},{"name":"Jahangirnagar University Research Society, Jahangirnagar University, Savar, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afrida","family":"Tasnim","sequence":"additional","affiliation":[{"name":"Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh"},{"name":"Jahangirnagar University Research Society, Jahangirnagar University, Savar, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niha Rani","family":"Debi","sequence":"additional","affiliation":[{"name":"Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh"},{"name":"Jahangirnagar University Research Society, Jahangirnagar University, Savar, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Tasnim","sequence":"additional","affiliation":[{"name":"Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh"},{"name":"Jahangirnagar University Research Society, Jahangirnagar University, Savar, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syeda Nujhat","family":"Nowshin","sequence":"additional","affiliation":[{"name":"Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh"},{"name":"Jahangirnagar University Research Society, Jahangirnagar University, Savar, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3593-6936","authenticated-orcid":false,"given":"Md. 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