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"How Long Is the Shadow of the Past?" the Relationship Between Adverse Childhood Experiences, Premenstrual Symptoms and Fear of Childbirth.

Created on 18 Sep 2026

Authors

Meserret Aslan, Fadime Bayri Bingol, Aleyna Ozan, Ayşegül Alim Karamustafa, Ayşenur Hinisli

Published in

Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc. Volume 39. Issue 4. Pages e70076.

Abstract

Adverse childhood experiences (ACEs) may have long-term effects on women's reproductive and psychological health, including premenstrual symptoms and fear of childbirth.
This study aimed to examine the relationships between ACEs, premenstrual syndrome (PMS), and fear of childbirth (FoC) among young women.
This cross-sectional and correlational study was conducted with 399 female university students in Türkiye between March and April 2022. Data were collected using the Adverse Childhood Experiences-Turkish Form (ACE-TF), Premenstrual Syndrome Scale (PMSS), and Women's Fear of Childbirth-Prior to Pregnancy Scale (WCF-PPS). Pearson correlation and linear regression analyses were performed.
Of the participants, 58.6% reported at least one ACE and 71.7% had PMS symptoms. ACE scores were positively correlated with PMS (r = 0.476, p < 0.01) and FoC (r = 0.169, p < 0.01). PMS was also positively correlated with FoC (r = 0.455, p < 0.01). ACEs explained 22.5% of the variance in PMS scores (R2 = 0.225) and 2.6% of the variance in FoC scores (R2 = 0.026).
Adverse childhood experiences were associated with greater premenstrual symptoms and fear of childbirth among young women. Incorporating trauma-informed assessment and individualized psychosocial support into reproductive health care may facilitate early identification of women at increased risk for reproductive and emotional distress.

PMID:
42758102
Bibliographic data and abstract were imported from PubMed on 18 Sep 2026.

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