Laughter Yoga and Sleep Hygiene Training for College Students With Premenstrual Syndrome

NCT07599436 | Completed

• 1 other identifier: EBS
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effects of laughter yoga and sleep hygiene training on premenstrual syndrome (PMS) symptoms, perceived stress levels, and sleep quality among nursing students.Premenstrual syndrome is a common health issue characterized by physical symptoms as well as emotional fluctuations, anxiety, depressive mood, and behavioral changes, which can negatively impact quality of life. Additionally, it is known that stress is a significant risk factor that exacerbates PMS symptoms, and that healthy lifestyle behaviors may be effective in alleviating these symptoms. In this context, it has been reported that yoga and similar relaxation-based practices support mental well-being by reducing stress levels.The intervention consists of laughter yoga and sleep hygiene education, implemented as non-pharmacological methods over a 4-week period.Participants were assessed at baseline, immediately following the intervention, and during the 1-month follow-up period. The primary objective is to observe improved sleep quality alongside reductions in PMS symptoms and stress levels in participants as a result of the intervention. The findings are expected to contribute to the effectiveness of non-pharmacological, low-cost, and feasible approaches in managing PMS symptoms, as well as addressing stress and sleep quality.

Conditions

Laughter Yoga; Premenstrual Syndrome-PMS; Stress; Sleep Quality

Keywords

Laughter Yoga; Premenstrual Syndrome; Stress; Nursing Students; Non-pharmacological method; Sleep Hygiene

Outcome Measures

Primary Outcomes (1)

• Changes in premenstrual syndrome levels

  PMS levels and associated physical, emotional, and behavioral changes in participants were measured using a validated scale. Changes in PMS levels were assessed by comparing the intervention and control groups.The Premenstrual Syndrome Scale (PSS) was used to evaluate the data.The scale consists of a total of 44 items and 9 subscales, organized on a 5-point Likert scale. The scale is scored as follows: 1 = never, 2 = rarely, 3 = sometimes, 4 = often, and 5 = always. Scores obtained from the scale can be calculated separately for each subscale or evaluated based on the total score. The total scale score ranges from 44 to 220, and the presence of PMS is considered in individuals scoring 132 or higher. Additionally, the severity of PMS is classified as follows: 44 points = no PMS, 45-103 points = mild PMS, 104-163 points = moderate PMS, and 164-220 points = severe PMS.

  Baseline, 4 weeks (end of intervention), 1-month follow-up

Secondary Outcomes (2)

• Changes in perceived stress levels

  Baseline, 4 weeks (end of intervention), 1-month follow-up

• Changes in sleep quality

  Baseline, 4 weeks (end of intervention), 1-month follow-up

Study Arms (2)

Participants were enrolled in a 4-week laughter yoga program.They received training on sleep hygiene

EXPERIMENTAL

intervention group

Behavioral: Supportive Care

No interventions were made regarding the participants.

NO INTERVENTION

control grup

Interventions

Supportive Care BEHAVIORAL

University students participated in 45-minute laughter yoga sessions held once a week for four weeks. During the first session, participants received training on sleep hygiene and were given a brochure on the topic. The sleep hygiene training covered the following topics: sleep, the importance of sleep, factors affecting sleep (circadian rhythm, sleep-wake cycle, nutrition, physical activity), factors causing poor sleep, sleep deprivation, and sleep hygiene.

Participants were enrolled in a 4-week laughter yoga program.They received training on sleep hygiene

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Female, 18 years of age or older
• Second-year nursing student (who has not yet taken the Women's Health and Diseases Nursing course)
• Having a regular menstrual cycle
• Scoring 45 or higher on the Premenstrual Syndrome Scale (PMS level is mild)
• Using the WhatsApp® app

You may not qualify if:

• Having any communication difficulties (mental, auditory, visual, etc.)
• Having previously participated in a stress management program
• Using pharmacological or non-pharmacological methods to manage PMS symptoms
• Having a chronic or neuropsychiatric condition

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University Institute of Health Sciences

Ankara, Ankara, 06000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Premenstrual Syndrome; Sleep Initiation and Maintenance Disorders; Sleep Hygiene

Interventions

Palliative Care

Condition Hierarchy (Ancestors)

Menstruation Disturbances; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Şengül YAMAN SÖZBİR

  Gazi University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: This is an open-label study with no masking
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Department of Obstetrics and Gynecology

Model Details: Participants underwent a 4-week program of laughter yoga, a non-pharmacological method. Sleep hygiene education was provided during the first session. Baseline, post-intervention, and 1-month follow-up assessments were conducted.

Study Record Dates

• First Submitted: May 4, 2026
• First Posted: May 20, 2026
• Study Start: March 1, 2026
• Primary Completion: May 1, 2026
• Study Completion: May 1, 2026
• Last Updated: May 20, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)