A multinational study of sleep disorders during female mid-life

Blümel, Juan E.; Cano, Antonio; Mezones‐Holguín, Edward; Barón, Germán; Bencosme, Ascanio; Benítez, Zully; Bravo, Luz M.; Calle, Andrés; Flores, Daniel; Espinoza, María T.; Gómez, Gustavo; Hernández-Bueno, José A.; Laribezcoa, Fiorella; Martino, Mabel; Lima, Selva; Monterrosa, Álvaro; Mostajo, Desireé; Ojeda, Eliana; Onatra, William; Sánchez, Hugo; Tserotas, Konstantinos; Vallejo, María S.; Witis, Silvina; Zúñiga, María C.; Chedraui, Peter

doi:10.1016/j.maturitas.2012.05.011

Cited by 135 publications

(141 citation statements)

References 42 publications

Supporting

Mentioning

127

Contrasting

Unclassified

Order By: Relevance

“…In Yassary et al study, this figure was 34.7% (8). In the other study, 46.5% of subjects in the study were suffering from depression (6). In a study conducted by Dolatian et al (10) about the prevalence of depression and its related factors at different stages of menopause among women residing in Kermanshah, it was found that 32.2% of the subjects were depressed.…”

Section: Discussionmentioning

confidence: 77%

Prevalence of Depression in Postmenopausal Women

Afshari

Manochehri

Tadayon

et al. 2015

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

Background:Every woman during different stages of her growth faces various crises, and one of these crises, menopause, may create different problems. In modern societies, psychological disorders and particularly depression is one of the problems of menopausal women. Objectives: This study aimed to evaluate the prevalence of depression in postmenopausal women referred to selected health centers of Ahvaz in 2014. Patients and Methods: This study was cross-sectional study. In this study, 1280 postmenopausal women aged between 40 and 65 years old who were referred to selected health centers of Ahvaz in 2014 were randomly enrolled. Hamilton depression scale and demographic questionnaire were used for gathering information. Data were analyzed using SPSS software. To analyze the data, descriptive statistics and analytical statistics (Independent t test, ANOVA, Pearson correlation and logistic regression) were carried out (CI 95%). Results: The mean ± SD score of depression for the subjects was 9.37 ± 4.62. The results showed that 59.8% of the 1280 samples were depressed; in particular, 39.8% had mild depression, 16% moderate depression, and 4% severe depression. There is a significant and inverse relation between variables of age, exposure to cigarette smoking, and the relationship with their spouses and the level of their depression, so higher age, more exposure to smoking, and better relation with their husbands, lead to the less depression. The results showed that the level of education is associated with depression. The highest rate of depression was in illiterate women; the finding also showed that there is a relationship between income and the severity of depression (Regression Log). T test showed that the mean depression level of employed postmenopausal women is higher than housewives postmenopausal women, and this difference is statistically significant (P < 0.001). Conclusions: A significant percentage of women in their menopause experience depression. This depression can be associated with variables such as exposure to cigarette smoke, certain personal characteristics (e.g. relationship with spouse), and socioeconomic status (education, income).

show abstract

Section: Discussionmentioning

confidence: 77%

Prevalence of Depression in Postmenopausal Women

Afshari

Manochehri

Tadayon

et al. 2015

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

show abstract

“…In a study by Kuh et al (9) in the UK with over 1200 women, the risk of sleep disturbances relative to that among premenopausal women was higher by a factor of 1.5 for perimenopausal women and a factor of 3.4 for postmenopausal women. The prevalence of sleep difficulty varies between 14% and 53% in the menopausal period (9)(10)(11). In Timur and Sahin's study (12) of 887 women in the menopausal period carried out in Malatya, Turkey, the prevalence of sleep difficulty was found to be 54%.…”

Section: Discussionmentioning

confidence: 99%

Pittsburgh Sleep Quality Index scores and their relationship with body measurements in late menopause patients

Ayrim¹,

Keskin²,

Özol³

2014

Turk J Med Sci

View full text Add to dashboard Cite

IntroductionMenopause is a regression in the production of sex hormones with the loss of ovary activity and hence termination of menstruation characterized by the loss of reproductive functions. Hormonal changes such as declining estrogen levels during this period are frequently accompanied by a variety of secondary physiological, psychological, and behavioral changes (1). Menopause affects sleep regulation in addition to many other systems. The symptom constellation, including changes in appetite, nervousness, alterations in mood, headaches, hot flashes, joint and muscle pain, palpitations, and insomnia, is called "menopausal syndrome" (2). With the prolongation of mean survival around the world, women spend about one-third of their lives in menopause. In developed countries, the mean duration of life in women is about 80 years, and they spend 40% of this period in menopause (3). Therefore, a number of complaints and health problems that may arise during this period are becoming increasingly important. Sleep is one of the most important physiological needs for a healthy life and is regarded as an important variable for quality of life and well-being. While the body is able to adapt to some of these menopausal changes, certain complaints, especially those associated with sleep, may continue. According to the US National Institutes of Health, sleep problems occur in 35%-60% of postmenopausal women (4). It is thought that vasomotor symptoms and alterations in hormone levels may trigger sleep problems (5). The role of weight gain in sleep quality in menopause is not clear. Although a higher body mass index (BMI) is strongly linked to short sleep duration in children, data on the influence of BMI on sleep duration in adults are contradictory (6). The aim of the present study is to investigate the incidence of findings regarding quality of sleep and sleep apnea in women who had not undergone hormone replacement therapy after menopause and to research the relationship between sleep complaints and body measurements such as weight and neck circumferences.Background/aim: With an increase in life expectancy, women live about one-third of their lives in the postmenopausal period. Our aim was to investigate the findings regarding quality of sleep and sleep apnea in postmenopausal women and research the relationship between sleep complaints and body measurements. Materials and methods:The Pittsburgh Sleep Quality Index (PSQI) was administered to all participants and their height, weight, and neck circumferences were measured.Results: A total of 206 patients (mean age: 61.4 ± 8.8 years) were included. Their mean weight gain after menopause was 8.1 ± 12.8 kg, and their mean neck circumference and body mass index was 39.7 ± 2.6 cm and 33.4 ± 2.1, respectively. The rate of patients who snored each night increased from 3.4% to 13.2% (P = 0.000) after menopause. The rate of self-reported poor sleep quality was found in 57.8% of patients according to the PSQI global score (≥5). The prevalence of sleep medication usage increased from...

show abstract

Section: Depression and Poor Sleepmentioning

confidence: 99%

“…About 30 % of adults have one or more symptoms of insomnia, according to the American Academy of Sleep Medicine [89], and these symptoms are more prevalent in women, particularly in mid-life [90][91][92][93]. While a high prevalence of poor sleep quality in mid-life women is well-documented, several welldesigned studies concluded that influences of both age and menopausal status on poor sleep were modest [92,93]. In addition, while there is considerable evidence that sleep difficulties are correlated with depressive symptoms, poor sleep is a core symptom of clinical depression [94,95], which frequently makes it difficult to determine whether sleep difficulties are a component of or independent of depressed mood or clinical depression.…”

Section: Depression and Poor Sleepmentioning

confidence: 99%

Depression in the menopause transition: risks in the changing hormone milieu as observed in the general population

Freeman

2015

womens midlife health

View full text Add to dashboard Cite

There is accumulating evidence but no definitive answers about the incidence of depressed mood in the menopause transition and its association with the changing hormonal milieu. While a changing hormonal milieu is the natural condition for all women, only a minority of mid-life women experience debilitating depressive symptoms or clinical depression. This review focuses on associations between depressed mood and the menopause transition, primarily as identified in longitudinal, population-based studies in the past decade. Further aims were to present reported associations between depressed mood and reproductive hormones in the menopause transition as evaluated in the general population and associations of depressive symptoms or clinical depression with menopausal hot flashes or poor sleep in perimenopausal women. There is evidence to support the role of the changing endocrine milieu in the development of depressed mood in the menopause transition, but the contribution of hormones as measured is small. Disentangling the numerous factors that are associated with depression in midlife women is a major challenge for research and for clinical care, where treatments are needed to improve the most distressing menopausal symptoms.

show abstract

A multinational study of sleep disorders during female mid-life

Cited by 135 publications

References 42 publications

Prevalence of Depression in Postmenopausal Women

Prevalence of Depression in Postmenopausal Women

Pittsburgh Sleep Quality Index scores and their relationship with body measurements in late menopause patients

Depression in the menopause transition: risks in the changing hormone milieu as observed in the general population

Contact Info

Product

Resources

About