Chronic Stress is Prospectively Associated with Sleep in Midlife Women: The SWAN Sleep Study

Hall, Martica; Casement, Melynda D.; Troxel, Wendy; Matthews, Karen A.; Bromberger, Joyce T.; Kravitz, Howard M.; Krafty, Robert T.; Buysse, Daniel J.

doi:10.5665/sleep.5066

Cited by 123 publications

(91 citation statements)

References 51 publications

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“…37 Similarly, in a cross-sectional study of 8770 Japanese men and women, high occupational stress was significantly associated with *2-fold higher odds for insomnia in both men ( 38 Nevertheless, the Study of Women's Health Across the Nation Sleep Study, a US prospective study of 330 women, demonstrated that high chronic stress was associated with lower sleep quality (P < .001), increased insomnia (P < .001), and increased polysomnography-assessed wake after sleep onset (P < .01). 39 It is important to note that the association between sleep as well as other lifestyle behaviors and stress may be bidirectional and that observed gender differences in the influence of sleep on cardiovascular risk could alternatively be mediated by stress. 40…”

Section: Stress and Sleepmentioning

confidence: 99%

Gender Differences in Associations Between Stress and Cardiovascular Risk Factors and Outcomes

Taylor

Makarem

Shimbo

et al. 2018

Gender and the Genome

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Psychological stress, a subjective perception of an adverse environmental change, is a hallmark of modern society. Although psychological stress has previously been established as a risk factor for cardiovascular disease (CVD), it is unclear whether stress influences cardiovascular risk differently in men versus women. Gender disparities exist in the prevalence of stress as well as in the prevalence and prognosis of CVD; therefore, associations between stress and CVD risk and mortality may vary by sex. The purpose of this review was to summarize the evidence from recent and landmark studies on gender differences in the associations of stress with CVD risk factors and end points and to highlight clinical and public health implications as well as future research directions in this field. Taken together, research to date indicates that while stress is associated with poorer cardiovascular health metrics in both men and women, the influence of stress on measures of glucose regulation and dyslipidemia and on overall CVD risk may be stronger among women. However, men may be more susceptible to the influence of stress on body adiposity, blood pressure, and CVD mortality. In terms of behavioral risk factors for CVD, associations between stress and diet quantity and quality appear to be stronger among women, but the influence of stress on sedentary behaviors and sleep may be stronger among men. Given that gender disparities exist in the prevalence of overall and different types of stress (eg, financial stress, caregiving stress, and occupational stress), future studies should decipher the potential differential associations between types of stress and cardiovascular risk among men and women to identify vulnerable populations and develop targeted interventions.

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Section: Stress and Sleepmentioning

confidence: 99%

Gender Differences in Associations Between Stress and Cardiovascular Risk Factors and Outcomes

Taylor

Makarem

Shimbo

et al. 2018

Gender and the Genome

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“…One resource that has been largely understudied in the stress process is sleep quality. Despite previous research linking chronic stress and disrupted sleep quality (Hall et al, ; Pillai, Roth, Mullins, & Drake, ), as well as disrupted sleep quality and psychological distress (Goldstein & Walker, ), the role of sleep quality in promoting adjustment to chronic stress has been largely overlooked.…”

Section: Introductionmentioning

confidence: 99%

“…However, chronic stress , ongoing stressors lasting at least 1 year, has been related to a particularly high risk for insomnia (Pillai et al, ). In a 9‐year longitudinal study, exposure to chronic stress predicted poor subjective sleep quality and increased wake after sleep onset as assessed by polysomnography (Hall et al, ), indicating that the effects of stress on sleep may be particularly pronounced when the stress is chronic.…”

Section: Introductionmentioning

confidence: 99%

Chronic parenting stress and mood reactivity: The role of sleep quality

et al. 2017

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Sleep is a basic biological process supporting emotion regulation. The emotion regulation function of sleep may be particularly important in the context of chronic stress. To better understand how chronic stress and sleep interact to predict mood, 66 parents of children with autism completed daily diaries assessing parenting stress, negative mood, and sleep quality for 6 consecutive days. Hierarchical linear modelling revealed that daily negative mood was predicted by between-person differences in parenting stress and between-person differences in sleep efficiency. Further, between-person differences in sleep efficiency and within-person differences in sleep satisfaction moderated the impact of stress on mood. These data suggest that sleep disturbances may exacerbate the association between stress and mood in the context of chronic parenting stress. Further, high parenting stress appears to heighten the impact of transient sleep disturbances on mood.

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Section: 1 Introductionmentioning

confidence: 99%

“…The Study of Women Across the Nation (SWAN) reported that midlife women (51.2±2.1 years) who showed a chronic stress profile characterized by more annual events that were “very and still upsetting” over a period of up to 9 years before a PSG study, had a poorer subjective sleep quality and more PSG-defined wakefulness, and were more likely to report insomnia than women with low or moderate stress profiles (Hall et al, 2015). These findings suggest that high levels of chronic stress may precipitate sleep continuity disturbances in midlife women (Hall et al, 2015). While Shaver and colleagues ( 2002 ) did not find a difference in perceptions of stress exposure in midlife women with and without insomnia, they found that the insomnia group had more psychological distress and a greater morning-evening difference in urine cortisol levels compared with controls.…”

Section: 1 Introductionmentioning

confidence: 99%

Acute stress alters autonomic modulation during sleep in women approaching menopause

Zambotti

Sugarbaker

Trinder

et al. 2016

Psychoneuroendocrinology

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Hot flashes, hormones, and psychosocial factors contribute to insomnia risk in the context of the menopausal transition. Stress is a well-recognized factor implicated in the pathophysiology of insomnia; however the impact of stress on sleep and sleep-related processes in perimenopausal women remains largely unknown. We investigated the effect of an acute experimental stress (impending Trier Social Stress Task in the morning) on presleep measures of cortisol and autonomic arousal in perimenopausal women with and without insomnia that developed in the context of the menopausal transition. In addition, we assessed the macro- and micro-structure of sleep and autonomic functioning during sleep. Following adaptation to the laboratory, twenty two women with (age: 50.4 ± 3.2 y) and eighteen women without (age: 48.5±2.3 y) insomnia had two randomized in-lab overnight recordings: baseline and stress nights. Anticipation of the task resulted in higher pre-sleep salivary cortisol levels and perceived tension, faster heart rate and lower vagal activity, based on heart rate variability measures, in both groups of women. The effect of the stress manipulation on the autonomic nervous system extended into the first four hours of the night in both groups. However, vagal tone recovered four-six hours into the stress night in controls but not in the insomnia group. Sleep macrostructure was largely unaltered by the stress, apart from a delayed latency to REM sleep in both groups. Quantitative analysis of non-rapid eye movement sleep microstructure revealed greater electroencephalographic (EEG) power in the beta1 range (15-≤23Hz), reflecting greater EEG arousal during sleep, on the stress night compared to baseline, in the insomnia group. Hot flash frequency remained similar on both nights for both groups. These results show that presleep stress impacts autonomic nervous system functioning before and during sleep in perimenopausal women with and without insomnia. Findings also indicate that women with insomnia had increased EEG arousal and lacked recovery in vagal activity across the stress night suggesting a greater sensitivity to stress in this group.

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Chronic Stress is Prospectively Associated with Sleep in Midlife Women: The SWAN Sleep Study

Cited by 123 publications

References 51 publications

Gender Differences in Associations Between Stress and Cardiovascular Risk Factors and Outcomes

Gender Differences in Associations Between Stress and Cardiovascular Risk Factors and Outcomes

Chronic parenting stress and mood reactivity: The role of sleep quality

Acute stress alters autonomic modulation during sleep in women approaching menopause

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