Menstruation-related hypersomnia. Electroencephalographic and actigraphic correlation in an underrecognized neuropsychiatric disorder

Villar-Martínez, María Dolores; Pérez-Lorensu, Pedro Javier; Pérez‐Fernández, Nicolas; Pueyo-Morlans, Mercedes; Carrillo-Padilla, Francisco Javier

doi:10.1016/j.sleep.2022.02.009

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“…Insomnia occurs in women at nearly two times the rates of men, suggesting a sex-specific mechanism underlying the condition (Soares 2005). Additionally, menstrual-related hypersomnia, although rare, is further indication of sleep disturbances unique to women that require further study (Villar-Martínez et al 2022). Indeed, it may be that the variability in the occurrence of menstrual related sleep problems may represent inter-individual differences in hormonal sensitivity, akin to those identified in reproductive mood disorders (Standeven et al 2020).…”

Section: Variations In Sleep Across the Menstrual Cyclementioning

confidence: 99%

Interaction of sleep and emotion across the menstrual cycle

Meers,

Bower,

Nowakowski

et al. 2024

Journal of Sleep Research

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SummaryMenstruating individuals experience an increased risk for sleep and affective disorders, attributed in part to monthly oscillations in sex hormones. Emotional functioning and sleep continuity worsens during the perimenstrual phase of the menstrual cycle. This study examined the interactive effects of sleep, menstrual phase, and emotion in healthy women. Participants (N = 51, 43% Caucasian) aged 18–35 (m = 24 years) completed actigraphy and daily sleep/emotion diaries over two menstrual cycles (m days = 51.29). Diary and actigraphic total wake time at night (TWT) and daily ratings of positive and negative affect were compared across four phases of the menstrual cycle: perimenstrual, mid‐follicular, periovulatory, and mid‐luteal. Relationships between phase, sleep, and emotion were estimated using multistep hierarchical linear modelling. Mean menstrual cycle length was 28.61 ± 2.69 days. Perimenstrual phase positively predicted anger (p < 0.001) but no other emotions. Additionally, the perimenstrual phase predicted higher rates of TWT, such that diary TWT was 8–16 min longer during the perimenstrual (m = 67.54, SE = 3.37) compared to other phases (p < 0.001). Actigraphic TWT was also increased by 4–7 min (m = 61.54, SE = 3.37) in the perimenstrual phase (p < 0.001). Positive emotions were 0.05–0.10 points lower (p = 0.006–0.02) when TWT was greater in the perimenstrual phase. Greater rates of anger and sleep disruption were seen during the perimenstrual phase compared with other phases. When poor sleep occurred during the perimenstrual phase individuals reported reduced positive emotions. Reducing perimenstrual sleep disruptions may be an important intervention target for those at risk for affective disorders.

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Section: Variations In Sleep Across the Menstrual Cyclementioning

confidence: 99%