Sleep in Postmenopausal Women

Vigeta, Sônia Maria Garcia; Hachul, Helena; Tufik, Sérgio; Oliveira, Eleonora Menicucci de

doi:10.1177/1049732311422050

Cited by 22 publications

(17 citation statements)

References 43 publications

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“…Of the 22 studies, six were rated as “excellent” for their methodological quality according to the CASP criteria [33, 39, 44–47], 14 studies were rated as “very good” [16, 17, 35–37, 40–43, 48–51], two were rated as “good” [34, 38], and none was ranked as “poor”. In general, studies retained for this review presented several strengths according to qualitative methodology standards.…”

Section: Resultsmentioning

confidence: 99%

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Qualitative studies of insomnia: Current state of knowledge in the field

Araújo

Jarrin

Leanza

et al. 2017

Sleep Medicine Reviews

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Summary Despite its high prevalence and burden, insomnia is often trivialized, under-diagnosed, and under-treated in practice. Little information is available on the subjective experience and perceived consequences of insomnia, help-seeking behaviors, and treatment preferences. The use of qualitative approaches (e.g., ethnography, phenomenology, grounded theory) may help gain a better understanding of this sleep disorder. The present paper summarizes the evidence derived from insomnia studies using a qualitative research methodology (e.g., focus group, semi-structured interviews). A systematic review of the literature was conducted using PsycINFO and Medline databases. The review yielded 22 studies and the quality of the methodology of each of them was evaluated systematically using the CASP appraisal tool. Selected articles possess at least a very good methodological rigor and they were categorized according to their main focus: “Experience of insomnia”, “Management of insomnia” and “Medicalization of insomnia”. The main findings indicate that: 1) insomnia is often experienced as a 24-hour problem and is perceived to affect several domains of life, 2) a sense of frustration and misunderstanding is very common among insomnia patients, which is possibly due to a mismatch between patients’ and health care professionals’ perspectives on insomnia and its treatment, 3) health care professionals pay more attention to sleep hygiene education and medication therapies and less to the patient’s subjective experience of insomnia, and 4) health care professionals are often unaware of non-pharmacological interventions other than sleep hygiene education. An important implication of these findings is the need to develop new clinical measures with a broader scope on insomnia and more targeted treatments that take into account the patient’s experience of insomnia. Greater use of qualitative approaches in future research may produce novel and more contextualized information leading to a more comprehensive understanding of insomnia.

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Section: Resultsmentioning

confidence: 99%

“…Second, all articles but one [38] included clear information on how the research themes were identified, and all articles but one [34] reported that ethical review or ethical waivers were obtained. Third, 17 of the 22 articles reported that the data were coded/analyzed by more than one assessor [16, 17, 33, 35, 37, 39, 40, 42–51]. …”

Section: Resultsmentioning

confidence: 99%

Qualitative studies of insomnia: Current state of knowledge in the field

Araújo

Jarrin

Leanza

et al. 2017

Sleep Medicine Reviews

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“…Women presented higher occurrence of sleep disorders. Biologically, women's sleep is more fragmented when compared to men's 33 . Besides, the stressful social context in which women are in (social expectations as to their work, family caring, aesthetics, etc.)…”

Section: Discussionmentioning

confidence: 99%

Distúrbios do sono em adultos de uma cidade do Estado de São Paulo

Zanuto

Lima

Araújo

et al. 2015

Rev. bras. epidemiol.

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ABSTRACT:Objective: To analyze the occurrence of sleep-related disorders among adults from Presidente Prudente, Brazil, as well as to identify associations with behavioral, socio-demographic and nutritional status variables. Methods: After random selection of the sample, interviews were performed with 743 adults of both genders, living in Presidente Prudente, Brazil. Sleep-related disorders, demographic variables (sex, age, ethnicity and schooling), behavioral variables (leisure physical activity, alcohol consumption, and smoking) and nutritional status were analyzed by questionnaires. Results: The prevalence of sleep-related disorders was 46.7%, with 95% confidence interval (95%CI) 43.1 -50.2. In the multivariate analysis, female sex, with odds ratio (OR) 1.74 (95%CI 1.26 -2.40), schooling (OR = 0.49; 95%CI 0.28 -0.82), overweight (OR = 1.99; 95%CI 1.39 -2.85) and obesity (OR = 2.90; 95%CI 1.94 -4.35) were associated with sleep-related disorders. Conclusion: There is high occurrence of sleep-related disorders in this sample, which was associated with female sex, lower schooling, overweight and obesity.

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“…According to the author, in addition to decreased sleep quality, specific sleep disorders, such as sleepdisordered breathing and restless-leg syndrome, become more prevalent during middle age and, especially, after menopause. The qualitative study performed by Vigeta et al [10] conducted with postmenopausal women found that psychosocial factors were associated with insomnia, and Doo & Kim [13] verified that short sleep duration was associated with increased levels of obesity-related variables and increased consumption of CHO-rich foods in premenopausal women. Sleep deteriorates with age, and complaints of insomnia increase significantly from menopause.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to cognitive difficulties, sleep disorders during the climacteric are also quite common, and their relationship with other variables such as depression, anxiety and psychosocial aspects is quite relevant [1,9,10]. The study by Machado et al [11] evaluated factors associated with hypertension, diabetes, insomnia and depression in Brazilian women between 40 and 65, with 11 years or more of schooling.…”

Section: Discussionmentioning

confidence: 99%

A Brief Review of Neuropsychic Symptoms Associated with the Female Climacteric: Depression and Mental Health

Wigg¹

2017

JNSK

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Considering the tendency of improved life expectancy worldwide, women will, increasingly, experience the climacteric during the next years. A variety of biopsychosocial changes are experienced by women throughout the climacteric. As age progresses, ovarian functions decrease until the onset of menopause. With decreased levels of estradiol and progesterone, a sum of neuropsychic symptoms, such as insomnia, irritability, attention deficit and memory, anxiety and depression, become common complaints in this stage of women's life. Among them, depression is undoubtedly a global mental health problem. The aim of the present review was to present selected studies between 2007 and 2017, based on the Medline and Web of Science databases, and Academic Google, on climacteric and its main symptoms, highlighting neuropsychic symptoms, and, especially, depression. As one of the most common symptoms during climacteric, especially during menopause, depression leads to decreased motivation and productivity, increases the number of visits to health clinics, the risk of suicidal ideation and suicide itself. Studies on the prevalence and incidence of climacteric depression are of great use in the maintenance of mental health of women and in the technical qualification of outpatient clinics for women in the climacteric.

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Sleep in Postmenopausal Women

Cited by 22 publications

References 43 publications

Qualitative studies of insomnia: Current state of knowledge in the field

Qualitative studies of insomnia: Current state of knowledge in the field

Distúrbios do sono em adultos de uma cidade do Estado de São Paulo

A Brief Review of Neuropsychic Symptoms Associated with the Female Climacteric: Depression and Mental Health

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